摘要
目的了解主要诊断、其他诊断、主要手术、其他手术等因素对DRGs（诊断相关组）分组的影响，通过分析影响分组的主要因素，提高DRGs分组数据的质量。方法根据1940份存在问题病历修正后重新进行DRGs分组的结果，利用SPSS13．0分析存在问题对DRGs分组的影响。结果将影响分组的438份病历根据主要诊断、其他诊断、主要手术、其他手术存在问题对项目进行分组，4组对分组的影响总体上有差异，组间两两比较，主要手术与其他手术比较，P〉0．0071；其余组间两两比较P〈0．0071。结论有问题的主要诊断对分组的影响率明显高于其他诊断、主要手术和其他手术，这一结论与BJ—DRGs分组的步骤即先将病例按照主要诊断进行分类的基本逻辑一致。手术名称正确选择对DRGs分组有影响，但主要手术与其他手术名称的影响率相接近。
Objective To learn the impacts of major diagnosis, other diagnoses, major surgery and other surgeries on the grouping of DRGs, and to optimize the DRGs data grouping quality by analyzing the main influencing factors of DRGs. Methods Based on regrouping results of the 1 940 questionable cases which have been corrected, using SPSS 13. 0 to study the impacts of the questions found on the grouping of DRGs. Results 438 Patient records affecting DRGs grouping were regrouped according to major diagnosis, other diagnoses, major surgery and other surgeries. Influences of the above four groups on the grouping vary in general. For comparison between two groups, P〉0.007 1 between main surgery and other surgeries; while P〈0. 007 1 for comparison between other groups. Conclusion The highest influence of grouping was found in questionable major diagnosis, much higher than such other factors as other diagnoses, major surgery and other surgeries. This conclusion conforms to the steps of basic DRGs grouping logic-sorting the cases according to major diagnosis first of all. Correct naming of surgery influences DRGs grouping, but the influence extent of major surgery and other surgeries is close.
出处
《中华医院管理杂志》
北大核心
2015年第11期869-871,共3页
Chinese Journal of Hospital Administration
