通讯作者: 刘艳英, haozhang312@126.com

DOI：10.12201/bmr.202605.00031

Construction and Application of Value-Based Healthcare Oriented Performance Evaluation Indicators for Medical Services under the DRG Payment Reform: A Case Study of Tertiary Hospitals in Province X

• 摘要：目的：在DRG支付方式改革背景下，构建以价值医疗为导向的医疗服务绩效评价指标体系，以X省四所三级医院为例，综合分析不同维度医疗服务绩效水平差异。方法：采用德尔菲专家咨询法构建指标体系，通过博弈论法整合专家评分法、熵值法、CRITIC法进行组合赋权；运用综合指数法、秩和比法（RSR）、逼近理想解排序法（TOPSIS）开展绩效评价，经Spearman等级相关分析验证三种方法的一致性。结果：经两轮专家咨询，最终形成含6个一级指标、22个二级指标的评价体系；组合赋权后各指标权重差异较小；三种综合评价方法结果显示，四所样本医院在各维度绩效水平存在显著差异。结论：以价值医疗为导向构建的评价指标体系更加客观全面；指标权重设置科学合理、引导性强；三种综合评价方法可有效反映医院绩效差异，为DRG支付改革背景下的医疗服务绩效评价提供了多维度实证依据与实践参考。

  关键词： 医疗服务绩效评价；博弈论法；价值医疗；DRG; ; ; 

   

  Abstract: Objective:Against the backdrop of DRG (Diagnosis-Related Groups) payment reform, to construct a value-based healthcare-oriented performance evaluation indicator system for medical services, and to comprehensively analyze the differences in medical service performance across various dimensions using four tertiary hospitals in Province X as case studies. Methods:The Delphi expert consultation method was employed to construct the indicator system. The game theory method was used to combine the weighting results obtained from expert scoring, the entropy weight method, and the CRITIC method. Three comprehensive evaluation methods—the Comprehensive Index Method, the Rank Sum Ratio (RSR) Method, and the Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS)—were applied to evaluate medical service performance. The consistency of the results from these three methods was verified using Spearman rank correlation analysis. Results:After two rounds of Delphi expert consultation, a DRG-based medical service performance evaluation indicator system was established, consisting of 6 first-level indicators and 22 second-level indicators. After combined weighting using the game theory method, the differences in weight coefficients among the indicators were relatively small. The results of the three comprehensive evaluation methods showed significant differences in the performance levels of the four sample hospitals across various dimensions. Conclusions:The evaluation indicator system constructed under the guidance of value-based healthcare is more objective and comprehensive. The indicator weighting mechanism is scientifically sound and well-targeted. The three evaluation methods effectively reflect differences in hospital performance, providing multidimensional empirical evidence and practical references for medical service performance evaluation under the context of DRG payment reform.

  Key words: Performance Evaluation of Medical Services; Game Theory Method; Value-Based Healthcare; Diagnosis Related Groups

  提交时间：2026-05-08

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• 序号	提交日期	编号	操作
  2	2026-01-16	10.12201/bmr.202605.00031V2	下载
  1	2026-01-16	10.12201/bmr.202605.00031V1	下载

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