【摘要】 目的 基于疾病诊断相关分组（DRG）分析山东省二、三级医院医疗服务现状，为探讨优化双向转诊实施策略提供有效支持。方法 利用DRG分组器分析2019—2023年山东省75家二级医院和69家三级医院4 234.83万例病例，组织专家制定病种双向转诊标准。结果 （1）筛选出二级医院具备诊疗能力和医疗资源的35个高频DRG组，（2）二级医院高频DRG组内医疗费用与医疗质量均低于三级医院，（3）以食管癌为例制定标准化转诊标准与方案。结论 急需通过病种分类管理逐步精准分流患者，同时制定病种诊疗方案和双向转诊标准，提高二级医院医疗质量，以促进分级诊疗的良性发展。更多还原

【Abstract】 Objective To analyze the current status of medical services in secondary and tertiary hospitals in Shandong Province based on DRG,and to provide effective support for the implementation strategies of bidirectional referral. Methods The DRG group was used to analyze 42.348 3 million cases from 75 secondary hospitals and 69 tertiary hospitals in Shandong Province from 2019 to 2023. Experts were organized to establish standards for bidirectional referral of diseases. Results(1) 35 high-frequency DRG disease groups with diagnosis, treatment ability and medical resources in secondary hospitals were selected,(2) The medical expenses and medical quality in the high-frequency DRG disease groups within secondary hospitals were lower than those in tertiary hospitals,(3) To develop standardized referral standards and programs with esophageal cancer as an example. Conclusion It is urgent to triage patients gradually and accurately through disease classification management, and formulate disease diagnosis and treatment plans and bidirectional referral standards to improve the medical quality of secondary hospitals.更多还原