刘艳亭 伍冀湘 王宇

    [摘要] 目的 探讨Ridit分析法在医院绩效考核中的应用及效果。 方法 2015年2～7月，对首都医科大学附属北京同仁医院2014年的临床5个科室(呼吸科、消化科、骨科、神经外科、妇产科)工作报表进行调查，对病例分型与疾病转归、医疗质量与医疗风险进行Ridit分析。 结果 在调查的出院9905例患者中，治愈3394例，好转5895例，未愈566例，死亡50例；其中，A型患者5827例，B型患者2218例，C型患者1295例，D型患者565例。在5个科室中，妇产科与骨科医疗质量最好，其次为呼吸科与神经外科，消化科最差；消化科、神经外科医疗风险最高，其次为呼吸科与骨科，以妇产科的医疗风险最低。 结论 Ridit分析法在医院绩效考核中的应用能有效从病例分型与疾病转归上反映科室的医疗风险与医疗质量状况，能给医院科室管理提供客观参考指标。

    [关键词] Ridit分析法；绩效考核；医疗风险；医疗质量

    [中图分类号] R197.32 [文献标识码] A [文章编号] 1673-7210(2017)07(a)-0150-04

    [Abstract] Objective To investigate the application and effect of Ridit analysis in hospital performance evaluation. Methods From February to July 2015， the working reports during 2014 from five clinical departments of Beijing Tongren Hospital， Capital Medical University (Departments of Respiration， Gastroenterology， Orthopedics， Neurosurgery， Obstetrics and Gynecology) were investigated. Case classification and disease outcome， medical quality and medical risk were analyzed by Ridit. Results In the 9905 patients， 3394 patients were cured， 5895 patients were improved， 566 patients were not cured ......