基于DRG的消化系统疾病医保患者标准住院费用分析  

Study on the standard hospitalization cost of insurance patients with digestive system based on diagnosis related groups

作　　者：张洪成 李胜利 徐凯 Zhang Hongcheng;Li Shengli;Xu kai(The Affiliated Hospital of Xuzhou Medical University,Xuzhou 221002,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221002

出　　处：《中国医院统计》2021年第5期426-428,共3页Chinese Journal of Hospital Statistics

基　　金：江苏省医院协会创新管理研究重大课题(JSYGY-1-2019-517)。

摘　　要：目的通过对徐州市医保患者标准住院费用进行决策树分析,为更好地促进DRG在医保管理中的进一步应用提供参考依据。方法以徐州市某三甲医院2018年1月1日至2019年6月30日收治的消化系统疾病医保出院患者为样本,运用决策树CHAID卡方自动交互检验进行分类组合。结果样本量为4 675例,共分成21个相关诊断组。结论政府部门或医疗保险相关机构在制定医保患者标准住院费用的过程中,适当采用决策树技术具有较好的方法学指导作用。Objective To provide a reference for better promoting the application of DRGs in medical insurance management, through the decision tree analysis of the standard hospitalization expenses of medical insurance patients in Xuzhou city.Methods The data were collected from a tertiary hospital of medical insurance inpatients with digestive system diseases in Xuzhou city from January 1, 2018 to June 30, 2019. Chi-squared Automatic Interaction Detector methods were used for classification and combination.Results Totally 4 675 inpatients were enrolled and were divided into 21 DRGs groups.Conclusion In the process of formulating the standard hospitalization expenses of patients with medical insurance, government departments or medical insurance related institutions should appropriately use decision tree technology, which has a good methodological guidance.

关 键 词：疾病诊断相关分组 医疗保险 消化系统疾病 决策树 住院费用 

分 类 号：R195.4[医药卫生—卫生统计学]