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Construction and practice of subject construction evaluation system under DRG point value payment |
WANG Xia SHI Shuyuan YANG Yongxue▲ |
Discipline Management Office, Affiliated Fifth People’s Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan Province, Chengdu 611130, China
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Abstract Objective To establish a discipline construction evaluation system based on diagnosis-related groups (DRG) score payment background, and to promote the formation of a discipline construction management mechanism with efficient operation and strong supervision. Methods By using the methods of literature review, current situation investigation and DRG index measurement, the discipline construction evaluation index system suitable for large Class Ⅲ public hospital was constructed. Results The whole system has set up 6 first-level indicators, 18 second-level indicators and 63 third-level indicators, including 12 core indicators and 3 single rejection indicators. With the third-level indicators as the minimum unit, assessment scores were assigned, and quantitative indicators such as case portfolio index, number of DRG groups, and medium-low risk mortality were put into the evaluation system to clarify the scoring criteria and evaluation methods. Conclusion The selection of indicators is highly representative, mainly based on benefit and ratio indicators, which can objectively reflect the real level of discipline construction, guide the implementation of discipline construction to improve medical ability, solve clinical practical problems, and enhance the connotation of modern hospital management.
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