基于DRGs平台的主诊医师团队医疗质量评价研究
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摘要
目的基于DRGs分组平台对主诊医师团队的医疗服务水平进行评价,探索以DRGs平台数据为工具,评价临床医师团队医疗质量。方法利用DRGs的评价指标,运用综合指数法,从医疗能力、医疗效率和医疗安全3个方面对样本医院肝胆胰外科主诊医师团队的医疗质量进行评价,并进行比较分析。结果综合评价排名前3的医师团队分别是F、E、C,排名后两位为B、D。其中医疗能力的分值B、C、D团队较低,建议提高专业技能,增加疾病收治种类,提高疑难杂症病例的诊治能力;医疗效率D、G团队分值较低,建议在保证医疗质量的前提下适量减少住院日,选择更经济的治疗方法降低医疗费用。结论基于DRGs绩效评价指标,构建主诊医师团队医疗质量评价架构,能真实反映医师团队的医疗质量情况。
Objective To evaluate the medical services of attending physician team based on the DRGs grouping platform,and the DRGs platform data was used as a tool to evaluate the medical quality from the level of the clinician team. Methods Using the evaluation index of DRGs,the comprehensive index method was used to evaluate and rank the medical quality of the chief physician team of the hospital's hepatobiliary and pancreatic surgery from three aspects including medical ability,medical efficiency and medical safety. Results The top 3 physician teams in the comprehensive evaluation were F,E and C,and the last 2 were B and D.Among them,the scores of medical ability scores B,C,and D were lower.It was recommended to improve professional skills,increase the types diseases of patients,and improve the ability to treat and solve incurable cases.The medical efficiency D and G team scores were low.Under the premise of ensuring the quality of medical care,it was recommended to reduce the hospitalization day and choose a more economical treatment to reduce medical expenses. Conclusion Based on the indicators of the DRGs performance evaluation platform,the medical quality evaluation framework of the attending physician team can be constructed to truly reflect the medical quality of the physician team.
Objective To evaluate the medical services of attending physician team based on the DRGs grouping platform,and the DRGs platform data was used as a tool to evaluate the medical quality from the level of the clinician team. Methods Using the evaluation index of DRGs,the comprehensive index method was used to evaluate and rank the medical quality of the chief physician team of the hospital's hepatobiliary and pancreatic surgery from three aspects including medical ability,medical efficiency and medical safety. Results The top 3 physician teams in the comprehensive evaluation were F,E and C,and the last 2 were B and D.Among them,the scores of medical ability scores B,C,and D were lower.It was recommended to improve professional skills,increase the types diseases of patients,and improve the ability to treat and solve incurable cases.The medical efficiency D and G team scores were low.Under the premise of ensuring the quality of medical care,it was recommended to reduce the hospitalization day and choose a more economical treatment to reduce medical expenses. Conclusion Based on the indicators of the DRGs performance evaluation platform,the medical quality evaluation framework of the attending physician team can be constructed to truly reflect the medical quality of the physician team.
引文
[1]邓小虹.北京DRGs系统的研究与应用[D].2015.
[2]赵悦,沈际勇.医疗机构构建整合式医疗体系的探讨[J].卫生经济研究,2017(1):18-20.
[3]赵琳,郭萍,邓应梅,等.基于DRGs对某院主诊医师组住院医疗绩效服务的评价[J].中国病案,2017,18(8):45-48.
[4]张肖肖,王力红,仇叶龙,等.基于DRGs平台的临床医师团队医疗质量评价研究[J].中国医院,2017,21(1):31-33.
[5]刘豆.DRGs指标在专科医疗服务评价中的应用[D].昆明医科大学学报,2017.
[6]陶春海.医疗服务产出质量的调整方法[J].企业导报,2010(1):104-105.
[7]尤剑鹏,黄算,祁世昌,等.运用综合指数法评价广西县级综合医院医疗服务质量[J].中国卫生统计,2014,31(3):407-409.
[8]刘乐斌.基于平衡计分卡的军队中心医院成本控制指标体系的构建及其应用研究[D].第三军医大学学报,2011.
[9]刘亚孔,李琼,席祖洋.地市级医院DRGs医师评价模式的构建---以宜昌市中心人民医院为例[J].经济研究导刊,2017(17):74-75.
[10]杨皓,柳俊.国内外医疗质量指标体系的对比分析[J].医学与社会,2010,23(4):64-66.
[11]Wass V,Vlentan L V D,Shartier J,et al.Assessment of clinic Conpetance[J].The Lanced,2001(57):945-949.
[2]赵悦,沈际勇.医疗机构构建整合式医疗体系的探讨[J].卫生经济研究,2017(1):18-20.
[3]赵琳,郭萍,邓应梅,等.基于DRGs对某院主诊医师组住院医疗绩效服务的评价[J].中国病案,2017,18(8):45-48.
[4]张肖肖,王力红,仇叶龙,等.基于DRGs平台的临床医师团队医疗质量评价研究[J].中国医院,2017,21(1):31-33.
[5]刘豆.DRGs指标在专科医疗服务评价中的应用[D].昆明医科大学学报,2017.
[6]陶春海.医疗服务产出质量的调整方法[J].企业导报,2010(1):104-105.
[7]尤剑鹏,黄算,祁世昌,等.运用综合指数法评价广西县级综合医院医疗服务质量[J].中国卫生统计,2014,31(3):407-409.
[8]刘乐斌.基于平衡计分卡的军队中心医院成本控制指标体系的构建及其应用研究[D].第三军医大学学报,2011.
[9]刘亚孔,李琼,席祖洋.地市级医院DRGs医师评价模式的构建---以宜昌市中心人民医院为例[J].经济研究导刊,2017(17):74-75.
[10]杨皓,柳俊.国内外医疗质量指标体系的对比分析[J].医学与社会,2010,23(4):64-66.
[11]Wass V,Vlentan L V D,Shartier J,et al.Assessment of clinic Conpetance[J].The Lanced,2001(57):945-949.