Diagnosis-related groups (DRGs) have been receiving increasing attention in health service research in China. In the present study, we used the 2014 Beijing-Diagnosis Related Groups (BJ-DRGs) to evaluate the inpatient service performance of the clinical subspecialty “major operation of the digestive system” of a cancer specialist hospital.
From 2008 to 2015, the total weight of the subspecialty in the research
hospital increased annually. In 2015, the cases in this hospital accounted for
50.27% of the total in 16 hospitals. The time consumption index was 0.91,
whereas the charge consumption index was 1.24, which was 24% higher than the
average in16 hospitals. The mortality rates of the middle–low risk groups (GB15
and GB25) in the research hospital and the 16 hospitals were zero, while the
mortality rates for the middle–high risk groups (GB11 and GB23) in the research
hospital were significantly lower than those in 16 hospitals.
The service capacity of the subspecialty steadily increased in the research
hospital. However, the hospital must offer more attention to complex digestive
disease cases (GB11/GB23) and strictly control hospitalization expenses, while
maintaining the advantages of service efficiency and quality (Ovid).