北京市某医院肝胆系统及胰腺疾病的疾病诊断相关分组研究

Study on DRGs of Hepatobiliary System and Pancreas Disease of a Certain Hospital in Beijing

目的:建立北京市某传染病医院肝胆系统及胰腺疾病的疾病诊断相关分组(DRGs)方案,为相关政策提供依据。方法:依照美国AP-DRG18.0的分组轴线,对22 214例肝胆系统及胰腺疾病的病例进行分组,再以国际疾病编码ICD-10和手术操作编码ICD-9-CM3作为分类节点,对分组结果进行调整。结果:美国AP-DRG18.0的分组方法对该医院肝胆系统及胰腺疾病的病例分组具有可行性;节点调整后的疾病DRGs,组内同质性更好、组间异质性更强。结论:节点调整后的分组方法可以建立适合该医院的肝胆系统及胰腺疾病病例的DRG分组方案。

Objective：To establish DRGs system of hepatobiliary and pancreatic disease of the communicable disease hospital to provide reference for related policy.Methods：Based on the AP-DRG 18.0 axis,22 214 cases were categorized into deferent groups.The same cases were re-categorized by the method of adjusted AP-DRG 18.0 based on ICD-10 and ICD-9-CM3 coding principle.Results：The AP-DRG 18.0 method is feasible to the sub-group of MDC7 cases.The adjusted AP-DRG18.0 method does far more match the principle of homogeneous maximum within group and variation maximum between groups.Conclusion：The adjusted AP-DRG18.0 method can establish the hepatobiliary and pancreas disease subgroup of a certain communicable disease hospital in Beijing.