Evaluation and Improvement Measures of Medical Service Capacity of A Grade A Tertiary Hospital in Gansu Province
Objective To evaluate the medical service capacity of a grade A tertiary hospital in Gansu Province based on the research on the application process of diagnosis-related groups(DRGs).Methods Data of the home page of medical records of patients admitted to author's hospital from January 1,2019 to December 31,2021 were collected,com-parative analysis was carried out through DRGs index data.the 734 DRGs groups in the hospital were divided into domi-nant disease areas,core disease areas,key disease areas,common disease areas,upgrading disease areas and descending disease areas according to the"80/20 principle"on the relative weight(RW)and number of discharged,and the disease zoning of each department was analyzed.Results The overall case-mix index(CMI)of the hospital showed a slight downward trend,discharge number was bigger,the number of discharged patients increased by 10.73％in 2021 compared to 2019,and the proportion of total surgeries,fourth-level surgeries and minimally invasive surgeries increased by 6.56％,3.62％and 0.71％respectively;the time consumption index was less than 1 and continued to decrease,and the drug consumption increased;the DRGs group with RW＜1 accounted for 68.31％of the discharged patients;the domi-nant disease areas and core disease areas included 30 and 148 DRGs groups respectively,the overall CMI were 2.288 and 2.539 respectively,which were at relatively high level;the key disease areas and common disease areas included 90 and 261 DRGs groups respectively,and the overall CMI was relatively low,which was 0.837 and 0.800 respectively;there were 13 DRGs groups in the upgrading disease areas and 63 DRGs groups in the descending disease areas,and the overall CMI were 0.303 and 0.317 respectively,which were both at relatively low level.Conclusion The medical service capaci-ty of the hospital has been improved,but the efficiency of medical service needs to be improved.According to the results of disease division,the disease structure of the hospital should be further optimized,and the proportion of patients admit-ted to high-weight diseases such as dominant diseases and core diseases should be increased.Guided by the target value,DRGs disease analysis and comparison are carried out on a monthly basis to gradually improve the overall medical service capacity of the hospital and provide better medical services to patients.
Diagnosis-related groupsCase-mix indexDisease distribution area
NETL
NSTL
万方数据
