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| 投稿时间： 2015-08-12 最后修改时间： 2015-08-30 摘要点击次数: 2569 全文下载次数: 5 |
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| 引用本文：岑珏, 许岩, 何萍,等.基于危重度的医院绩效考核指标设计与应用[J].中国卫生政策研究,2015,8(9):25-28 |
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| 岑珏1, 许岩1, 何萍1, 赵明1, 陈文2, 陈建平1, 郭永瑾1 |
1. 上海申康医院发展中心 上海 200041;
2. 复旦大学公共卫生学院 上海 200032 |
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| | 摘要:绩效考评是正面引导公立医院行为、促进医院健康持续发展的有效手段。在绩效考评中引入疾病危重程度,有利于提高绩效考评体系的科学合理性,促进医院医疗技术水平和服务能力的提升。在上海市级医院疾病诊断分组系统的基础上,本研究利用病例组合指数对不同类型医疗机构收治病例的危重程度进行评价,并根据疾病危重程度加权赋值后获得病种难度考核得分。研究发现,在DRG分组基础上计算的不同医疗机构的病例组合指数,具有显著性差异,能有效体现不同医疗机构所收治住院病例的疾病危重程度和救治难度。建议优选科学指标,优化考核办法,建立有效监督和动态更新的工作机制,并探索疾病诊断分组的拓展应用。 | |
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关键词:疾病诊断分组 绩效考评 疾病危重程度 病例组合指数
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| Design and application of the hospital performance assessment indicators based on disease severity |
| CEN Jue1, XU Yan1, HE Ping1, ZHAO Ming1, CHEN Wen2, CHEN Jian-ping1, GUO Yong-jin1 |
1. Shanghai Shenkang Hospital Development Centre, Shanghai 200041, China;
2. School of Public Health, Fudan University, Shanghai 200032, China |
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| | Abstract:The performance evaluation is an effective method to guide the public hospitals behavior and promote their sustainable development. The introduction of disease severity could make the performance evaluation system more scientific and reasonable, and encourage the hospitals to improve their technical skills and services ability. Based on the Shanghai diagnosis related groups system, a case-mix index (CMI) was introduced and a severity score of disease was developed after the relative weight (RW) adjustment to evaluate different types of disease severity in hospitals. The results have shown that CMI effectively reflects the patients' disease severity and the intensity of treatment in those hospitals taken into consideration. Therefore, the scientific indicators should be selected and the evaluation system should be improved thereby establishing an effective monitoring and dynamic adjustment mechanism and further developing the diagnosis related group application. | |
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