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学科主题临床医学
Performance assessment of the inpatient medical services of a clinical subspecialty A case study with risk adjustment based on diagnosis-related groups in China
Ji, Xinqiang1; Fang, Yun2; Liu, Jing1
通讯作者Ji, Xinqiang(1)
关键词clinical subspecialty diagnosis-related groups (DRGs) medical service performance evaluation
刊名MEDICINE
2018-06-01
DOI10.1097/MD.0000000000010855
97期:24
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]QUALITY ; PATIENT ; DATABASE ; SYSTEMS ; DEATH ; CARE ; DRGS
英文摘要

Diagnosis-related groups (DRGs) have been receiving increasing attention in health service research in China. In the present study, we used the 2014 Beijing-Diagnosis Related Groups (BJ-DRGs) to evaluate the inpatient service performance of the clinical subspecialty "major operation of the digestive system"of a cancer specialist hospital.

The research hospital is one of 16 public municipal hospitals overseen by the Beijing Health Bureau ("16 hospitals"). Discharge data collected between 2008 and 2015 were drawn from the front pages of the medical records of these hospitals. After the data were reported to the Beijing Public Health Information Centre, as well as being grouped using the BJ-DRGs. We evaluated the service performance of this subspecialty in terms of capacity, efficiency, and service quality, based on the BJ-DRGs risk adjustment tool.

From 2008 to 2015, the total weight of the subspecialty in the research hospital increased annually. In 2015, the cases in this hospital accounted for 50.27% of the total in 16 hospitals. The time consumption index was 0.91, whereas the charge consumption index was 1.24, which was 24% higher than the average in16 hospitals. The mortality rates of the middle-low risk groups (GB15 and GB25) in the research hospital and the 16 hospitals were zero, while the mortality rates for the middle-high risk groups (GB11 and GB23) in the research hospital were significantly lower than those in 16 hospitals.

The service capacity of the subspecialty steadily increased in the research hospital. However, the hospital must offer more attention to complex digestive disease cases (GB11/GB23) and strictly control hospitalization expenses, while maintaining the advantages of service efficiency and quality.

语种英语
WOS记录号WOS:000439545200006
通讯作者邮箱jixinq_xq@21cn.com
第一作者单位Peking Univ, Canc Hosp & Inst, Minist Educ Beijing, Dept Med Record Stat,Key Lab Carcinogenesis & Tra, 52 Fucheng Rd, Beijing 100142, Peoples R China
通讯作者单位Peking Univ, Canc Hosp & Inst, Minist Educ Beijing, Dept Med Record Stat,Key Lab Carcinogenesis & Tra, 52 Fucheng Rd, Beijing 100142, Peoples R China
ISSN0025-7974
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/142606
专题北京大学临床肿瘤学院_医学统计室
北京大学临床肿瘤学院_人力资源处
作者单位1.Peking Univ, Canc Hosp & Inst, Minist Educ Beijing, Dept Med Record Stat,Key Lab Carcinogenesis & Tra, 52 Fucheng Rd, Beijing 100142, Peoples R China;
2.Beijing Municipal Ctr Dis Control & Prevent, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Ji, Xinqiang,Fang, Yun,Liu, Jing. Performance assessment of the inpatient medical services of a clinical subspecialty A case study with risk adjustment based on diagnosis-related groups in China[J]. MEDICINE,2018,97(24).
APA Ji, Xinqiang,Fang, Yun,&Liu, Jing.(2018).Performance assessment of the inpatient medical services of a clinical subspecialty A case study with risk adjustment based on diagnosis-related groups in China.MEDICINE,97(24).
MLA Ji, Xinqiang,et al."Performance assessment of the inpatient medical services of a clinical subspecialty A case study with risk adjustment based on diagnosis-related groups in China".MEDICINE 97.24(2018).
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