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

Corresponding author: Liu Yanying, haozhang312@126.com

DOI: 10.12201/bmr.202605.00031

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  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

  Submit time: 8 May 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  2	2026-01-16	10.12201/bmr.202605.00031V2	Download
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