Performance Evaluation and Empirical Research of DRG Physicians Based on Apportionment Coefficient and Weighted Comprehensive Index Method
- VernacularTitle:基于分摊系数和加权综合指数法的DRG医师绩效评价及实证研究
- Author:
Yechun YANG
1
;
Xiaohong HUANG
1
;
Qi LIN
1
;
Jiajia HE
1
Author Information
1. 广州中医药大学第一附属医院 广东 广州 510405;广东省中医临床研究院 广东 广州 510405
- Publication Type:Journal Article
- Keywords:
DRG;
physician;
performance;
apportionment coefficient;
weighted comprehensive index method
- From:
Chinese Hospital Management
2025;45(1):78-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective This is to develop a comprehensive performance evaluation index system for physicians under the DRG system and to conduct practical research.Methods The"cost ratio"is used to establish a"sharing coefficient"to define the distribution of performance among physicians treating the same patient;the Delphi technique is applied to ascertain the weights of evalation index,and the weighted comprehensive index method is utilized to construct the performance evaluation index system for DRG physicians;empirical research on physician performance evaluation is conducted using hospital data.Results Following performance sharing and weighted integration,the basic evaluation indicators and the performance evaluation index of DRG both exhibit an approximate normal distribution between 0～100 points;the performance evalation index of DRG score can be utilized for the overall assessment of physicians,and the strengths and weaknesses of physician diagnosis and treatment can be analyzed based on various dimensional indices and scores.The performance sharing of the evaluation results of the same physician is more accurate than the traditional method,especially for the physicians with more transferred patients.Conclusion Using the"allocation coefficient"to divide the weight of"one patient and multiple doctors"and incorporating the weight into the comprehensive evaluation index system make the results more objective and accurate.The comprehensive performance evaluation index system for DRG physicians,based on the"sharing coefficient"and weighted comprehensive index method,offers a scientific and practical tool for hospital performance distribution management.
