我院DRGs入组数据分析及对策探讨  

Analysis and Countermeasures of DRGs Data in the Hospital

作　　者：刘婕[1] 李彩红[1] 

机构地区：[1]航空总医院,北京100012

出　　处：《中国医院管理》2014年第6期31-32,共2页Chinese Hospital Management

摘　　要：目的通过分析2011—2012年37 504例病人DRGs入组数据,查找存在的问题,并探讨防范对策。方法按北京市ICD-10临床版疾病分类和手术操作ICD-9编码,提取出院患者病历首页信息进行分析。结果未入组病例、主要诊断或手术名称选择不准确、分析和查找个别DRGs分组费用偏高所存的问题。结论加强DRGs知识的宣传和培训,促使医生正确填写病案首页,并持续改进DRGs评价体系,以期合理评价医疗服务质量。Objective To analyze DRGs Data of discharged 37 504 patients from 2011 to 2012,to find existing problem and to explore countermeasures.Methods Based on Beijing ICD-10 CM and ICD-CM-3,drawing medical record information of all the discharged patients.Results Ungrouped cases,primary diagnosis or incorrect operation name being chosen,the problems which some of cost is higher than the average level are analyzed and found.Conclusion Propagating DRGs knowledge,promoting doctors to fill out medical records correctly,and improving DRGs evaluation system continuously should be done in order to assess medical service rationally.

关 键 词：疾病诊断相关组 数据分析 医疗服务 

分 类 号：R197.323[医药卫生—卫生事业管理]