阑尾炎疾病诊断相关分组细分组研究

Preliminary Study on Subgroup of Appendicitis Diagnosis Related Groups

目的探讨阑尾炎病种基本组到DRGs组的细分组方法,为成都市的DRGs体系建立提供参考,合理控制医疗费用的增长.方法利用SPSS 19.0统计软件对2015年-2016年成都市某三级甲等医院阑尾炎住院患者费用明细数据进行多元回归及决策树分析,完成病种DRGs细分组的划分.结果从影响费用的多种因素出发,首先利用手术操作作为分层变量,完成基本DRGs分组,再利用年龄及合并症并发症严重程度两个因素,完成DRGs细分组结果,确定每个细分组的合理费用区间.结论通过DRGs细分组划分结果,指导医疗保险基金支付方式的改革,并在一定程度上促进医疗机构服务能力和效率及医疗质量的提升.

Objective To analyze the subgroup of diagnosis related groups (DRGs) among appendicitis patients, which provides evidence for the establishment of DRGs system in Chengdu city and rational control the growth of medical expenditures. Methods Regression and decision-making tree algorithmby SPSS 19 were used to analyze the inpatient expenditures of appendicitis patients from a general tertiary hospital from 2015 - 2016. Results From various factors affecting the cost, this study first used surgical operation as a stratified variable to complete the initial DRGs grouping, and then used age and complication severity as two factors to complete the DRGs subgroups and determine the reasonable cost range of each subgroup. Conclusion The result of subgroups of DRGs can guide the reform of medical insurance fund payment method, and promote the improvement of service ability and efficiency of medical institutions and medical quality to a certain extent.