CAJ | 학술논문

目的：为提高医疗绩效评价水平、提升医院的内涵质量和医疗服务效率，上海市肺科医院利用CMI工具在学科绩效建设模式方面进行了探索性的研究与实践。方法：以上海市肺科医院2012年7月-2013年6月胸外科住院患者数据为基础，建立基于临床路径与DRGs大数据支持下的以CMI为核心的学科绩效评价模式。结果：2013年7月-2014年6月该院胸外科平均CMI值由上年同期的基准值1.00升高至1.06（增加6%），单病种均次费用下降，所有医疗组的校正平均住院天数均降低。结论：以CMI为核心的学科绩效评价模式，能够在保证医疗内涵质量的前提下，实现提高疑难危重患者收治率、缩短平均住院日和控制费用的目标。
목적：위제고의료적효평개수평、제승의원적내함질량화의료복무효솔，상해시폐과의원이용CMI공구재학과적효건설모식방면진행료탐색성적연구여실천。방법：이상해시폐과의원2012년7월-2013년6월흉외과주원환자수거위기출，건립기우림상로경여DRGs대수거지지하적이CMI위핵심적학과적효평개모식。결과：2013년7월-2014년6월해원흉외과평균CMI치유상년동기적기준치1.00승고지1.06（증가6%），단병충균차비용하강，소유의료조적교정평균주원천수균강저。결론：이CMI위핵심적학과적효평개모식，능구재보증의료내함질량적전제하，실현제고의난위중환자수치솔、축단평균주원일화공제비용적목표。
Objectives: To improve performance evaluation and medical service quality and efficiency, Shanghai Pulmonary Hospital developed discipline performance evaluation mode based on CMI. Method: Inpatient in chest surgery department from July 2012 to June 2013 were collected to develop CMI centered discipline performance evaluation mode by support of clinical pathway and DRGs. Results: From July 2013 to June 2014, the CMI score increased 0.06 points on the basis of the benchmark (1.00 point). The average expense of single disease decreased and the adjusted average length of stay also decreased in all the medical groups. Conclusions: The performance evaluation mode on the basis of CMI can help increasing the adoption of severe patients, shorten the average length of stay and control the medical expense while maintaining the service quality.