摘要
目的基于剖宫产住院费用,探讨按中国疾病诊断相关分组(CN-DRGs)方案的分组效果和病种分组规律,为按疾病诊断相关分组付费改革的推广提供参考依据。方法回顾性收集2013—2016年26 041例剖宫产病例病案首页信息,按照CN-DRGs分组方案进行分组,通过计算变异系数、方差减少量、相邻组相对变化和方差分析及多元统计分析评价分组效果。结果总体入组率为91.21%,各组平均住院费用的CV值范围在0.2~0.4之间,RIV值为0.18。结论建议增加"剖宫产伴随妇科手术"分组,征询更广大的临床一线医生意见,进一步完善CN-DRGs分组方案。
OBJECTIVE To provide references for medical insurance Diagnosis Related Group（DRG） reform, analyze CN-DRGsscheme grouping effect and disease grouping rules based on cesarean hospitalization costs, so as to provide references for the imple-mentation of DRG reform. METHODS A total number of 26 041 cases of hospital cesarean section from 2013 to 2016 was collectedretrospectively and grouped by CN-DRGs program. The calculation of coefficient of variation, reduction in variance, relative changeof adjacent groups, variance analysis and multivariate statistical analysis were used to evaluate the grouping effect. RESULTS Theoverall enrollment rate was 91.21%, the average coefficient of variation for each group ranged from 0.2 to 0.4, and the value of reduc-tion in variance was 0.18. CONCLUSION It proposed to increase＂cesarean section with gynecological surgery＂grouping, make con-sulation on the doctors and further implement the grouping scheme of CN-DRGs.
作者
姜立文
刘晨红
苏毓
张慧苕
徐凤飞
肖喜荣
沈浩然
JIANG Li-wen;LIU Chen-hong;SU Yu(Obstetrics and Gynecology Hospital, Fudan University, Shanghai, 200011, China)
出处
《中国初级卫生保健》
2018年第6期4-6,共3页
Chinese Primary Health Care
关键词
疾病诊断相关分组
剖宫产
住院费用
评价
disease diagnosis related group
cesarean section
hospital cos
evaluation
