首页|TOPSIS法在某三甲医院DRG综合评价管理中的应用

TOPSIS法在某三甲医院DRG综合评价管理中的应用

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目的 基于疾病诊断相关分组(DRG)评价指标研究综合评价医院临床科室医疗服务能力与效率的评价方法.方法 以2022年徐州市某三甲医院的住院病案首页数据为样本,通过国家医疗保障疾病诊断相关分组1.1 版分组系统获取DRG相关指标,基于DRG组数、病例组合指数(CMI)、时间消耗指数(TEI)、费用消耗指数(CEI),采用TOPSIS法对临床科室医疗服务质量进行综合评价.结果 医疗服务覆盖范围最广的是普外科,DRG组数为325组;医疗服务难度最高的是急诊科,CMI为1.45;时间效率最高的是眼科,TEI为0.56;费用效率最高的是皮肤科,CEI为0.36;TOPSIS综合评价显示:排名前5位的分别是儿科、全科医学科、急诊科、普外科、消化内科,排名后5位的分别是口腔科、烧伤科、骨科、神经外科、冠心病监护病房.结论 基于DRG的TOPSIS法综合医疗服务能力与医疗服务效率两个维度对临床科室进行横向比较,评价结果更加客观、合理、准确,可以为医院精细化管理提供方法依据.
Application of TOPSIS Method in DRG Comprehensive Evaluation Management in a Tertiary Grade A Hos-pital
Objective Based on DRG evaluation indicators,research an evaluation method that can comprehensive-ly evaluate the medical service capacity and efficiency of clinical departments in hospitals.Methods Using the front page of inpatient medical records from a tertiary hospital in Xuzhou in 2022 as a sample,obtaining DRG related indi-cators through the China Healthcare Security Diagnosis Related Groups 1.1 grouping system.Based on the number of DRG,CMI,TEI,and CEI indicators,use TOPSIS method to comprehensively evaluate the quality of medical ser-vices in clinical departments.Results The widest coverage of medical services is in General Surgery,with a DRG group of 325;The most difficult medical service is in the Emergency Department,with a CMI value of 1.45;The best time efficiency is in Ophthalmology,with a TEI of 0.56,The Dermatology has the best cost efficiency,with a CEI of 0.36;TOPSIS comprehensive evaluation shows that the top five are Pediatrics,General Medicine,Emergen-cy Department,General Surgery,and Gastroenterology,and the bottom five are Dentistry,Burn Unit,Orthope-dics,Neurosurgery,and CCU.Conclusion The TOPSIS method based on DRG integrates two dimensions of medical service capability and medical service efficiency,and horizontally compares clinical departments.The evaluation re-sults are more objective,reasonable,and accurate,which can provide a methodological basis for hospital refined management.

TOPSIS methodDRGmedical service evaluationmedical quality

张翔、李胜利、王人颢

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徐州医科大学附属医院 江苏徐州 221000

徐州医科大学管理学院 江苏徐州 221000

TOPSIS法 疾病诊断相关分组 医疗服务评价 医疗质量

江苏省医院协会医院管理创新研究课题

JSYGY-2-2021-152

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(7)
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