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目的利用DRGs方法评价2016年某医院神经内科主诊医师组的住院医疗绩效服务。方法以2016年某医院重点专科神经内科17组主诊医师为对象,通过评价主诊医师的医疗服务能力、医疗服务效率和医疗服务安全,根据德尔菲法制定的各指标的权重系数评价住院医疗服务的综合得分,比较17组主诊医师的住院医疗服务水平。根据‘二八法则’,评价17组主诊医师收治同一DRGs组的例数、医疗服务效率和安全。结果综合得分最高的前3位的主诊医师分别是主诊医师P、F和E;得分最低的后3位的主诊医师组分别是主诊医师M、N和Q。主诊医师C治疗同一DRGs组BR-23患者的医疗服务水平最高。结论基于DRGs方法对该医院主诊医师组住院医疗绩效服务的评价,结果客观、可行和可信。
Objective To assess the performance of inpatient medical services by the Department of Neurology attending physicians in a hospital in 2016 using the DRGs method. Methods To evaluate the medical service ability, medical service efficiency and medical service safety of the attending physicians in 17 groups of chief physicians in neurology of a hospital’s key specialty in 2016, and evaluate the hospitalization based on the weight coefficient of each index established by the Delphi method Service comprehensive score, compared with the 17 groups of physicians inpatient medical services. According to the ’28 law ’, the number of cases in the same group of DRGs treated by 17 attending physicians was evaluated, and the efficiency and safety of medical services were evaluated. Results The top three general practitioners with the highest comprehensive scores were the attending physicians P, F and E respectively. The last three physicians with the lowest scores were attending physicians M, N and Q respectively. The attending physician C had the highest level of medical care for BR-23 patients in the same DRGs group. Conclusion Based on the DRGs method, the evaluation of inpatient medical service performance in the visiting physician group in this hospital is objective, feasible and credible.