Medical Management
Analysis of medical quality in psychiatric hospitals based on DRG evaluation
Pan Yizhu, Guo Moning, Qiu Yelong, Li Xiaohong, She Yongjun, Chen Hao, Xiao Cunli, Sun Xiuqi, Li Zhiwu
Published 2023-01-02
Cite as Chin J Hosp Admin, 2023, 39(1): 22-26. DOI: 10.3760/cma.j.cn111325-20220916-00807
Abstract
ObjectiveTo evaluate the medical service quality of psychiatric hospitals in Beijing based on diagnostic related group (DRG), analyze the evaluation effect, for refences to constructe a DRG performance evaluation system suitable for psychiatric hospitals.
MethodsThis study extracted data such as the number of DRG groups, etc. of hospitalized patients in 14 tertiary and secondary psychiatric hospitals in Beijing from 2018 to 2020 from the Beijing inpatient medical performance evaluation platform, and analyzed data on DRG performance evaluation indicators, as well as the average length of hospital stay and average cost of DRG enrolled cases. All data were analyzed using descriptive research methods, and inter group comparisons were conducted using the Mann Whitney U-test.
ResultsFrom 2018 to 2020, the average number of DRG groups in tertiary hospitals (28) was higher than that in secondary hospitals (10) (P<0.05), and the average CMI values of both were the same(1.79); The average cost consumption index (1.15) of tertiary hospitals was higher than that of secondary hospitals (0.65) (P<0.05), while the average time consumption index (1.11) was slightly lower than that of secondary hospitals (1.30); The mortality rate of the low-risk group in tertiary hospitals (0.01%) was generally lower than that in secondary hospitals (0.88%), and the average percentage of DRG admitted inpatients (82.8%) was significantly higher than that in secondary hospitals (27.3%) (P>0.05). The average length of stay and cost per case for DRG enrolled inpatients in tertiary and secondary hospitals were lower than the overall hospital discharge cases (P<0.05).
ConclusionsThe number of DRG groups, CMI value, and low-risk mortality rate could be used for evaluating the medical service capacity and safety of psychiatric hospitals, but the cost and time consumption index could not objectively reflect the efficiency of hospital medical services. DRG performance evaluation indicators are more suitable for evaluating short-term hospitalization of psychiatric patients. The proportion of DRG enrolled cases might be a potential indicator for evaluating the service quality of psychiatric hospitals.
Key words:
Diagnosis related group; Psychiatric hospital; Medical quality evaluation; Medical services; Hospital management
Contributor Information
Pan Yizhu
Medical Service Department, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China
Guo Moning
Office of Beijing Medical Big Data and Policy Research Center, Beijing 100031, China
Qiu Yelong
Medical Service Department, Xuanwu Hospital of Capital Medical University, Beijing 100053, China
Li Xiaohong
Dean′s Office, Beijing Huilongguan Hospital, Beijing 102208, China
She Yongjun
Medical Service Department, The Sixth Hospital of Peking University, Beijing 100191, China
Chen Hao
Dean′s Office, Beijing Chaoyang District Third Hospital, Beijing 100025, China
Xiao Cunli
Deans Office, Beijing Xicheng District Ping′an Hospital, Beijing 100055, China
Sun Xiuqi
Medical Service Department, Beijing Daxing Xinkang Hospital, Beijing 102699, China
Li Zhiwu
Dean′s Office, Beijing Fengtai Mental Health Center, Beijing 100074, China
