关键词: 医疗绩效服务; 评价; 诊断相关组; 脑血管病

Abstract: Objective To evaluate the medical service performance in cerebrovascular disease inpatients fromLevel 2 to 3 hospitals in Beijing, 2010.Methods The data was obtained from the section of cerebrovascular disease in 'The Database ofInpatient Record' administered by Beijing Public Health Information Center. Beijing DiagnosisRelated Groups(BJ-DRGs) was used as the tool to evaluate the medical service performance.Results There were 122 hospitals in this study. Number of DRGs ranged from 1 to 16, and themedian of DRGs was 5. The case-mix index ranged from 0.75 to 1.86 with a median of 1.00. Themedian was 1.07 for cost consuming index, and 1.21 for time consuming index. Of all the hospitals,54.92% had a cost consuming index higher than 1, and 72.13% had a time consuming index higherthan 1; 52.46% was higher than 1 on both cost and time consuming index. The in-hospital casefatalitywas 0 in the low and mid-low risk group, and 3.0% at median in the mid-high risk group.Conclusions In the medical service of cerebrovascular disease, effective administrative strategyand measurements should be taken to optimize the medical resources utilization, and to decreasethe time and cost consuming indices, therefore to improve medical service performance in Beijing.

Key words: Medical service performance; Evaluation; Diagnosis related group; Cerebrovascular disease