RBRVS和DRGs与医院常用绩效评方法的比较研究.pdfVIP

14 中国医疗管理科学2016年1月第6卷第1期  Chinese Journal of Medical Management Sciences,  January 2016, Vol.6 No.1 ·绩效管理· RBRVS和DRGs与医院常用绩效评价方法的比较 研究 王志刚   潘莉   蔡静 摘要 目的 【 】 研究在深化、细化医药卫生体制改革背景下，构建替代经济导向的绩效管理体系时，应如何选择核心工 具和方法。方法 通过文献复习和理论分析，从适用范围、使用方法、存在问题等角度，探讨将 RBRVS 和 DRGs 用于绩效评 价，并与具有代表性的常用绩效评价工具进行比较分析，对如何选择或组合使用绩效评价工具以构建绩效体系进行研究。 结 果 绩效费率制因受制于国内医疗服务定价，不宜用于公立医院绩效评价。RBRVS 通常不受医院信息化水平限制，较为易用； DRGs 在普遍实行 DRGs-PPS 付费的省市，可以作为绩效评价的主要工具；平衡计分卡可用于绩效评价，但难以单独成为绩 效工资的发放依据。结论 RBRVS 和 DRGs 均可与平衡计分卡进行组合，构建出一种新型的面向工作量导向的绩效体系。就 现阶段而言，RBRVS 与平衡计分卡结合应用更具有可行性。 关键词 【 】 RBRVS；DRGs；疾病严重程度指数；平衡计分卡；绩效评价；医院绩效管理 Study on the comparison and application of RBRVS and diagnosis-related groups with commonly-used performance evaluation methods of hospital Wang Zhigang, Pan Li, Cai Jing. Shanghai Palline Data Technology Co., Ltd. (Wang Zhigang, Cai Jing), Shanghai 200120; Shandong Traditional Chinese Medical Hospital (Pan Li), China Corresponding author: Wang Zhigang, Email: wangzhigang@palline.cn Abstract Objective The paper is to study how to select core tool and method while building a performance management 【 】 system in substitution for economic orientation against the background of deepening and refining medical and health system reform. Method The application of resource-based relative value scale (RBRVS) and diagnosis-related groups (DRGs) in performance evaluation is discussed through literature review and theoretical analysis from angles of application scope, using method, and existing problems; they are also compared for analysis with typical commonly-used performance evaluation tools in order to study how to select or combine performance evaluation tools to build a performance system. Result Because performance rate system is subject to the domestic pricing of medical service, it is inappropriate to use it for public hospital performance evaluation. Generally, RBRVS is relatively easy