【摘要】 目的 对某三级综合医院临床科室进行DRGs绩效综合评价，为医院管理者提供参考。方法 基于DRGs系统2021年56个临床科室收治病例相关数据，以病例组合指数、DRGs组数、DRGs总权重、时间消耗指数、费用消耗指数、低风险组死亡率为评价指标，应用熵权法确定指标权重，联合TOPSIS法和RSR法对科室进行综合评价。结果 6项指标权重分别为0.326 1、0.209 6、0.372 5、0.044 3、0.027 1、0.020 4,DRGs绩效评价共将56个临床科室分为3档，各档科室数量分别为9个、39个和8个，各档间病种结构特征存在差异。结论 熵权-TOPSIS-RSR联合法能够客观、准确的对临床科室DRGs绩效进行综合评价。病种结构影响DRGs绩效评价结果，医院应以优化病种结构为主线，根据不同特征科室采取针对性改进措施。更多还原

【Abstract】 Objective To explore the comprehensive evaluation of DRGs performance in clinical departments of a tertiary general hospital, and to provide reference for hospital managers. Methods Based on the data of patients admitted to 56 clinical departments in the DRGs system of a tertiary general hospital in 2021, the index weight of case mix index, the number of DRGs groups, the total weight of DRGs, the time consumption index, the cost consumption index and the mortality rate of the low-risk group were used as evaluation indexes, and the index weight was determined by entropy weight, and the TOPSIS and RSR methods were combined to make comprehensive evaluation. Results The weights of 6 indicators were 0.326 1, 0.209 6, 0.372 5, 0.044 3, 0.027 1, and 0.020 4, respectively. The 56 clinical departments were divided into 3 grades in the DRGs performance evaluation, and the number of each grade was 9, 39 and 8, respectively. There were differences in the structural characteristics of diseases among the grades. Conclusion The combination of entropy weight-TOPSIS-RSR method can objectively and accurately evaluate the DRGs performance of clinical departments. The structure of diseases affects the results of DRGs performance evaluation. Hospitals should take optimizing the structure of diseases as the main line and take targeted improvement measures for different departments with different characteristics.更多还原