Objective To adapt to the reform of DRG/DIP medical insurance payment method,implement the lean management of hospitals,and enhance the competitiveness of hospitals while helping the development of disciplines.Methods Taking Hospital F as an example,we conducted a hospital-level disease benefit analysis and selected"hypertension level 2"and"hypertension level 3"for cost analysis to find out the reasons for the inefficiency of disease groups.Results The number of diseases in public hospitals was fragmented and the number of cases treated was small.The profit and loss of the disease groups were mixed and the efficiency need to be improved.Conclusion Inadequate cost control in departments,imbalance in consultation and treatment efficiency among departments,mismatch between income and resource consumption in disease groups,and poor quality of the first page of medical records were the main factors affecting the efficiency of disease groups.It is recommended to optimize the income structure,pay attention to cost control,and use performance tools to improve the efficiency of disease groups.
Public hospitalsCostDisease groupsBenefit analysis