Evaluation of clinical key specialty medical service performance using DRG and entropy weight TOPSIS method
10.3969/j.issn.1671-332X.2025.02.026
- VernacularTitle:基于DRG和熵权TOPSIS法的临床重点专科医疗服务绩效评价
- Author:
Huiyue LIU
1
;
Bin ZHONG
1
;
Fang ZENG
1
;
Yue HE
1
Author Information
1. 中南大学湘雅医院 湖南长沙 410008
- Publication Type:Journal Article
- Keywords:
DRG;
Entropy weight TOPSIS method;
Performance evaluation
- From:
Modern Hospital
2025;25(2):262-265
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the medical service performance of the cardiovascular department in a tertiary hospital in Hunan Province using Diagnosis Related Groups(DRGs)and Entropy Weighted TOPSIS methods,providing suggestions for discipline construction and development.Methods Data from the front pages of hospitalization cases in the Department of Cardi-ovascular Medicine from 2018 to 2023 were collected.Both traditional indicators and DRG(Diagnosis-Related Group)indicators were utilized to analyze the department's overall performance,the structure of treated disease groups,and the comparative per-formance across different wards.Results The number of discharged cases and the Case Mix Index(CMI)in the cardiovascular medicine department of the sample hospital exhibited a fluctuating upward trend,while the number of DRG groups remained rela-tively stable,reflecting ideal professional coverage.Certain key disease groups demonstrated higher time and cost consumption in-dices,and variations in medical service performance were observed across different wards.Furthermore,in the Entropy Weighted TOPSIS comprehensive evaluation,the rankings of the four wards aligned with their actual developmental positioning within the discipline.Conclusion The DRG method and Entropy Weighted TOPSIS provide an effective framework for evaluating medical service performance in hospital disciplinary development,utilizing reasonable evaluation indicators.These methods offer valuable insights for guiding the development of key clinical specialties and enhancing the overall level of disciplinary capability.
