妇婴诊断相关组进展及分组研究探讨
发布时间:2018-04-18 19:13
本文选题:诊断相关分组 + 妇婴 ; 参考:《现代预防医学》2015年15期
【摘要】:目的本文研究应用较广的10个诊断相关组(Diagnosis-Related Groups,DRGs)妇婴分组,以探讨建立适合我国国情的妇婴DRGs体系,以及建模中可汲取的经验和需注意的问题。方法采用文献研究和专家评议的方法。资料来源于Cochrane Database of Systematic Reviews、MEDLINE、Web of Science、Internet及中国知网全文数据库。结果各国妇婴DRGs分组逻辑和并发症与合并症再分组方法及分组结果差异较大,女性生殖系统疾病或紊乱组(MDC13)Nord-DRGs的DRGs分组最少(17个),GHM的分组最多(94个)。妊娠、分娩和产褥期(MDC14)组DRGs分组最少为MS-DRGs(15个),最多为CMG+(88个)。新生儿(MDC15)组Adjacent DRGs(ADRGs)和DRGs最少的都为MS-DRGs(6个ADRGs,7个DRGs),最多也为CMG+(分别为29组和116组)。结论我国的妇婴DRGs研究与应用应借鉴国际经验,重点关注妇幼专科特色、分组数据标准和质量、模型预测效率、分组的保健与临床意义、综合DRGs研究与管理团队等。
[Abstract]:Objective to study 10 groups of Diagnosis-Related groups (Diagnosis-Related groups), which are widely used in diagnosis, in order to establish the DRGs system of women and infants suitable for the situation of our country, as well as the experiences and problems to be paid attention to in modeling.Methods the methods of literature study and expert review were used.The data were collected from Cochrane Database of Systematic reviews and MEDLINEN Web of Science Internet and the full text database of China knowledge Network.Results there were significant differences in the grouping logic, complications and complications between women and infants in each country and the results of re-grouping. The DRGs group of MDC13N Nord-DRGs in female reproductive system disease or disorder group was the least (17 cases were the most group) (94 cases).In pregnancy, parturition and puerperal MDC14 group, the DRGs group was MS-DRGs at least (15) and CMG (88) at most.MS-DRGs (6 ADRGs, 7 DRGs) and CMG (29 and 116 groups) were the least in Adjacent DRGs and DRGs in neonatal MDC15 group.Conclusion the research and application of DRGs for women and infants in China should draw lessons from international experience and focus on the characteristics of women and children, the standard and quality of grouping data, the efficiency of model prediction, the health care and clinical significance of grouping, and the comprehensive research and management team of DRGs.
【作者单位】: 广东省妇幼保健院病案科;广东省妇幼保健院口腔科;
【基金】:广东省自然科学基金资助(项目编号:S2012010008269)
【分类号】:R17
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