CAJ | 학술논문

目的建立患者住院医疗服务的战略规划,从而提高医疗行业整体价值.方法战略地图勾勒出当地政府要实施的目标；同时采用诊断相关组(DRGs)使住院产出得到标准化分类并对各病例组赋予权重；将战略地图的目标和DRGs结果转化为平衡计分卡；再在此基础上确定行动计划,完成战略任务图.结果在客户、内部流程、学习与成长、财务4个方面建立了16个目标、23项指标和13项任务.结论战略地图有助于实现一个地区完整的住院医疗服务战略规划；诊断相关组是落实以患者为中心服务产出的管理核心工具；平衡记分卡有助于实现北京市住院医疗服务从宏观到微观的持续改进.
목적 건립환자주원의료복무적전략규화,종이제고의료행업정체개치.방법 전략지도구륵출당지정부요실시적목표；동시채용진단상관조(DRGs)사주원산출득도표준화분류병대각병례조부여권중；장전략지도적목표화DRGs결과전화위평형계분잡；재재차기출상학정행동계화,완성전략임무도.결과 재객호、내부류정、학습여성장、재무4개방면건립료16개목표、23항지표화13항임무.결론 전략지도유조우실현일개지구완정적주원의료복무전략규화；진단상관조시락실이환자위중심복무산출적관리핵심공구；평형기분잡유조우실현북경시주원의료복무종굉관도미관적지속개진.
Objective To improve overall value of healthcare industry through setting up critical inpatient medical services strategic plan.Methods Identify major objectives which the local government expects to achieve through strategic map; Standardize inpatient output and assign weight to each group through diagonosis related groups; Translate the objectives of strategic map and result of diagnosis related group to Balanced Score-card; Finally build up strategic map and according action plans.Results Preliminarily established 16 objectives、23 measures and 13 tasks in four perspectives including customer,internal work flow,learning and growing and finance.Conclusion The strategy map and the balanced score-card can help implement full strategic plan of regional inpatient medical services; DRGs is a core management tool of patient-centred service output management; Balanced Score-card is able to realize continuous improvement of Beijing inpatient medical services from macro to micro persoetive.