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                [1]王娟 王興武 張樂輝 李陽.通過DRGs優化手術分級和績效便是諸峰大比評價[J].中國衛生質量管理,2019,26(05):057-59.[doi:10.13912/j.cnki.chqm.2019.26.5.17]
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                通過DRGs優化手術分級和績效評價
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                《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年05期
                頁碼:
                057-59
                欄目:
                醫療質量
                出版日期:
                2019-09-28

                文章信息/Info

                作者:
                王娟 王興武 張樂輝 李陽
                大同煤礦集團有限責任公司總醫院
                關鍵詞:
                診斷相關分組(DRGs)手術分級績效評價
                Keywords:
                Diagnosis Related Groups (DRGs) Surgical Grading Performance Evaluation
                DOI:
                10.13912/j.cnki.chqm.2019.26.5.17
                摘要:
                目的探討通過DRGs優化手術分級和手術績效的可行性。方法采用百分♂位數法制定手術分級目錄,並與臨床專▂家制定的目錄進行對比。基於某院2017年太住院病案首頁,利用CN-DRGs軟件進行分組◥,對手術總權♀重校正後,用於某院手術科室績效考核。結果以MDCG消化系統625條手術︻和操作為例,CN-DRGs法和專家法手術級別對竟然也變成了綠色比這小子身上,完全一致◣的223條(占36%);較專家法級別高▲的221條(占35%);較專家法』級別低的181條(占29%)。結論用▓手術總權重來代替手術例數,可▽以優化手術績效,通過DRGs工具優化手術分級和手㊣術績效
                Abstract:
                ObjectiveTo explore the feasibility of improving surgical grading and performance evaluation by DRGs. MethodsThe percentile method was used to develop the catalogue of surgical grading, which was compared with the catalogue by clinical experts. Based on the data of DRGs from homepage of inpatients' medical records in 2017, the CN-DRGs software was used for grouping, and after correcting the total weight of surgery, it was used for the performance assessment of surgical department in a hospital. ResultsTaking 625 surgeries and operations of MDCG digestive system as an example, compared with CN-DRGs method and expert method, of which 223 (36%) were completely consistent. 221 (35%) were above the level of expert; 181 (29%) were lower than the level of expert.Conclusion The surgical performance can be optimized by replacing the number of surgical procedures with total surgical weight. It is feasible to optimize surgical grading and performance through DRGs.

                參考文獻/References:

                [1]簡偉研,胡牧,崔濤,等.運用疾病診斷相關組進行臨床服務績效評價初探[J].中華喝酒並不能讓她忘記不開心醫院管理雜誌,2006,22(11):736-739. [2]Lichtig L K.Hospital information system for case mix management[M].New York: John Wiley & Sons Press,1986. [3]鄧小虹.北京DRGs系∩統的研究和應用[M].北京:北京大學醫學出版社,2015:12. [4]鄧小虹.CN-DRGs分組方案(2014版)[M].北京:中國醫藥科技◆出版社,2015:200-213. [5]Nathanson M.Comprehensive cost accounting systems give chains an edge[J].Modern Healthcare,1984,14(3):122-128. [6]周韻硯,江芹,張振忠.歐美國家DRG相對權重計算方單求票兼爆發聲明法分析[J].中國衛生經濟,2016,35 (5):94-96.

                相似文獻/References:

                [1]孫木 周穎明 陳爾真 高衛益.CCHI與ICD-9-CM-3結合建立手術分級評價體系[J].中國衛生質量管理,2017,24(03):040.[doi:10.13912/j.cnki.chqm.2017.24.3.14]
                [2]苑偉 陳相軍 陳敏.圍手術期安全管理研究進展及啟示[J].中國衛生質量管理,2019,26(06):079.[doi:10.13912/j.cnki.chqm.2019.26.6.22]

                更新日期/Last Update: 2019-09-28