基于结构方程模型优化DRGs分组流程的研究

Study on Optimization DRGs Grouping Process Based on the Structural Equation Model

目的:探讨应用结构方程模型优化DRGs分组流程的效果及优点,为医疗费用控制提供新的思路。方法:结合样本医院2012年高血压病住院费用数据,使用结构方程模型中的通径分析及多群组分析对数据进行统计处理。结果:通径分析为DRGs研究提炼了主要分组因素,多群组分析为合并症及并发症分级提供依据,由此为DRGs分析方法及路径流程的确定创建了基础分析平台。结论:结构方程模型具有较好的适用性,可以应用于医疗费用的监测及反馈,为医疗保险机构及卫生系统制定DRGs政策提供参考数据。

Objective： To explore the effect and advantages of DRGs packet process optimization and application of structural equation model, and provide a new way for the control of medical expense. Methods： Combined with the sample hospital 2012 hypertension hospital cost data, using structural equation model of path analysis and multiple group analysis for statistical data processing. Results： Path analysis mainly grouped into DRGs refined the factors, multiple group analysis provides the basis for the classification of complication. The method and path for DRGs analysis to determine created a basic analysis platform. Conclusions： Structural equation model has good applicability, monitoring can be applied to medical expenses and feedback, to provide reference data for medical insurance institutions and health system to develop DRGs policy.