Study on the evaluation of medical service performance in Tianjin tertiary public hospitals under DRG payment
ZHU Xumin
LI Xiangfei
ZHU Zhenting
Abstract：Objective To evaluate the healthcare service performance of tertiary public hospitals in Tianjin under DRG payment and to explore the main factors affecting the performance.Methods The entropy weight TOPSIS method and Rank Sum Ratio(RSR)combined evaluation method were used to evaluate the healthcare service performance of tertiary public hospitals in Tianjin.By collecting data on indicators such as the number of cases,the number of DRG groups,the case-mix index,and the total weight,the entropy-weight TOPSIS method was used to determine the indicator weights,and then the RSR method was used to perform performance evaluation and probability analysis.Results The top 3 ranked index weights were number of cases 17.944％,total weight 12.796％,and case-mix index 7.876％.The top 3 ranked hospitals in terms of medical service performance were A11,A14,and A12.From the results of grading,the first grade included two hospitals,A2 and A17,accounting for 11.11％.Conclusion There is a significant difference in the level of performance of medical services among tertiary public hospitals in Tianjin under DRG payment.Low-performing hospitals should strengthen their internal management and improve their service capacity and efficiency in order to achieve the goal of high-quality development.
Keywords：DRGhealthcare service performancetertiary public hospitals
Publication Date：2024-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 329-333 )