中国卫生质量管理2024,Vol.31Issue(3) :12-14,20.DOI:10.13912/j.cnki.chqm.2024.31.3.04

临床专科评价的DRG细化分组机制研究

DRG Refinement Grouping Mechanism of Clinical Specialty Departments Evaluation

沈婷 于海跃 钟力炜 朱佳云 张娴静 李群 朱乐兰
中国卫生质量管理2024,Vol.31Issue(3) :12-14,20.DOI:10.13912/j.cnki.chqm.2024.31.3.04

临床专科评价的DRG细化分组机制研究

DRG Refinement Grouping Mechanism of Clinical Specialty Departments Evaluation

沈婷 1于海跃 1钟力炜 1朱佳云 2张娴静 3李群 4朱乐兰4
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作者信息

  • 1. 上海中医药大学附属市中医医院 上海 200071;市级医院病种质量与安全研究中心 上海 200071
  • 2. 上海中医药大学附属市中医医院 上海 200071
  • 3. 上海申康医院发展中心 上海 200041
  • 4. 上海市第一人民医院 上海 200080
  • 折叠

摘要

目的 将细分后的DRG分组作为临床专科评价工具,为专科评价提供参考.方法 邀请 20 余名相关专家进行专题讨论,将CHS-DRG现有的 376 组ADRG组按国家《医疗机构诊疗科目名录》细分为 460 组,分入 42 个专科.结果 有 277 组归属唯一专科;有 57 组被拆分为两个专科;有 19 组被拆分为两个以上专科;另有 23 组不进行细分,其中 5组在国家医疗保障局细分组方案中未见具体编码.结论 基于细分后的DRG分组,可准确归属专科并开展临床专科评价,有利于促进优势专科能力建设.依据不同专科特点,增加更具有针对性的考核要素,有助于进行精细化绩效评价.

Abstract

Objective The refined DRG group is used as an evaluation tool for clinical departments to provide reference for specialty evaluation.Methods More than 20 relevant experts were invited to have a thematic discussion,and 376 ADRG groups existing in CHS-DRG were subdivided into 460 groups,according to the national"Medical Institution Diagnosis and Treatment Subjects Directory"and grouped into specialties,which were divided into 42 specialties.Results 277 groups be-longed to the only specialty;57 groups were divided into 2 specialties;19 groups were divided into two or more specialties;an-other 23 groups were not subdivided.Five groups did not had the specific code in the National Healthcare Security Administration subgroup plan.Conclusion Based on the refinement DRG group,it can be accurately classified into specialties and carry out clinical specialty evaluation,which is conducive to promoting the capacity building of superior specialties.According to the char-acteristics of different specialties,more targeted assessment elements could be added to help to carry out fine performance evalu-ation.

关键词

DRG/细分组/专科评价/专科建设

Key words

DRG/Refinement Grouping/Specialist Evaluation/Specialty Building

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基金项目

国家自然科学基金国际(地区)合作与交流项目(72211530040)

上海市医院协会医院管理研究基金(X2020076)

上海申康医院发展中心临床科技创新项目(SHDC22021204)

出版年

2024
中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
参考文献量15
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