目的 通过分析中医住院病案首页与中医药诊疗费用的相关信息，探索基于中医特色指标纳入医疗服务绩效评价的现实意义。方法 根据数据纳入标准，从收集的中医住院病案首页中，筛选出符合条件的中医住院病案首页数据；采用SAS9.3与Oracle 数据库管理系统，计算并比较各地区及各病种的辨证施护率、平均总费用、平均药费、药占比、中药费占药费比例、中药饮片费占药费比例。结合中医医疗的实际要求，分析中医特色指标在医疗服务绩效评价中的作用。结果 辨证施护率，全国为89.52%，华南地区最高为98.85%，华中地区最低为76.35%。平均总费用，全国为13 914.37元，华北地区最高为20 356.71元，西北地区最低为9 154.51元。平均药费，全国为6 020.99元，华北地区最高为9 247.08元，西北地区最低为3 370.50元；混合痔最高为93.22%，脱垂性内痔最低为72.66%。药占比，全国为43.27%，东北地区最高为48.88%，华南地区最低为30.88%；肺恶性肿瘤最高为57.35%，混合痔最低为25.28%。中药费占药费比例，全国为34.09%，东北地区最高为49.98%，华东地区最低为29.20%；冠心病最高为40.32%，脱垂性内痔最低为19.76%。中药饮片费占药费比例，全国为11.71%，东北地区最高为18.90%，华南地区最低为7.94%；脑梗死最高为12.78%，慢阻肺最低为8.60%。结论 引入中医特色指标，完善医疗服务绩效评价管理模式，有助于培养热爱中医药事业、专业技术精湛的中医骨干，提升中医医疗队伍的专业素质和服务能力。
Objective To investigate the realistic meaning of medical service performance evaluation that based on the characteristics of traditional Chinese medicine (TCM) by analyzing the relevant information of the home page of medical records in TCM hospitalization and treatment fee of TCM.Methods First, according to the standards, selecting the eligible data from the collected home page of medical records in TCM hospitalization; then calculating and comparing the rate of syndrome differentiation, the average total cost, the average drug expenditure, the percentage of drug expenditure, the percentage of Chinese drug expenditure and the percentage of Chinese pieces drug expenditure by using SPS9.3 and Oracle Database Management System; finally, combining with the practical requirements in TCM and the above results, analyzing the effect of the characteristics of TCM in the medical service performance evaluation.Results The rate of syndrome differentiation is 89.52% nationally; 98.85% is the highest in South China and 76.35% is the lowest in Central China. The average total cost is RMB 13 914.37 nationally; RMB 20 356.71 is the highest in north china, and RMB 9 154.51 is the lowest in northwest china. The average drug expenditure is RMB 6 020.99 nationally; RMB 9 247.08 is the highest in north china, and RMB 3 370.50 is the lowest in northwest china; the mixed hemorrhoid is the highest which is 93.22%, and the prolapsed internal hemorrhoid is the lowest which is 72.66%. The percentage of drug expenditure is 43.27% nationally; 48.88% is the highest in Northeast China and 30.88% is the lowest in South China; the lung malignant tumor is the highest which is 57.35%, the mixed hemorrhoid is the lowest which is 25.28%. The percentage of Chinese drug expenditure is 34.09% nationally; 49.98% is the highest in Northeast China and 29.20% is the lowest in East China; the coronary heart disease is the highest which is 40.32%, and the prolapsed internal hemorrhoid is the lowest which is 19.76%. The percentage of Chinese pieces drug expenditure is 11.71% nationally; 18.90% is the highest in Northeast China and 7.94% is the lowest in South China; the cerebral infarction is the highest which is 12.78%, and the Chronic Obstructive Pulmonary Disease is the lowest which is 8.60%.Conclusion By introducing the characteristics of TCM and perfecting the management model of medical service performance evaluation, it would contribute to developing the backbones of TCM who love TCM and have exquisite specialized technology, which can promote the professional quality and service capability of the traditional Chinese medical team.