CAJ | 학술논문

目的对北京地区某医院2013～2014年各专科住院医疗能力进行分析,结合当地相关专科的发展情况,为医院专科发展提供建议.方法以北京版DRG(BJ-DRG)分组方式,运用病例组合指数(CMI)、DRG组数对各专科(MDC)住院医疗能力进行分析,通过2014年MDC住院医疗能力现状与发展情况将研究医院各MDC分为类型1至类型4共四种类型.结果 19个MDC中,"神经系统疾病"等2个MDC属于类型1,"头颈、耳、鼻、口、咽疾病及功能障碍"等6个MDC属于类型2,"女性生殖系统疾病及功能障碍"等5个MDC属于类型3,"妊娠、分娩及产褥期"等6个MDC属于类型4.结论研究医院各MDC住院医疗能力大多处于北京地区前列,可采取不同措施提高不同类型MDC的住院医疗能力.
목적 대북경지구모의원2013～2014년각전과주원의료능력진행분석,결합당지상관전과적발전정황,위의원전과발전제공건의.방법 이북경판DRG(BJ-DRG)분조방식,운용병례조합지수(CMI)、DRG조수대각전과(MDC)주원의료능력진행분석,통과2014년MDC주원의료능력현상여발전정황장연구의원각MDC분위류형1지류형4공사충류형.결과 19개MDC중,"신경계통질병"등2개MDC속우류형1,"두경、이、비、구、인질병급공능장애"등6개MDC속우류형2,"녀성생식계통질병급공능장애"등5개MDC속우류형3,"임신、분면급산욕기"등6개MDC속우류형4.결론 연구의원각MDC주원의료능력대다처우북경지구전렬,가채취불동조시제고불동류형MDC적주원의료능력.
Objective To analyze the inpatient specialist capacity of a hospital during 2013-2014 in Beijing for its specialists development, based on relevant local specialist development.Methods Analyzing the inpatient specialist capacity using case mix index (CMI) and DRG numbers according to BJ-DRG grouping method.Each MDC of the hospital is divided into four types according to the status and development of inpatient specialist capacity.Results Of the 19 MDCs, 2 (such as nervous system disease) fall into type 1, 6 MDCs (such as neck, ears, nose, mouth, pharynx disease and dysfunction) into type 2, while 5 MDCs (such as female reproductive system diseases and dysfunction) into type 3, and 6 MDCs (such as pregnancy, childbirth and postpartum) into type 4.Condusion Most of the MDC inpatient specialist capacities of the hospital in question are at ranking high in Beijing, and such capacities for various MDC can be improved by all means.