【摘要】 目的 以样本医院外科病区为例，评估DRG改革后的医疗服务绩效，为医院高质量发展提供参考。方法 选取医疗费用、服务能力、服务效率和医疗质量等方面指标，采用熵权TOPSIS-RSR法对样本医院2020—2022年10个外科病区进行医疗服务绩效评价。结果 熵权TOPSIS和RSR法评价结果一致，两者均显示医疗服务绩效划分为好档的基本为2022年科室，划分为差档的基本为2020年科室；2020—2022年，样本医院10个外科病区盈余能力、住院均费、药占比、15日内返住率等各项指标逐年向好，但耗占比、床均医疗不良事件发生数相对上升。结论 熵权TOPSIS结合RSR法能较好地评价医院医疗服务绩效，且DRG改革促进了医院医疗服务绩效提升，但应进一步加强耗材管控，提升医疗服务质量，促进医院高质量发展。更多还原

【Abstract】 Objective To evaluate the medical service performance after DRG reform by taking the surgical wards of the sample hospital as an example,and to provide reference for the high-quality development of the hospital.Methods The indicators of medical cost,service capacity,service efficiency and medical quality were selected,and the entropy weight TOPSIS-RSR method was used to evaluate the medical service performance of 10 surgical wards of the sample hospital from 2020 to2022.Results The evaluation results of entropy weight TOPSIS and RSR method were consistent,both of which showed that the medical service performance classified as good grade was basically the department in 2022,and the one classified as poor grade was basically the department in 2020.From 2020 to 2022,the surplus capacity,average hospitalization expenses,drug proportion,and rehospitalization rate within 15 days of the 10 surgical wards of the sample hospitals improved year by year,but the proportion of consumption and the number of adverse medical events per bed increased relatively.Conclusion Entropy-weight TOPSIS combined with RSR method can better evaluate the hospital’s medical service performance,and DRG reform can promote the hospital’s medical service performance.However,it is necessary to further strengthen the control of consumables,improve the quality of medical service,and promote the high-quality development of the hospital.更多还原