Comprehensive performance changes of a public hospital before and after the implementation of DRG payment based on improved radar chart method
10.3760/cma.j.cn111325-20240928-00829
- VernacularTitle:基于改进雷达图法的某公立医院实施DRG付费前后的综合绩效变化
- Author:
Qiujie SUN
1
;
Chuo SUN
;
Ying PAN
;
Hang SHI
;
Lihui DAI
Author Information
1. 北京中医药大学管理学院，北京 102488
- Publication Type:Journal Article
- Keywords:
Diagnosis related groups;
Performance evaluation;
Hospitals, public;
Radar chart;
Comprehensive assessment
- From:
Chinese Journal of Hospital Administration
2025;41(5):378-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a comprehensive performance evaluation index system based on diagnosis related groups(DRG) and analyze the overall performance of a hospital before and after the implementation of DRG payment using an improved radar chart method.Methods:A literature analysis method was employed to preliminarily determine the performance evaluation framework in combination with the actual situation of the hospital. Subsequently, the Delphi method was used to establish a comprehensive performance evaluation index system based on DRG. Data related to inpatients from 2019 to 2022 (with 2019 being the period before the implementation of DRG payment) were extracted from the hospital information system and medical insurance system of a tertiary general hospital in Liaoning Province. The improved radar chart method was then utilized to conduct a comprehensive performance evaluation of the hospital.Results:The comprehensive performance evaluation index system based on DRG included five first-level indicators (service capacity, service efficiency, medical quality, medical safety, and revenue and costs) and 19 second-level indicators. The weights of medical quality and medical safety were the highest, both at 0.212. The evaluation results using the improved radar chart method showed that the comprehensive performance values of the hospital from 2019 to 2022 were 0.427 0, 0.463 3, 0.505 2, and 0.545 0, respectively. Overall, the five first-level indicators showed an improving trend, but the development of service capacity, service efficiency, medical quality, and revenue and costs was more balanced compared with medical safety.Conclusions:With the implementation of DRG payment reform, the performance of the hospital has improved and was trending towards more balanced development. The evaluation index system constructed in this study is scientifically sound and feasible. Combined with the improved radar chart method, it can more intuitively reflect changes in hospital performance and can serve as a reference for performance evaluation in public hospitals.
