摘要
目的应用DRGs体系评价四川省各市州的医疗服务能力,为四川省各州市医疗机构医疗服务质量管理和决策提供参考依据。方法采用2018年四川省二级以上综合医院的病案首页数据,分别从能力、效率和安全三个维度进行。结果四川省21个市州医疗能力得分最高的A市70.00分与得分最低的T市30.50分,极差为39.50分;全省时间得分均值为13.50分,I市时间得分最高15.00分,P市时间得分最低12.07分。全省费用得分的均值是4.10分,T市费用得分最高5.00分,A市费用得分最低3.40分;中低风险死亡率均分是3.51分,标准化病死率均分为3.31分。结论四川省各市州医疗能力差异明显,时间得分和费用得分双低的地区需注重医疗服务效率,医疗安全得分较低的地区需提高医疗质量,确保医疗安全。
Objective To evaluate the medical service capacities in various regions of Sichuan Province by adopting DRGs system, and to provide reference for medical service quality management and decision-making in various regions. Methods The data of the medical records of the secondary hospitals in Sichuan Province in 2018 were studied and evaluated in terms of competence, efficiency and safety. Results Among the 21 regions of Sichuan, Region A scored the highest(70.00 points), and Region T the lowest(30.50 points), with a range of 39.50. The average time score of the province is 13.50, with the highest of 15.00 in Region I and the lowest of 12.07 in Region P. The average cost rate of the province is 4.10, with the highest of 5.00 in Region T and the lowest of 3.40 in Region A. The average low-risk mortality rate is 3.51, and the standardized mortality rate is 3.31. Conclusion There are significant differences in medical service capabilities among different regions of Sichuan Province. It is necessary to improve the efficiency of medical services in areas where both time and expense scores are low. For areas with low safety scores, it is vital to improve the quality of medical care and to ensure medical safety.
作者
罗明薇
谢世伟
LUO Mingwei;XIE Shiwei(Panzhihua Central Hospital,Panzhihua 617067)
出处
《解放军医院管理杂志》
2020年第7期617-620,共4页
Hospital Administration Journal of Chinese People's Liberation Army
基金
四川省卫生信息学会2019年科研课题(201910)
四川省基层卫生事业发展中心项目(SWFZ19-Q-17)
攀枝花市中心医院科研课题(201924)。
关键词
疾病诊断相关分组
DRGS
医疗服务能力
disease-diagnosis-related grouping
DRGs
medical service capabilities
