DRGs绩效评价在医疗质量精细化管理中的应用
Application of diagnosis-related groups performance evaluation in fine management of medical quality
孔林羽 1蔡斌1
作者信息
- 1. 浙江大学医学院附属邵逸夫医院质量管理办公室,浙江 杭州 310018
- 折叠
摘要
疾病诊断相关分组(DRGs)能够反映分组病例治疗的复杂程度和医疗资源的消耗程度,被应用于医院专科能力评价和绩效考核.浙江省某省级三甲综合医院探索了一种以DRGs绩效评价为基础,强化病历质量控制、优化病种收治结构和细化DRGs数据分析相结合的管理模式,实现医疗质量精细化管理.本文介绍DRGs绩效评价在该院的应用实践,并提出借助人工智能和大数据、结合临床路径管理进一步提升医疗质量的改进建议,为促进医院的高质量发展提供参考.
Abstract
Diagnosis-related groups(DRGs),designed to reflect the complexity of grouped cases and the consumption of medical resources,has been utilized for evaluating hospital specialty capabilities and assessing performance.A provincial tertiary hospital in Zhejiang Province has developed a management model based on DRGs performance evaluation with strengthening the medical record quality control,optimizing disease admission structures,and refining data analysis.This article introduced the application of DRGs performance evaluation in this hospital,and proposed suggestions for improve-ment,including leveraging artificial intelligence and big data and integrating clinical pathway management to further en-hance medical care quality.These insights provided the reference for high quality development of hospitals.
关键词
疾病诊断相关分组/医疗质量/病历质量控制Key words
diagnosis-related groups/medical quality/medical record quality control引用本文复制引用
基金项目
浙江省医院可持续发展正大天晴研究项目(2018ZHA-ZDTQ205)
出版年
2024
NETL
NSTL
万方数据