DRG女性生殖系统手术治疗组细分组方法研究

发布时间：2018-01-16 08:23

本文关键词：DRG女性生殖系统手术治疗组细分组方法研究　出处：《中国卫生经济》2017年03期 　论文类型：期刊论文

【摘要】：目的:通过引入病例临床复杂性水平计算原理进行疾病诊断相关分组(DRG)细分组方法的探讨研究,为探索符合我国国情的细分组分组方法提供借鉴参考。方法:由临床专家对合并症与并发症临床复杂性水平进行评分,应用病例临床复杂性水平计算模型计算每例病例的临床复杂性水平值,采用CART模型完成DRG细分组的划分,并对细分组结果进行秩和检验。结果:9个女性生殖系统手术治疗类DRG基本组被划分成18个DRG细分组,经检验各基本组内不同DRG组间住院费用和住院天数差异均有统计学意义。结论:病例临床复杂性水平计算方法的应用提高了DRG细分组结果的准确性;病案质量和编码的统一是保证分组结果合理的关键因素。
[Abstract]:Objective: to study the subdivision method of disease diagnosis related subgroup (DRG) by introducing the principle of clinical complexity level calculation. In order to explore the subdivision groups according to the situation of our country to provide a reference for reference. Methods: by clinical experts to evaluate the complications and complications of the clinical complexity level. The clinical complexity level of each case was calculated by using the case clinical complexity level calculation model, and the CART model was used to complete the division of the DRG subdivision group. Results: nine basic DRG groups of female reproductive system were divided into 18 DRG subgroups. The difference of hospitalization cost and hospitalization days among different DRG groups was statistically significant. Conclusion: the application of the method of calculating the clinical complexity level of cases improves the accuracy of the results of the DRG subdivision group. The unity of medical record quality and coding is the key factor to ensure the reasonable result of grouping.
【作者单位】：国家卫生计生委卫生发展研究中心;
【分类号】：R713;R197.323
【正文快照】： 按疾病诊断相关分组(diagnosis related groups,DRGs)付费是指将住院病人依据临床相似性和资源消耗相似性分成一定数目的疾病组,以组为单位制定医药费用标准进行付费。DRG付费方式的实施能够有效控制医疗费用的不合理增长、促进医院管理质量的提高,同时有利于加强医疗服务监管

【相似文献】