[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]
点击复制

基于TOPSIS法与RSR法对外科绩效评价的对比分析()
分享到：

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:

[1]韩传恩.公立医院绩效管理的实践与DRG应用探索[J].中国医院管理,2021,41(1):74-76.[2]张钰婉,谈在祥.DRG支付背景下公立医院运营管理问题与对策研究[J].中国医院管理,2022,42(1):49-52.[3]于丽华.医改政策环境下医疗机构实施DRG的思路和策略[J].中国卫生经济,2022,41(1):12-16.[4]徐民,陈国强,廉颖,等.基于DRG的三级综合医院医疗服务绩效评价研究[J].中国病案,2020,21(6):46-49.[5]陶洋,王芳芳,朱晨晨,等.DRG付费法下晶体手术组盈亏的影响因素分析[J].医学信息,2022,35(11):5-7.[6]朱剑.DRG与传统指标在普外科医疗服务评价中的比较研究[J].医院管理论坛,2021,38(8):26-28,88.[7]刘骏峰,刘莎,辛子艺.DRGs在胃肠外科住院医疗服务绩效评价中的应用[J].中国医院统计,2022,29(1):69-72.[8]刘松,周伟,易应萍,等.熵权改进TOPSIS法联合RSR法综合评价医院医疗质量[J].中国卫生统计,2020,37(2):2120-211.[9]吴岚怡,李超,王前.基于熵权TOPSIS结合RSR法的广东省县级医院住院服务评价[J].现代预防医学,2021,48(16):2974-2977,2987.[10]马宗奎,胡靖琛,刘明孝,等.基于DRGs的TOPSIS和RSR模糊联合法评价心血管内科医疗服务能力[J].中国卫生质量管理,2020,27(3):55-58.[11]文小焱,石皓,陈媛,等.基于DRGs数据的加权TOPSIS-RSR模型在住院服务质量综合评价上的应用[J].中国病案,2021,22(3):59-62.[12]汪安勇,陈奎,叶俊,等.基于综合指数法的医院临床学科发展能力分析[J].中国卫生事业管理,2021,38(6):450-454.[13]方亚琼,黄朝荣,王斌雄,等.优劣解距离法结合秩和比法综合评价甘肃省二级综合医院康复医疗服务质量[J].中国康复医学杂志,2021,36(6):713-718.[14]葛国曙,陈奎,葛建一,等.基于加权综合指数法评价江苏省县(市)级综合医院医疗服务能力[J].中国卫生事业管理,2019,36(6):428-431.[15]雷瑞杰,李少武,冀贞浩.等权TOPSIS法和RSR法在医院病床利用效率评价中的比较研究[J].中国卫生统计,2019,36(3):430-432.[16]姜洪池,黄晶晶.外科领域的非外科技术问题值得重视[J].中华外科杂志,2020,58(2):81-84.[17]王锡山.微创手术平台与微创手术方式的未来走向[J].中华胃肠外科杂志,2021,24(1):35-42.[18]陈奇,董樑,李佳怡,等.上海仁济医院泌尿外科日间手术实践探索[J].中华医院管理杂志,2017,33(5):349-351.[19]金雯,徐周.基于时间费用消耗指数的日间手术优先术种甄选研究[J].中华医院管理杂志,2020,36(2):113-116.

相似文献/References:

[1]高 峰,刘 颜.DRG实施的难点及解决对策[J].医学信息,2022,35(11):1.[doi:10.3969/j.issn.1006-1959.2022.11.001]
　GAO Feng,LIU Yan.Difficulties and Solutions of DRG Implementation[J].Journal of Medical Information,2022,35(14):1.[doi:10.3969/j.issn.1006-1959.2022.11.001]
[2]陶 洋,王芳芳,朱晨晨,等.DRG付费法下晶体手术组盈亏的影响因素分析[J].医学信息,2022,35(11):5.[doi:10.3969/j.issn.1006-1959.2022.11.002]
　TAO Yang,WANG Fang-fang,ZHU Chen-chen,et al.Analysis of Influencing Factors of Surplus for Crystal Surgery Group Under DRG Payment Method[J].Journal of Medical Information,2022,35(14):5.[doi:10.3969/j.issn.1006-1959.2022.11.002]
[3]万映利,宋 萍.基于CiteSpace的国内外DRG热点分析及其发展建议[J].医学信息,2020,33(05):9.[doi:10.3969/j.issn.1006-1959.2020.05.003]
　WAN Ying-li,SONG Ping.Hot Spot Analysis of DRG at Home and Abroad Based on CiteSpace and Its Development Suggestions[J].Journal of Medical Information,2020,33(14):9.[doi:10.3969/j.issn.1006-1959.2020.05.003]
[4]杨 柳,问肃生,汪 渠.基于DRGs的公立医院绩效评价研究[J].医学信息,2020,33(19):5.[doi:10.3969/j.issn.1006-1959.2020.19.002]
　YANG Liu,WEN Su-sheng,WANG Qu.Research on Performance Evaluation of Public Hospitals Based on DRGs[J].Journal of Medical Information,2020,33(14):5.[doi:10.3969/j.issn.1006-1959.2020.19.002]
[5]顾梦佳,蔡 斌,余 靓.运用DRGs指标综合评估医院质量及临床绩效的研究[J].医学信息,2021,34(14):22.[doi:10.3969/j.issn.1006-1959.2021.14.006]
　GU Meng-jia,CAI Bin,YU Liang.Research on Comprehensive Evaluation of Hospital Quality and Clinical Performance Using DRGs Index[J].Journal of Medical Information,2021,34(14):22.[doi:10.3969/j.issn.1006-1959.2021.14.006]
[6]李 杰,单思哲,杨 波,等.基于“军字一号”工程的DRG医院支付管理系统的设计与应用[J].医学信息,2022,35(03):17.[doi:10.3969/j.issn.1006-1959.2022.03.004]
　LI Jie,Shan Si-zhe,YANG Bo,et al.Design and Application of DRG Hospital Payment Management SystemBased on "No.1 Military Project"[J].Journal of Medical Information,2022,35(14):17.[doi:10.3969/j.issn.1006-1959.2022.03.004]
[7]詹汉强,魏鑫然.基于DRG/DIP支付背景下病种分值付费的研究[J].医学信息,2023,36(15):100.[doi:10.3969/j.issn.1006-1959.2023.15.019]
　ZHAN Han-qiang,WEI Xin-ran.Research on Disease Score Payment Based on DRG/DIP Payment Mode[J].Journal of Medical Information,2023,36(14):100.[doi:10.3969/j.issn.1006-1959.2023.15.019]
[8]汤 鑫,刘 颜.国内外DRG实践发展及其对我国的启示[J].医学信息,2023,36(21):27.[doi:10.3969/j.issn.1006-1959.2023.21.006]
　TANG Xin,LIU Yan.Development of DRG Practice at Home and Abroad and its Enlightenment to China[J].Journal of Medical Information,2023,36(14):27.[doi:10.3969/j.issn.1006-1959.2023.21.006]

更新日期/Last Update: 1900-01-01