Performance evaluation of the DRGs-based inpatient medical service in Beijing in 2014: methods and application

Objective To analyze the medical service performance of three categories of hospitals in Beijing in 2014. Methods Analysis of such indexes of hospital inpatient services as"ability""efficiency""medical safety"and"disciplines development balance". The study was based on the inpatient's medical records homepage data of Beijing in 2014, using the grouping software (BJ-DRGs 2014 version). The Delphi method was called into play for expert consultation, with the weight set for each of those indexes based on expert comments, and the general score for each institution calculated based on the weight of individual indexes. Results The general scoring of the three categories of hospitals in 2014 was found higher than 2013, and tertiary ones were higher than regional medical centers, while the latter higher than other general hospitals. Conclusion Regional medical centers are growing into mainstream of medical service in Beijing, while other general hospitals, especially those secondary ones in downtown areas, are evolving into hospitals specialized in sub-acute and chronic diseases. Key words: BJ-DRGs; Delphi method; Performance evaluation; Method modification