关键词: 诊断相关分组；护理绩效管理；人力资源管理；评价模型

Abstract: Objective: To test the feasibility of disease diagnosis related grouping in nursing manpower and performance management. Methods: The "nursing unit" which is the core content of the health service supplying side was the main research object in the present study. Information in first page of 106 253 patients' medical records from 51 departments in a hospital from September 2019 to September 2020 were classified and summarized. The DRG evaluation model was developed with the rank sum ratio method combined CN-DRG grouping scheme. Results: The evaluation of nursing performance by disease diagnosis related grouping showed that 2 departments (3.92%) were on the excellent level, 36 (70.59%) on the good level and 13 (25.49%) on the general level. When DRG was included, 16 departments (31.37%) were on the excellent level (31.37%), 31 (60.78%) in the good level, and 4 departments (7.85%) were in the general level. The maximum RSR change of departments was 15, the minimum was 1, and the average change was 8.6. The results were statistically significant (F=108.336, P=0.013). Conclusion: DRG can promote the formation of nursing performance and scientific management mode of human resources. We should establish performance compensation mechanism on the basis of ensuring nursing quality. Besides, DRG in nursing performance management should be paid more attention to.

Key words: Diagnosis Related Groups; nursing performance management; human resource management; evaluation model