Comprehensive evaluation of performance in clinical specialties based on entropy weight-TOPSIS-RSR
10.3969/j.issn.1671-332X.2025.02.020
- VernacularTitle:基于熵权-TOPSIS-RSR联合法的三甲医院绩效评价研究
- Author:
Yugao WU
1
;
Mingwei LUO
1
;
Zhuo CHENG
1
;
Guanghui GUO
1
;
Rongyue LI
1
Author Information
1. 攀枝花市中心医院 四川攀枝花 617067
- Publication Type:Journal Article
- Keywords:
DRG;
Performance appraisal;
TOPSIS;
RSR
- From:
Modern Hospital
2025;25(2):238-242
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the medical service performance of a hospital in 2023,providing references for the refined management and discipline advancement.Methods The DRG-related data of patients discharged from the sample hospi-tal in 2023 were obtained through the DRGs in Sichuan Province.A comprehensive evaluation was performed by using the inte-grated approach of TOPSIS and RSR with entropy weight.Results The top three specialties offering a wide range of medical services and handling more complex cases on average were neurosurgery,orthopedics,and cardiovascular medicine.The difficulty level of cases in these departments exceeded the average for both the city and the province.TOPSIS-RSR method was used to e-valuate six weights of the index,and the top three ones were CMI,total weight,and number of diagnostic-related groups.In the DRG performance evaluation,30 clinical departments were divided into 3 grades,with 5,21,and 4 departments in each grade,respectively,revealing differences in case structure across grades.Conclusion The combination of DRG-related indicators and comprehensive evaluation method can be effectively applied to the performance evaluation of medical service for inpatients,thus providing suggestions and strategies for promoting the improvement of medical service capacity,improving medical service effi-ciency,optimizing safety and quality assessment indicators,and achieving overall balanced development in wards.
