基于DRGs的加权TOPSIS法对江西省南昌市某三甲综合医院医疗绩效评价 |
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引用本文: | 范一群,何亦斌,张凌,闵珺,陈园,熊锋宝. 基于DRGs的加权TOPSIS法对江西省南昌市某三甲综合医院医疗绩效评价[J]. 中国卫生事业管理, 2020, 0(4): 265-268 |
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作者姓名: | 范一群 何亦斌 张凌 闵珺 陈园 熊锋宝 |
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作者单位: | 南昌大学第三附属医院;江西省卫生健康委员会 |
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基金项目: | 江西省自然科学基金管理科学项目“应用DRGs对我省地市级三级综合医院住院医疗服务进行绩效评价”(20181BAA208038);江西省卫计委科技计划项目“新医改下基于DRGs指标的TOPSIS对江西省地级市三级综合医院的医疗服务绩效评价”(20197026)。 |
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摘 要: | 目的:探讨江西省南昌市某三甲医院基于DRGs指标的加权TOPSIS法对医疗服务绩效评价应用的科学性.方法:通过江西DRGs平台获取样本医院2017年病案信息,应用加权TOPSIS法进行医疗服务绩效评价.结果:样本医院科室综合排名前3为腹腔镜外科(0.478)、康复一病区(0.473)、骨三病区(0.471);综合绩效最高后3位:脑外科(0.342)、肾病风湿科(0.336)、心胸外科(0.324).结论:基于DRGs指标的加权TOPSIS法评价结果科学、客观,为医院内部绩效评价提供了一种合理可行的方法,为医院管理者全面了解各科室医疗服务能力及效率,提升整体绩效水平提供数据支撑和决策参考.
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关 键 词: | 疾病诊断相关分组 TOPSIS法 医疗服务 绩效评价 |
Application of TOPSIS Method in Medical Service Performance Evaluation of a Triple-A Comprehensive Hospital in Jiangxi Nanchang Based on DRGs |
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Affiliation: | (Jiangxi Provincial Key Laboratory of Preventive Medicine,Nanchang University,Nanchang,P.R.China) |
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Abstract: | Objective To explore the scientific application of the TOPSIS method based on DRGs in top a three hospital in Nanchang,Jiangxi province.Methods Based on the data of inpatient medical records of the sample hospital in 2017 from Jiangxi provincial DRGs platform,the medical service performance evaluation was conducted by applying the weighted TOPSIS method.Results The top three departments of the whole hospital were laparoscope surgery(0.478),the first rehabilitation area(0.473),the third exoskeleton area(0.471),with the highest comprehensive performance.The bottom three:brain surgery(0.342),nephropathy and rheumatology(0.336),cardiothoracic surgery(0.324).Conclusion The weighted TOPSIS method based on DRGs index is a scientific objective method,which provides the performance evaluation of hospital internal medical with a scientific method,and provides data support and decision basis for hospital managers obtain the medical service ability and efficiency of every departments well and conveniently,to improve the whole performance level of the hospital. |
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Keywords: | DRGs TOPSIS medical service performance evaluation |
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