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中文摘要: 目的:运用DRG绩效评价指标和TOPSIS法对某妇产专科医院各病区住院绩效进行综合评价,为优化病区运营效率、提高医疗服务水平提供依据。方法:采用CHS-DRG 1.0本地分组器,分析某三甲妇产专科医院2021年37 748例入组病例,通过医疗服务能力、资源使用效率、质量安全管理3个维度6项指标对入组病例进行指标分析,运用TOPSIS法对各病区住院绩效进行综合评价。结果:2021年全院TEI为0.907,CEI为0.813,低于全市平均水平;TOPSIS评价结果显示儿科一区、妇科三区和乳腺一区的综合效益最优;产科病区整体排序靠后。结论:采用DRG绩效指标能够客观科学地对住院工作进行绩效评价,医院管理者可结合医院发展和学科建设合理应用评价结果。
Abstract:Objective:DRG performance assessment indicators and TOPSIS method were used to evaluate the inpatient service performance of each area in the certain obstetrics and gynecology hospital,which was the basis for optimizing the utilization efficiency of inpatient medical resources and improving medical service. Methods:Using CHS-DRG 1.0 grouping scheme,37,748 cases enrolled in a certain grade A tertiary obstetrics and gynecology hospital in 2021 were analyzed. The enrolled cases were analyzed by six indicators from three dimensions:medical service ability,resource utilization efficiency and quality and safety management. TOPSIS method was used to evaluate the inpatient service performance of each area. Results:The TEI and CEI of the hospital in 2021 were 0.907 and 0.813,lower than the average of the city. TOPSIS evaluation results show that the comprehensive benefit of the first department of pediatrics,the third department of gynecology and the first department of mammary gland was the best. The overall ranking of obstetric ward is lower. Conclusion:The use of DRG indicators could objectively and scientifically evaluate the inpatient service performance,and hospital administrators can make rational use of the evaluation results in combination with hospital development and clinical specialty construction.
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基金项目:重庆市渝中区技术预见与制度创新项目(20210107) 重庆市渝中区技术预见与制度创新项目(20210107)
引用文本:
张正宇,慕华桥,袁 源*.DRG和TOPSIS法在某妇产专科医院住院绩效评价的应用△[J].江苏卫生事业管理,2023,34(3):352-356.
ZHANG Zhengyu,MU Huaqiao,YUAN Yuan*.Application of DRG Indicators and TOPSIS Method in Performance Assessment of the Certain Obstetrics and Gynecology Hospital△[J].Jiangsu Health System Management,2023,34(3):352-356.
张正宇,慕华桥,袁 源*.DRG和TOPSIS法在某妇产专科医院住院绩效评价的应用△[J].江苏卫生事业管理,2023,34(3):352-356.
ZHANG Zhengyu,MU Huaqiao,YUAN Yuan*.Application of DRG Indicators and TOPSIS Method in Performance Assessment of the Certain Obstetrics and Gynecology Hospital△[J].Jiangsu Health System Management,2023,34(3):352-356.