疑难系数在医院绩效管理中应用

传统医院绩效管理中注重工作数量和经济效益，而对医疗工作的疑难程度和技术水平缺乏有效地考核指标，DRGs实施为疑难程度考核提供可能。北京大学第三医院联合16家医院开展缩短平均住院日相关措施研究，积极探讨采用疑难系数测量临床收治疾病的疑难程度，研究结果显示所有项目医院都注重疑难程度的评价，在采用的几种方法中以DRGs为基础的疑难系数法取得较好效果，具有推广应用价值。

Application of Difficult Coefficient in Hospital Performance Management

Traditional hospital performance management focuses on the number of jobs and economic benefits, and lacks effective assessment of the difficult degree and technical level of clinical work. DRGs implementation provides possibilities for the assessment. Peking University Third Hospital, combined with 16 hospitals, actively studies related measures about length of stay and explores the use of difficult coefficient measuring clinical work. The results showed that all project hospitals pay attention to the evaluation of difficult degree. Difficut coefficient method based on DRGs used in several ways achieves better results, with the popularization and application value.