摘要
目的研究秩和比法(RSR)在基于疾病诊断相关分组(DRGs)的综合医院医疗服务绩效评价中的应用。方法本次分析数据来源于湖北省2017年病案首页数据库,提取了24家三级综合医院2017年全年的DRGs分组数据,利用RSR方法综合评价医院住院医疗服务绩效。结果对24家三级综合医院进行顺位排序,RSR值排名前3名医院分别为I、N和H医院,分别为0.764、0.747、0.677;RSR值最低的为S医院0.306,表示S医院综合能力最弱。结论基于DRGs的RSR评价方法,结合医院的医疗服务能力、医疗服务效率和医疗安全,其评价结果客观、可靠,为评价医院医疗服务绩效提供了信息支持。
Objective To explore the application of Rank Sum Ratios(RSR)in the performance evaluation of medical service in general hospitals based on Diagnosis Related Groups(DRGs)information.Methods The analysis data was obtained from the 2017 medical record home page database of Hubei,including DRGs group data of 24 third-grade general hospitals in year 2017.And by using the RSR method,hospital inpatient medical service performance was comprehensively evaluated.Results To rank these 24 thirdgrade general hospitals,the RSR value of the top three hospitals were 0.764(hospital I),0.747(hospital N)and 0.677(hospital H),respectively.And the lowest RSR value was 0.306 for hospital S,indicating that hospital S has the weakest comprehensive ability.Conclusion RSR evaluation method based on DRGs well combines the capability,efficiency and security of medical service in hospital,with objective and reliable outcomes,and will provide information support for the hospital medical service performance evaluation.
作者
李欢
周磊
LI Huan;ZHOU Lei(Computer Centre of Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,Hubei,China)
出处
《中国卫生信息管理杂志》
2019年第2期167-171,共5页
Chinese Journal of Health Informatics and Management
基金
国家高技术研究发展计划(863计划)-医疗信息化体系与信息标准研究(项目编号:2012AA02A617)
关键词
疾病诊断相关分组
秩和比法
医疗服务
综合医院
diagnosis related groups
rank sum ratio
medical service
comprehensive hospital
