实用医技杂志2024,Vol.31Issue(7) :508-513.DOI:10.19522/j.cnki.1671-5098.2024.07.014

基于疾病诊断相关分组标准的医院运营效率探索研究

Research on hospital operation efficiency based on diagnosis related groups standard

陈璐 朱晓伟
实用医技杂志2024,Vol.31Issue(7) :508-513.DOI:10.19522/j.cnki.1671-5098.2024.07.014

基于疾病诊断相关分组标准的医院运营效率探索研究

Research on hospital operation efficiency based on diagnosis related groups standard

陈璐 1朱晓伟2
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作者信息

  • 1. 天津市肿瘤医院空港医院院长办公室,天津 300060
  • 2. 天津市第一中心医院院长办公室,天津 300112
  • 折叠

摘要

目的 分析2019年1月至2023年6月某三级医院疾病诊断相关分组(DRG)的运行效率变化趋势并进行预测,为医院在DRG管理方面提供可靠的参考依据.方法 利用某三级医院2019年1月至2023年6月时间消耗指数和费用消耗指数数据,分别构建自回归移动平均模型(ARIMA)和GM(1,1)模型,采用平均绝对误差(MAE)和均方根误差(RMSE)评价拟合效果,基于优势模型预测2023年7月至12月时间消耗指数及费用消耗指数.结果 通过ARIMA(1,1,1)和GM(1,1)模型对时间消耗指数进行预测,平均绝对误差分别为0.0367和0.0776,均方根误差分别为0.056 8和0.087 7;通过ARIMA(0,1,1)和GM(1,1)模型对费用消耗指数进行预测,平均绝对误差分别为0.021 7和0.031 0,均方根误差分别为0.0346和0.0410,表明ARIMA模型的预测效果更好.预测结果显示,2023年12月时间消耗指数预测值为1.215 7,费用消耗指数预测值为0.628 8.结论 2019-2023年某三级医院运行效率呈现总体上升的趋势.医院需要建立持续的监测机制,全面地掌握DRG运行情况,助力医院制定更具针对性的战略和政策,以满足患者和医生的需求,推动医院高质量发展.

Abstract

Objective To analyze the trend of operational efficiency changes of diagnosis related groups(DRG)in a tertiary hospital from January 2019 to June 2023 and make predictions,providing reliable reference for hospital DRG management.Methods Using the time consumption index and cost consumption index data of a tertiary hospital from January 2019 to June 2023,ARIMA and GM(1,1)models were constructed,and the fitting effect was evaluated using mean absolute error(MAE)and root mean square error(RMSE).Based on the dominance model,the time consumption index and cost consumption index for July December 2023 were predicted.Results The time consumption index was predicted using ARIMA(1,1,1)and GM(1,1)models,with average absolute errors of 0.036 7 and 0.077 6,and root mean square errors of 0.056 8 and 0.087 7,respectively;The ARIMA(0,1,1)and GM(1,1)models were used to predict the cost consumption index,with average absolute errors of 0.021 7 and 0.031 0,and root mean square errors of 0.034 6 and 0.041 0,respectively,indicating that the ARIMA model has better predictive performance.The prediction results show that the predicted time consumption index for December 2023 is 1.215 7,and the predicted cost consumption index is 0.628 8.Conclusion The operational efficiency of a tertiary hospital showed an overall upward trend from 2019 to 2023.Hospitals need to establish a continuous monitoring mechanism,comprehensively grasp the operation of DRG,assist hospitals in formulating more targeted strategies and policies to meet the needs of patients and doctors,and promote high-quality development of the hospital.

关键词

疾病诊断相关分组/时间消耗指数/费用消耗指数/预测研究

Key words

Diagnosis related groups/Time consumption index/Cost consumption index/Predictive research

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基金项目

天津医科大学2021年度医院管理创新项目(2021YG11)

出版年

2024
实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
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