摘要目的 利用DRGs指标对某医院临床医师专业技术能力进行评价.方法 提取该院2018年1—6月出院患者病案首页信息,获取各医师的常规评价指标(药占比、耗材比、抗菌药物使用率等),并利用DRGs分组器获取临床医师的DRGs指标数据.采用加权秩和比法对住院医师的专业技术能力进行评估.结果 对438名住院医师专业技术能力进行综合评价,分别有218人、190人、30人被分为优、中、差3 档.方差分析结果显示, 3 档差异有统计学意义(F =664.863,P <0.001).结论 运用DRGs进行临床医师专业技术能力评价较为合理和客观,且具有一定的可行性,有助于建立科学、规范的临床医师专业技术能力评价体系.

abstractsObjective To evaluate the professional competency of the clinicians with DRGs indexes. Methods The homepages of medical records of the hospital from January to June in 2018 were extracted, and the conventional evaluation indexes ( i. e. percentage of drug expenditure, percentage of medical consumables expenditure, and percentage of antimicrobials application ) of each clinician were obtained. " CN-DRGs" burster was used to calculate the DRGs indexes. The weighted RSR was applied to evaluate the professional competency of the resident physicians. Results A comprehensive evaluation of the professional competency of 438 resident clinicians was conducted. 218, 190, and 30 clinicians fell into excellent, medium and poor categories respectively. The results of ANOVA showed that the differences of the 3 categories were significant ( F =664. 863, P <0. 001 ). Conclusions The evaluation of clinicians′professional competency based on DRGs was reasonable, objective and feasible, proving its importance for the establishment of a scientific and standardized clinicians evaluation system.