Construction and evaluation of clinical department evaluation system based on DRG
10.3969/j.issn.1671-332X.2025.07.016
- VernacularTitle:基于DRG的临床科室评价体系构建与评价
- Author:
Yue WU
1
;
Xipingcuo ZHA
;
Chaohua LIU
;
Haibo TANG
;
Weixian YANG
Author Information
1. 南方医科大学附属广东省人民医院//广东省医学科学院 广东 广州 510080
- Publication Type:Journal Article
- Keywords:
DRG;
Clinical department evaluation;
TOPSIS method;
Classification management1
- From:
Modern Hospital
2025;25(7):1042-1044,1048
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a differentiated performance evaluation system for surgical and non-surgical clinical departments based on Diagnosis-Related Groups(DRG),promoting refined hospital management.Methods Data from 13 clini-cal departments in a tertiary hospital in Tibet Autonomous Region(2022-2024)were analyzed and evaluated using the entropy weight method combined with the TOPSIS method and quadrant analysis.Results A dual-track evaluation system was estab-lished,comprising 10 indicators for surgical departments and 9 for non-surgical departments.Weight analysis revealed that the proportion of Grade Ⅳ surgeries(weight 0.20)and total DRG weight(0.13)were core competitiveness indicators for surgical departments,while the proportion of patients with RW≥2.0(0.29)and Case Mix Index(CMI)(0.15)were key drivers for non-surgical departments.TOPSIS evaluation showed that orthopedics and general surgery ranked highest among surgical depart-ments,whereas pediatric ward Ⅱ and internal medicine ward Ⅰ led among non-surgical departments.Evaluation results were con-sistent over the three-year period and aligned with quadrant analysis.Conclusion The classification-based evaluation system for clinical departments facilitates refined hospital management.It is recommended for application in performance appraisal and other management initiatives to further enhance high-quality hospital development.
