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目的分析研究医院神经科部分主诊医师组的DRGs指标,发现优势与不足,为主诊医师绩效考核与管理提供建议。方法以国家版DRGs(CN-DRGs)分组方式,运用病例组合指数、费用消耗指数、时间消耗指数等指标对2015年神经科脑血管病、癫痫、神经介入各主诊医师组进行分析。结果神经介入主诊医师组的CMI最高,癫痫主诊医师组的CMI最低,全部主诊组的费用消耗指数均小于1,癫痫主诊组的时间消耗指数均超过1,介入主诊组的时间消耗指数最低,为0.5。结论应用DRGs指标,评价各主诊医师组的住院绩效情况,可以客观、公平地评价其医疗能力与医疗效率,树立标杆,促进各主诊组竞争。
OBJECTIVE: To analyze the DRGs index of some visiting physicians in the department of neurology of the hospital and find the advantages and disadvantages, and to provide suggestions for the performance appraisal and management of the attending physicians. Methods The national DRGs (CN-DRGs) grouping methods were used to analyze the major physician groups of neurological cerebrovascular diseases, epilepsy and neurological interventions in 2015 using the combination of case index, cost-expenditure index and time consumption index. Results The CMI of the neuro-interventionist physician group was the highest, the CMI of the epilepsy attending physician group was the lowest, the cost-exponent of all the attending groups was less than 1, and the time consumption index of the epilepsy attending group was more than 1, Consumption index lowest, 0.5. Conclusion DRGs index can be used to evaluate the hospitalization performance of each visiting physician group, which can objectively and fairly evaluate its medical ability and medical efficiency, establish the benchmark, and promote the competition among the main attending groups.