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[目的]科学合理地评价科室的服务效率、服务质量和经济效率指标,建立按岗取酬、按工作业绩取酬的公平、公正的医院科室绩效评价体系。[方法]采用病例分型管理软件将病案首页资料导入《医院病例分型管理系统》,由系统对全部出院病例自动分型并计算出危重率、优良率、综合值、诊断符合率等质量指标,应用这些指标对科室的工作效率、工作质量进行综合绩效评价。[结果]应用这一方法后2009年医疗转归情况优于2008年,人均医疗费用降低、平均住院日缩短,医疗质量显著提高。[结论]将“病例分型管理”软件运用到医院绩效管理中,有助于规范医疗行为,加强和完善医院管理工作。
[Objective] To evaluate the department’s service efficiency, service quality and economic efficiency index scientifically and reasonably, set up a fair and equitable performance evaluation system for hospital department according to the remuneration paid by work and remuneration paid by work performance. [Methods] The data of the first page of the medical records were imported into the “hospital case classification management system” by using the case typing software, and all the discharged cases were automatically typed by the system and the quality indexes such as the critical rate, excellent rate, comprehensive value and diagnostic coincidence rate were calculated , The application of these indicators on the department’s work efficiency, quality of work carried out comprehensive performance evaluation. [Results] After applying this method, the outcome of medical treatment in 2009 was better than that in 2008, the per capita medical expenses decreased, the average length of stay shortened, and the quality of medical care improved significantly. [Conclusion] The application of “case classification management ” software to the hospital performance management helps to standardize the medical behavior and strengthen and perfect the hospital management.