彭伟彬+刘颜+梅婧

    [摘要] 目的 三种方法对诊断相关组相对权重设置的探究。 方法 基于住院费用的五大类费用构成，通过三种方法确定各类费用的占比，并采用CN-DRGs(2016版)对北京大学深圳医院各DRG组相对权重进行测算。 结果 该院2016年纳入研究病例数57719例，三种方法计算得出的DRG组分布、总权重、CMI值差异无统计学意义，总权重和CMI值分别为57523.54，57538.42，56955.98和0.9966，0.9969，0.9868。 结论 在实际应用DRGs进行能力维度的绩效评价时，需结合临床经验和统计学方法对各DRG组相对权重进行进一步的研究。

    [关键词] 相对权重；费用占比；诊断相关组；绩效评价

    [中图分类号] R3 [文献标识码] A [文章编号] 1673-7210(2018)01(a)-0150-05

    [Abstract] Objective To explore the relative weight setting of diagnosis related groups. Methods Based on the five categories of cost composition of the cost of hospitalization， through three methods to determine the proportion of various types of costs， and calculated the each DRG group relative weight on Peking University Shenzhen Hospital through the CN-DRGs (2016 version). Results The number of cases admitted to the study in the hospital in 2016 was 57719. The DRG group distribution， total weight， CMI was not very different among the three methods of calculation results. The total weight and CMI was respectively 57523.54， 57538.42， 56955.98 and 0.9966， 0.9969， 0.9868. Conclusion To apply DRGs for the performance evaluation of capacity dimension ......