摘要
目的构建体现肿瘤专科医院特点的绩效分配体系,完善激励机制。方法以医院战略目标为导向,面向医、护、技不同岗位序列,以DRGs和RBRVS为工作量评价工具,结合肿瘤专科诊疗特点建立绩效分配方案。结果新方案实施后,医疗收入、门诊人次、出院人次、手术台次相关指标呈上升趋势,管理成效明显。结论基于DRGs和RBRVS的肿瘤专科医院绩效评价方案能够体现技术劳务价值和风险价值,满足成本管控要求,有助于引导疑难危重症的诊断治疗技术发展,并为多学科诊疗、区域协同的绩效评价奠定基础。
Objective To establish a performance distribution system reflecting the characteristics of cancer hospital and improve the incentive mechanism.Methods Based on the strategic goal of the hospital,the performance allocation scheme was established based on DRGs and RBRVS as workload evaluation tools for different post sequences of medicine,nursing and technology.Results After the implementation of the new program,the related indexes of medical income,outpatient visits,discharge visits and operation tables showed an increasing trend,and the management effect was obvious.Conclusion The performance evaluation scheme of cancer specialist hospital based on DRGs and RBRVS can reflect the value of technical labor and risk value,meet the requirements of cost control,help guide the development of diagnosis and treatment technology for difficult critical cases,and lay the foundation for multi-disciplinary diagnosis and treatment and regional collaborative performance evaluation.
作者
孟燃
刘凌霏
姜晶
王志刚
MEGN Ran;LIU Lingfei;JIANG Jing(Shandong Cancer Research Institute,Ji'nan,Shandong,250117,China;不详)
出处
《中国卫生质量管理》
2023年第9期38-42,共5页
Chinese Health Quality Management
基金
山东省医药卫生科技发展计划项目(编号:202215020987)。
