Research on the Construction and Comprehensive Evaluation of Index System under DIP Payment based on Entropy Weight Method
Purpose:To construct an indicator system under the disease-based payment(DIP)of a certain grade A tertiary hospital,conduct a comprehensive evaluation of clinical departments,explore the performance evaluation under the DIP indicator system,and provide practical experience and suggestions for public hospitals to adapt to the reform of DIP payment methods.Methods:The DIP evaluation index system was established through focus group discussions and entropy weight method,and a comprehensive evaluation was conducted taking the internal medicine department as an example.Results:The ranking of DIP indicator weights from high to low is:total volume index(27.6%),CMI(22.4%),daily index per bed(19.2%),unit price per index(10.3%),unit price of consumables per index(7.8%),unit price of each index drug(7.5%),enrollment rate(5.2%);the top three departments in the comprehensive evalua-tion are cardiovascular medicine,interventional oncology,and neurology.Conclusion:The DIP indicator weight set based on the entro-py weight method is relatively reasonable.Constructing an indicator system under DIP payment to comprehensively evaluate clinical de-partments can objectively and scientifically reflect the medical service work and diagnosis and treatment levels of each specialty,and support the hospital's evaluation of each clinical department.performance evaluation.
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