Application of TOPSIS Method in DRG Comprehensive Evaluation Management in a Tertiary Grade A Hos-pital
- VernacularTitle:TOPSIS法在某三甲医院DRG综合评价管理中的应用
- Author:
Xiang ZHANG
1
,
2
;
Shengli LI
;
Renhao WANG
Author Information
1. 徐州医科大学附属医院 江苏徐州 221000
2. 徐州医科大学管理学院 江苏徐州 221000
- Keywords:
TOPSIS method;
DRG;
medical service evaluation;
medical quality
- From:
Chinese Hospital Management
2024;44(7):71-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective Based on DRG evaluation indicators,research an evaluation method that can comprehensive-ly evaluate the medical service capacity and efficiency of clinical departments in hospitals.Methods Using the front page of inpatient medical records from a tertiary hospital in Xuzhou in 2022 as a sample,obtaining DRG related indi-cators through the China Healthcare Security Diagnosis Related Groups 1.1 grouping system.Based on the number of DRG,CMI,TEI,and CEI indicators,use TOPSIS method to comprehensively evaluate the quality of medical ser-vices in clinical departments.Results The widest coverage of medical services is in General Surgery,with a DRG group of 325;The most difficult medical service is in the Emergency Department,with a CMI value of 1.45;The best time efficiency is in Ophthalmology,with a TEI of 0.56,The Dermatology has the best cost efficiency,with a CEI of 0.36;TOPSIS comprehensive evaluation shows that the top five are Pediatrics,General Medicine,Emergen-cy Department,General Surgery,and Gastroenterology,and the bottom five are Dentistry,Burn Unit,Orthope-dics,Neurosurgery,and CCU.Conclusion The TOPSIS method based on DRG integrates two dimensions of medical service capability and medical service efficiency,and horizontally compares clinical departments.The evaluation re-sults are more objective,reasonable,and accurate,which can provide a methodological basis for hospital refined management.
