| 引用本文：郭永瑾, 岑珏, 许岩, 孙木, 何萍, 陈文, 赵蓉, 高解春, 陈建平.疾病诊断分组系统的建立及其在医院绩效管理中的应用[J].中国卫生政策研究,2015,8(9):6-9 |
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| 疾病诊断分组系统的建立及其在医院绩效管理中的应用 |
| 投稿时间：2015-08-12 修订日期：2015-08-30 PDF全文浏览 HTML全文浏览 |
| 郭永瑾1, 岑珏1, 许岩1, 孙木2, 何萍1, 陈文3, 赵蓉1, 高解春4, 陈建平1 |
1. 上海申康医院发展中心 上海 200041;
2. 上海交通大学医学院附属瑞金医院 上海 200025;
3. 复旦大学公共卫生学院 上海 200032;
4. 上海市红十字会 上海 200040 |
| 摘要:公立医院改革深化是新一轮深化医改的重要内容,而研究疾病诊断分组,建立科学合理的基于疾病诊断分组的绩效考核办法,对于公立医院强化公益性、提高服务能力、提升专业化精细化管理水平具有重要意义。通过将国际成熟疾病分组系统本土化并利用上海市级医院临床信息交换平台(医联平台)数据渠道对疾病分组系统进行模拟评估和权重设置,本土化的疾病诊断分组系统具有较好的适宜性和一致性;引入基于难度的疾病诊断分组,可以有效体现疾病诊治的难易度,客观反映医院运行和管理的实质结果,对于专业化精细化医院管理起到正确的导向作用。 |
| 关键词:疾病诊断分组 医院管理 绩效考核 疾病危重度 |
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| Establishment of diagnosis related group system and its application in the performance management of hospitals |
| GUO Yong-jin1, CEN Jue1, XU Yan1, SUN Mu2, HE Ping1, CHEN Wen3, ZHAO Rong1, GAO Jie-chun4, CHEN Jian-ping1 |
1. Shanghai Shenkang Hospital Development Centre, Shanghai 200041, China;
2. Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China;
3. School of Public Health, Fudan University, Shanghai 200032, China;
4. Red Cross Society of China, Shanghai Branch, Shanghai 200040, China |
| Abstract:The public hospital reform is the main content of the new healthcare reform. Studying the diagnosis related group system and establishing a set of scientific and rational performance assessment, which is essential to strengthen the public hospitals' public and social benefits, improve the service capacity and enhance the specialized and delicacy management. The international diagnosis related group system localization and weight settlement have been proved suitable and consistent through the Shanghai Shenkang Hospital Development Centre. Hence, the severity-based DRGs should be introduced to reflect the actual hospitals operation and management outcome, which provides a proper guidance on the hospitals' specialized and delicacy management. |
| Key words:Diagnosis related group Hospital management Performance evaluation Severity of disease |
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