首页|高质量发展背景下专科运营管理分析体系研究

高质量发展背景下专科运营管理分析体系研究

Research on the Analysis System of Hospital Specialty Operation Management under the Background of High-Quality Development of Public Hospitals

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目的 分析医院经济运营和医疗质量相关指标,健全专科运营管理分析体系,推动医院运营管理决策过程科学化、规范化、精细化.方法 以专科医疗收入及效率、直接成本构成、成本补偿情况等经济指标为基础,结合专科病种收治结构,对病种费用构成、DRG病组结构等内容展开分析,确立专科优势病种;构建指标分析预测模型,直观反映病种结构调整对专科成本补偿及医疗指标的综合影响.结果 某院A科室一区、二区在医疗服务收入占比、人均医疗服务收入、直接成本构成、手术/四级手术占比、CMI值等指标上存在明显差异,通过调整病种收治结构可实现病种收益效率与技术难度评价的大幅度提升.结论 通过构建涵盖科室医疗收入分析、病种结构分析、病种结构调整预测等内容的专科运营管理分析体系,可帮助公立医院聚焦专科业务发展,为实现精细化运营管理奠定基础.
Objective To analyze the relevant indicators of hospital financial and medical quality,improve the spe-cialty operation management analysis system,and promote the scientific,standardized and refined decision-making process of hospital operation management.Methods Based on the economic indicators such as income and efficiency,direct cost composition and cost compensation,and combined with the treatment structure of specialty diseases,the cost composition of diseases and the structure of DRG diseases were analyzed,and the dominant diseases of specialties were established.The index analysis prediction model was constructed to directly reflect the comprehensive influence of disease structure adjustment on specialty cost compensation and medical index.Results There were obvious differences in the proportion of medical service income,per capita medical service income,direct cost composition,proportion of surgery/grade 4 surgery,CMI and other indicators in the first and second districts of Department-A of a hospital.By adjusting the treatment structure of disease categories,the benefit efficiency and technical difficulty evaluation of disease categories could be greatly improved.Conclusion The construction of specialty operation management analysis system covering medical income analysis,disease structure analysis,disease structure adjustment and prediction can help public hospitals focus on the development of specialist business and lay a good foundation for the realization of fine operation manage-ment.

Public HospitalHigh-Quality DevelopmentSpecialty Operation ManagementAnalysis System

姜德超、胡跃军、章佳明、江淑妍、邓炜珊

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中山大学孙逸仙纪念医院 广东 广州 510000

公立医院 高质量发展 专科运营管理 分析体系

中山大学孙逸仙纪念医院逸仙管理研究项目

GL2305

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
年,卷(期):2024.31(3)
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