北京市剖宫产分娩诊断相关组分组研究.pdfVIP

·4· 《中国病案)2009年第lO卷第10期 ·论著· 北京市剖宫产分娩诊断相关组分组研究 100191北京市北京大学医学部公共卫生学院流行病与卫生统计学系 薛递洋王洪源。 摘要目的探讨适合北京市剖宫产分娩的诊断相关组病例分组方案。方法以澳大利亚细化诊断相关组(AR—DRGs)5．0版为基础，根据 北京市住院费用具体情况，调整代表疾病严重程度的合并症、并发症水平，采用决策树分组方法对剖宫产手术患者重新进行分组，并与AR— 0．19。结论DRGs分类方案修改后，其组内同质性和组间异质性均有增加，修改后的分组方案更适合北京地区。 关键词剖宫产；决策树；诊断相关组；住院费用 ofPub— lic HealthScience 100191 Health，PekingUniversity Center，BeiiiIIg Hongyuan Correspondingauthor：WangEmail：why99@vip．sina．com AI嘲tract DRG methodsofc∞garean in On To the thebasisofAustralianre— Objectiveinvestigateadequategrouping patientsBeijing．Metlmds fined related ofdiseaseswere diagnosisgroups(AR—DRG，version5．0)，theCO—morbidityorcomplicationlevel(CCL)whichrepresentstheseverity to conditionof in decisiontree methodwasusedtO o日are．sll expenses adjustedaccordingspecific hospitalizationBeijing．The grouping re—group pa- new effectofAR—DRGResultsInthe valuesare tients，and∞mparedwiththegrouping groupingmethods，there thesamewithAB—DRG are82 codeswhoseCCLvaluesa陀differentfromAR—DRG resultof assignments；therediagnosis assignments；thesample result Theintr- groupingwithAR—DRG：R2=0．0446，averageCV=0．21；theofadjusted and betweenwereincreasedafterDRGs methodswere new methodswere acl卫I蚰homogeneity groups grouping changed．thegrouping heterogendty moresuitablefor thanAB—DRGmethods． Bering