| 摘要: |
| 目的 基于DRGs探讨死亡风险分级评价医院医疗质量的方法。方法 以死亡风险分级方法评价医院整体医疗质量，进行科室间、专业间横向对比，并与总住院死亡指标进行比较。 结果 （1）总死亡率2015年0.137%低于2014年0.236%，低风险死亡率2015年0.008%高于2014年0，高风险死亡率2015年3.341%高于2014年1.773%；（2）非手术科室A和手术科室A在两类科室中总死亡率都是最高的，其中非手术科室A在中高风险和高风险死亡率是最高的，而手术科室A仅在中高风险死亡率是最高的。非手术科室B出现1例低风险死亡患者；（3）MDCR专业组总死亡率为0.15%居第六位，低风险和中低风险死亡率分别为0.01%和0.24%，其他专业组这两个死亡率都为0。 结论 基于DRGs死亡风险分级是评价医院医疗质量的有效方法。 |
| 关键词: 疾病诊断相关组 死亡风险分级 医疗质量评价 |
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| Application of Mortality Risk Classification for Medical Quality Evaluation Based on DRGs |
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| Abstract: |
| Objective To explore the method of mortality risk classification for medical quality evaluation based on DRGs. Method Morality risk classification method was applied to assess the overall hospital medical quality, horizontal comparison was done among departments, and they were compared with the assessment results from using the total hospital mortality. Results (1) 0.137% in 2015 was less than 0.236% in 2014 on total mortality rate. 0.008% in 2015 was more than 0 in 2014 on low risk mortality. 3.341% in 2015 was more than 1.773% in 2014 on high risk mortality. (2) Both non-surgical department A and surgical department A had the highest total mortality rate in departments of two types. And non-surgical department A had the highest medium-high risk mortality rate and high risk mortality rate, while surgical department A had the highest medium-high risk mortality rate. One low risk patient died in non-surgical departments B. (3) The total mortality rate of MDCR professional groups was 0.15% ranking the sixth with low-risk and medium-low-risk mortality rate 0.01% and 0.24% respectively. The low-risk and medium-low-risk mortality rate of other professional groups was 0. Conclusion Mortality risk classification based on DRGs is an effective way to evaluate medical quality. |
| Key words: DRGs, mortality risk classification, medical quality evaluation |
