[1]陶 洋,王芳芳,朱晨晨,等.基于TOPSIS法与RSR法对外科绩效评价的对比分析[J].医学信息,2023,36(14):48-51.[doi:10.3969/j.issn.1006-1959.2023.14.009]
　TAO Yang,WANG Fang-fang,ZHU Chen-chen,et al.Comparative Analysis of Surgical Performance Evaluation Based on TOPSIS and RSR[J].Journal of Medical Information,2023,36(14):48-51.[doi:10.3969/j.issn.1006-1959.2023.14.009]
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基于TOPSIS法与RSR法对外科绩效评价的对比分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年14期
页码:
48-51
栏目:
卫生管理信息学
出版日期:
2023-07-15

文章信息/Info

Title:
Comparative Analysis of Surgical Performance Evaluation Based on TOPSIS and RSR
文章编号:
006-1959（2023）14-0048-04
作者:
陶 洋; 王芳芳; 朱晨晨; 等
（宁波大学附属人民医院病案统计室，浙江 宁波 315041）
Author(s):
TAO Yang; WANG Fang-fang; ZHU Chen-chen; et al.
(Department of Medical Record Statistics,the Affiliated People’s Hospital of Ningbo University,Ningbo 315041,Zhejiang,China)
关键词:
绩效评价; 疾病诊断相关分组; 优劣解距离法; 秩和比法
Keywords:
Performance evaluation; Diagnosis related groups; Technique for Order Preference by Similarity to Ideal Solution; Rank-sum ratio
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2023.14.009
文献标志码:
A
摘要:
目的 评价宁波市某三级公立医院外科病区的综合绩效水平，为外科病区的管理和发展提供客观、科学决策依据。方法 根据宁波某院2022年1月-6月16个外科病区的绩效数据，基于出院量、手术量、三四级手术、日间手术、病例组合指数、DRG组数、平均住院日、药占比、耗材占比、31日内非计划再次入院人次这10个DRG相关的绩效指标，应用TOPSIS与RSR法对外科病区的DRG绩效水平进行综合评价，并对绩效进行排名和分档。结果 TOPSIS法与RSR法评价结果具有较好一致性，9个病区的评价秩次完全一致，Ci与Probit呈正相关（r=0.926，P＜0.05）；根据绩效评价特点及两种方法的差异，RSR法的绩效分档与医院实际情况相吻合，分档为优秀、中等和较差的分别是3、11、2个。结论 RSR法评价结果较为客观、准确，为DRG综合绩效评价提供了可行方案。
Abstract:
Objective To evaluate the comprehensive performance level of the surgical ward in a tertiary public hospital in Ningbo, so as to provide an objective and scientific decision-making basis for the management and development of the surgical ward.Methods According to the performance data of 16 surgical wards in a hospital in Ningbo from January to June 2022, based on the 10 DRG-related performance indicators of discharge volume, operation volume, three-level and four-level surgery, day surgery, case mix index, DRG group number, average hospitalization days, drug proportion, consumables proportion, and unplanned readmissions within 31 days, TOPSIS and RSR methods were used to comprehensively evaluate the DRG performance level of surgical wards, and the performance was ranked and graded.Results The evaluation results of TOPSIS method and RSR method were in good agreement, and the evaluation ranks of 9 wards were completely consistent. Ci was positively correlated with Probit (r=0.926, P<0.001). According to the characteristics of performance evaluation and the differences between the two methods, the performance classification of RSR method was consistent with the actual situation of the hospital. The number of excellent, medium and poor was 3, 11 and 2 respectively.Conclusion RSR evaluation results are objective and accurate, which provides a feasible scheme for DRG comprehensive performance evaluation.

参考文献/References:

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更新日期/Last Update: 1900-01-01