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临床科室功能定位和病种结构分类的精细化管理

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目的 探索医院临床科室分类方法,为实现科室的精细化管理提供科学依据。方法 利用2022年深圳市某三甲医院临床科室的实际占用总床日数、出院患者手术占比、出院患者四级手术比例、CMI值、DRG组数进行快速聚类分析,把临床科室分成三个类别,分析不同类别的特点和临床科室的分类结果。结果 30个临床科室分类成一般手术科室、非手术科室和高难度治疗科室。分类结果与预期一致,但普外科分类于非手术科室,而新生儿科分类于一般手术科室。结论 应用快速聚类法进行临床科室分类,能客观反映科室特点,达到医院精细化管理的目的。利用分组异常结果信息,有利于分析临床科室的功能定位和病种结构特点,进行调整优化。
Fine management based on the functional localization and disease structures of clinical departments
Objective To explore classifications of hospital clinical departments and provide a scientific basis for fine management of departments.Methods Fast clustering analysis was used to analyze the data of clinical departments of a tertiary hospital in Shenzhen in 2022 such as total number of actual bed occupation days,proportion of surgeries among discharged pa-tients,proportion of discharged patients undergoing level four surgeries,CMI value,and DRG groups.Based on the analysis,the clinical departments were categorized into three categories.The characteristics of the three types of departments and results of the classification were analyzed.Results The thirty clinical departments were divided into general surgical department,non-opera-tion department,and treatment-resistant department.The grouping results were consistent with initial expectations,but the gener-al surgery department was placed within the non-operation group,and the neonatology department within the general surgical de-partment.Conclusion The fast clustering method used in classification of clinical departments can objectively reflect the charac-teristics and find out some abnormal points so as to achieve the goal of fine management.Moreover,by analyzing the abnormali-ties in functional localization and structural characteristics,hospitals can optimize hospital management.

Fast clustering analysisClassification of departmentsDiagnosis related groupsPerformance appraisal

钟晓、吴粤、庄虹、叶冬炜

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深圳市龙岗中心医院 广东深圳 518116

南方医科大学附属广东省人民医院//广东省医学科学院 广东广州 510080

快速聚类法 科室分类 疾病诊断相关分组 绩效考核

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(8)