中文摘要：

目的利用诊断相关组（DRGs）技术，分析县级医院医疗服务能力及效率变化情况。方法分析2013年至2015年温州地区7家县级医院出院患者病案首页信息数据，选用DRGs组数、总权重数、CMI值测量县级医院的医疗服务能力变化情况；选用费用消耗指数与时间消耗指数测量医院的医疗服务效率改变。结果7家医院的汇总DRGs组数增加了8．49％，总权重数增加了17．34％，CMI值增加了5．06％；费用消耗指数不变，时间消耗指数下降了9．82％。可见，整体而言，温州地区县级医院服务能力与服务效率均有所提升。结论DRGs工具具有客观性及科学性优势，可用于分析医疗服务能力变化情况。数据显示，“双下沉、两提升”政策实施取得初步效果。

英文摘要：

Objective To analyze and compare the capacity and efficiency of county-level hospitals＇ medical service by using the diagnosis related groups （ DRGs ） method. Methods The homepage data of discharged inpatients from seven county-level hospitals in Wenzhou region in 2013 -2015 period were analyzed, for measurement of the medical service capacity changes of such hospitals using the number of DRGs, total multiplicity of weight, and CMI value, and that of their medical service efficiency changes using expense consumption index and time consumption index. Results The study found in the seven hospitals 8.49% increase of the total number of DRGs, 17.34% increase of total muhiplieity of weight, and 5.06% increase of CMI value, with unchanged expense consumption index and 9. 82% decrease of the time consumption index. These facts evidenced enhancements of these hospitals in both service capacity and service efficiency in general. Conclusions DRGs as tools prove useful objectively and scientifically. Policies of ＂Two emphases at primary ends and two enhancements＂ have been implemented desirably.