| 妇婴诊断相关组进展及分组研究探讨 |
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| 引用本文： | 魏凌云1,韩栋1,徐金龙2,章莹1,雷莹1. 妇婴诊断相关组进展及分组研究探讨[J]. 现代预防医学, 2015, 0(15): 2734-2737 |
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| 作者姓名： | 魏凌云1 韩栋1 徐金龙2 章莹1 雷莹1 |
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| 作者单位： | 1.广东省妇幼保健院病案科，广东 广州 510010；2.广东省妇幼保健院口腔科，广东 广州 510010 |
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| 摘 要： | 摘要:目的 本文研究应用较广的10个诊断相关组（Diagnosis-Related Groups，DRGs）妇婴分组，以探讨建立适合我国国情的妇婴DRGs体系，以及建模中可汲取的经验和需注意的问题。方法 采用文献研究和专家评议的方法。资料来源于Cochrane Database of Systematic Reviews、MEDLINE、Web of Science、Internet及中国知网全文数据库。结果 各国妇婴DRGs分组逻辑和并发症与合并症再分组方法及分组结果差异较大，女性生殖系统疾病或紊乱组（MDC13）Nord-DRGs的DRGs分组最少（17个），GHM的分组最多（94个）。妊娠、分娩和产褥期（MDC14）组DRGs分组最少为MS-DRGs（15个），最多为CMG+（88个）。新生儿（MDC15）组Adjacent DRGs（ADRGs）和DRGs最少的都为MS-DRGs（6个ADRGs，7个DRGs），最多也为CMG+（分别为29组和116组）。结论 我国的妇婴DRGs研究与应用应借鉴国际经验，重点关注妇幼专科特色、分组数据标准和质量、模型预测效率、分组的保健与临床意义、综合DRGs研究与管理团队等。
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| 关 键 词： | 关键词:诊断相关分组 妇婴 并发症与合并症 |
Progress of diagnosis-related groups in women and infant specialty and its group study discussion |
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| WEI Ling-yun,HAN Dong,XU Jin-long,ZHANG Ying,LEI Ying. Progress of diagnosis-related groups in women and infant specialty and its group study discussion[J]. Modern Preventive Medicine, 2015, 0(15): 2734-2737 |
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| Authors: | WEI Ling-yun HAN Dong XU Jin-long ZHANG Ying LEI Ying |
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| Affiliation: | *Department of Medical Record, Guangdong Province Maternity and Child Care Centers, Guangzhou, Guangdong 510010, China |
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| Abstract: | Abstract: Objective To lucubrates 10 diagnosis-related groups (DRGs) systems in women and infant specialty which are implemented broadly, to discuss and develop the maternal and infant diagnosis-related groups (DRGs) system in China, and to get experience and problems that should pay attention to when modeling. Methods Literature reviews and expert commentaries were taken in this paper. Data Sources were gathered from the Cochrane Database of Systematic Reviews, MEDLINE, Web of Science, Internet and China National Knowledge Infrastructure. Results The maternal and infant DRGs are quite different and the main differences between them are the logics of group, complications and comorbidities refining methods. As for the DRGs in MDC 13, in diseases and disorders of the female reproductive system, there are the least number of groups (17 DRGs) in Nord-DRGs systems, and the most number of groups (94 GHMs) in GHM systems. For MDC 14, in pregnancy, childbirth and puerperium system, the least number of groups is in MS-DRGs systems (15 DRGs), and the most number of groups is in CMG+ (88 DRGs). For newborn in MDC 15 of Adjacent DRGs (ADRGs), counts of ADRGs and DRGs in MS-DRGs systems (6 ADRGs, 7 DRGs) is the smallest, and that in CMG+ (29 ADRGs, 116DRGs) is the largest. Conclusion For the development of native maternal and infant DRGs system, the international experiences and knowledge should be considered. It is important to focus on distinguishing characteristics in maternal and infant hospital, improvements of the standard and quality of grouping data, predicting power of the models, clinical meanings in health care areas, and establishing comprehensive research or management team in DRGs. |
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| Keywords: | Keywords: Diagnosis-related groups Maternal and infant Complications and comorbidities |
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