DOI:
江苏卫生事业管理:2023,Vol.>>Issue(4):445-449
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DRGs管理工具在专科建设评价中的应用
薛 梅
(佛山市妇幼保健院运营管理科)
Application of DRGs Management Tool in Evaluation of Specialty Construction
XUE Mei
(Operations Management Department,Foshan Women and Children Hospital)
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中文摘要: 目的:运用DRGs管理指标对产科的专科建设进行评价与分析,为科室发展提供数据支持。方法:分析某三级甲等妇幼保健院近四年产科DRGs管理指标(入组率、组数、总权重、CMI值、时间消耗指数、费用消耗指数等),评价专科建设情况。结果:产科病例入组率连续四年提高,由2019年的99.1%提高到2022年1-11月的100%。产科疾病类型覆盖较全面,涵盖专业的全部病组,没有缺失病组。科室医疗服务总产出上升明显,总权重由2019年的11 311.77提高到2022年1-11月的12 055.29。反映科室效率的指标“时间消耗指数”“费用消耗指数”呈上升趋势,科室的平均技术难度CMI值呈下降趋势。结论:运用DRGs管理工具对专科建设进行全面、标准、细化的评价,避免了以往现场评估时人为因素的干扰,节约了成本,使评估结果更科学、合理。对DRGs数据的挖掘与分析,利于找到问题的节点,精准解决,为科室加强专科建设提供数据支持。
中文关键词: DRGs  管理指标  专科建设  数据分析
Abstract:Objective:To evaluate and analyze the construction of obstetrics department by using DRGs management index,and to provide data support for the development of the department. Methods:Through the analysis of the change of the data of DRGs management indicators(enrollment rate,number of groups,total weight,CMI value,time consumption index,cost consumption index,etc.),the construction of obstetrics department in acertain tertiarygrade A maternal and child health hospital in recent four years was evaluated and analyzed. Results:The enrollment rate of obstetric cases increased for four consecutive years,from 99.1% in 2019 to 100% in January-November 2022. The disease types of obstetrics cover more comprehensive,covering all the disease groups of the profession,there is no missing disease group. The total output of medical services increased significantly,and the total weight increased from 11,311.77 in 2019 to 12,055.29 in January-November 2022. “Time consumption index” and “cost consumption index”,which reflect the efficiency of the department,show an increasing trend. The average CMI value of technical difficulty in the department showed a downward trend. Conclusion:Using the DRGs management tool to conduct a comprehensive,standard and detailed evaluation on the construction of the specialty,it avoids the interference of human factors in the previous on-site evaluation,saves the cost,and makes the evaluation result more scientific and reasonable. The mining and analysis of DRGs data is conducive to finding the node of the problem,accurately solving it,and providing data support for strengthening the construction of the department.
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引用文本:
薛 梅.DRGs管理工具在专科建设评价中的应用[J].江苏卫生事业管理,2023,34(4):445-449.
XUE Mei.Application of DRGs Management Tool in Evaluation of Specialty Construction[J].Jiangsu Health System Management,2023,34(4):445-449.

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