基于DRGs的主诊断选择智能支持方案

Intelligent Decision Support Solution of Principal Diagnosis Choice Based on DRGs

目的:充分利用DRGs的分组信息,对临床出院主诊断提供智能支持方案。方法:以北京清华长庚医院临床高频出院主诊断为样本,比较主诊断选择原则与DRGs分类轴心的匹配性,并以此为基础提出支持方案。结果:DRGs的分类标准与主诊断的选取原则有很大的契合性,病例的预分组结果可对医生开立临床主诊断有一定程度的指导作用。结论:提出的方案可以提供给医生有效的辅助信息,改善临床诊断下达的准确率,进而提升医院管理、科研等方面的质量。

Objective: Provide intelligent solution for diagnoses taking full advantage of DRGs classification Info. Methods: Compare the principal of choosing main diagnose with the rule of DRGs classification based on HF diagnoses in the hospital and provide the solution. Results: The rule of DRGs classification is consistent with the principal of choosing main diagnose and then the results of the pre-classification guide the choosing of the main diagnose. Conclusion: The solution refered can provide doctors with efficient information, improve the accuracy rates of diagnoses and then promote the quality of hospital management and scientific research.