消化系统非手术疾病DRGs基本组分组方法实证研究

Empirical Study on Grouping Method of Basic Non-surgical DRGs of Digestive Diseases

目的:对消化系统非手术疾病进行基本组划分,探索DRGs基本组数据分组方法。方法:应用卡方自动交互检测方法 (CHAID)对病案首页中的消化系统非手术疾病进行分组,用R2、CV及非参数检验(Nemenyi检验)等对结果进行评价。结果:将消化系统非手术肠道疾病分为4个基本组,所有组合经非参数检验P值均<0.05。结论:应用卡方自动交互检测方法,对消化系统非手术疾病进行DRGs基本组划分具有可行性。

Objective:To explore the grouping methods of basic Diagnosis Related Groups(DRGs) by grouping the non-surgical digestive diseases.Methods:Chi-squared automatic interaction detector(CHAID) was used to group the non-surgical digestive diseases in the discharge summary page and evaluate the results with R2, CV and non-parametric test(Nemenyi test).Results:Non-surgical bowel diseases of the digestive system could be divided into 4 basic groups, the P values were below 0.05 for all groups analyzed with the non-parametric test.Conclusion:It was feasible to use CHAID to group basic DRGs group for the non-surgical digestive diseases.