摘要
目的通过对儿童热液烫伤患者DRGs分组,筛选出异常费用病例,分析其成因,提出控制不合理费用的对策。方法采用卡方自动交互监测(CHAID)对1 290例病例进行DRGs分组,制定出各组患者费用合理区间,计算各组线外患者和线外患者比例,分析其产生原因。结果以烧伤面积、治疗结果、是否输血、是否休克作为分类节点将病例分为6个DRGs组合。线外患者比例和线外费用比例分别为6.20%和8.39%。不合理费用产生原因主要是不落实医疗规范和患儿家属缺乏相关知识。结论 DRGs分组可以排除疾病严重程度、病情复杂性对医疗资源消耗的影响,利于查找合理费用区间以外的患者,有针对性地进行费用和质量控制。
Objective To find out the expenses cases by diagnosis related groups method in pediatric hot liquid scald inpatients. Analyze its causes,and put forward the management to control the unreasonable costs.Methods Selecting a burn center of military tertiary hospital as the research object. 1290 medical record data are divided into groups by Chi- Square Automatic Interaction Detection CHAID methods. Make costs reasonable interval,and take the patients of outline in each group. Then analyze its causes. Results 6 DRGs groups were formed by Burns,treatment outcome,blood transfusion and shock. The proportion of off- line patients and the proportion of off- line costs were 6. 20% and 8. 39%. The main reason of unreasonable cost were medical abnormal and no information of children parents. Conclusion The method can reflect influence about the severity and complexity of the disease for medical resource consumption. And it can find out the cases who have extra expenses. The method can be targeted for expenses cost and medical quality control.
出处
《解放军医院管理杂志》
2014年第7期644-646,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
诊断相关组
儿童烫伤
烧伤
质量控制
diagnosis related group
pediatric scald
burn
quality control
