北京地区肝胆系统及胰腺疾病DRGs分组研究

目的：建立适合北京地区的肝胆系统和胰腺系统疾病的DRGs分组，为相关政策提供科学依据。方法：选择北京市2家地方三级传染病专科医院2006～2007年出院病历首页的数据为研究对象，共有21241例。依照美国AP—DRG18．0分组轴线对病例样本分组。再依据“追求组间差异性、组内同质性”的原则对分组结果进行调整，结合临床专家意见，探索建立北京地区肝胆系统和胰腺疾病的DRGs分组方案，并力争寻求一种适合中国特色的病例分组方案。结论：创建的方法具有可行性，可为建立北京地区肝胆系统和胰腺疾病的DRGs分组提供参考。

The Study on the DRGs Subgroup of Hepatobiliary System and Pancreas Disease in Beijing

Objectives： To establish DRGs system of hepatobiliary system and pancreatic system disease fitting for Beijing and to help evident based policy making. Methods： 21 241 cases of first age of medical records data were selected in 2 tertiary infectious disease hospitals in Beijing. According to its clinical characteristics and its expenditure, the 21 241 cases were categorized into deferent groups. Based on the AP-DRG18.0 axis, the 21 241 cases were re-categorized. The groups were adjusted by the principles of maximum the gaps between groups and minimum gaps in the same group, a new DRGs system of hepatobiliary system and pancreatic system disease was presented to match the situations of Beijing. Furthermore, a cases grouping methods fitting for China situation was discussed. Conclusions： The self designed cases grouping methods is feasible and can be referred to establish Beijing DRGs system of hepatobiliary system and pancreatic system disease.