[1]张 琼,唐洛秋.基于DRG的公立医院综合绩效管理体系构建[J].卫生经济研究,2024,41(04):72-75,80.
　ZHANG Qiong,TANG Luoqiu.Construction of Comprehensive Performance Management System for Public Hospitals based on DRG[J].Journal Press of Health Economics Research,2024,41(04):72-75,80.
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基于DRG的公立医院综合绩效管理体系构建
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年04期
页码:
72-75,80
栏目:
出版日期:
2024-03-29

文章信息/Info

Title:
Construction of Comprehensive Performance Management System for Public Hospitals based on DRG
作者:
张 琼1; 唐洛秋2
1.武汉市第三医院，湖北 武汉 430000
2.上海财经大学金融学院，上海 200433
Author(s):
ZHANG Qiong;  TANG Luoqiu
Wuhan Third Hospital, Wuhan Hubei 430000, China
关键词:
公立医院; 绩效管理; DRG; 指标体系; 熵值法
Keywords:
public hospitals;  performance management;  DRG;  index system;  entropy value method
分类号:
R197.3
文献标志码:
B
摘要:
目的：构建纳入DRG指标的公立医院综合绩效管理指标体系，分析DRG付费方式改革与公立医院绩效管理之间的关系。方法：基于熵值法和案例分析法，介绍样本医院纳入DRG指标的综合绩效管理实践。结果：纳入DRG相关指标的绩效评价体系，能够显著提升医院绩效管理水平，有助于医疗服务增质提效，并且对医院成本控制和医疗费用规范具有积极作用。结论：为了更好地适应DRG付费方式改革，公立医院必须彻底改变过去扩张型战略，逐步落实“三转变三提高”。
Abstract:
Objective To construct a comprehensive performance management index system for public hospitals incorporating DRG, and to analyze the relationship between the reform of DRG payment and performance management in public hospitals. Methods Based on the entropy value method and case study method, the comprehensive performance management practices of sample hospitals incorporating DRG were introduced. Results The performance evaluation system incorporating DRG indicators could significantly improve the hospital performance management level, increase the quality and efficiency of medical services, and had a positive effect on hospital cost control and medical expense standardization. Conclusion In order to better adapt to the reform of DRG payment, public hospitals should completely change the past expansion-oriented strategy and gradually implement the "three changes and three improvements".

参考文献/References:

[1] Ingebrigtsen T.Ten-year tenure as a physician CEO at a Nordic university hospital: five lessons learnt[J].BMJ Leader,2023,7:3-6.
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[3] Barouni M,Ahmadian L,Anari H S,et al.Investigation of the impact of DRG based reimbursement mechanisms on quality of care, capacity utilization,and efficiency——a systematic review[J].International Journal of Healthcare Management,2021,14(04):1463-1474.
[4] 杨翼帆，王淑慧，杨凡，等.DRG付费方式下医院管理模式探索[J].中国卫生标准管理，2021，12（03）：25-28.
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更新日期/Last Update: 2024-03-29