浙江省病案首页信息统计与drgs编码

《浙江省病案首页信息统计与drgs编码》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、浙江大学硕士研究生毕业论文AnalysisandDiagnosis-relatedGroupsBasedonInpatientRecordsofZhejiangProvinceDepartmentofEpidemioiogyandHealthStatistics，ZhejiangUniversity,SchoolofMedicinePostgraduateHEFanThtorSHENYiAbstractCase-mixiswidelyconsideredasadirect，reasonableandefficientmeasurementunitofhos

2、pitaloutput．InDiagnosis·relatedGroups(egGs)classificationmanualwhichiscertificatedbyAmerican0历cial．case—mixisde矗nedasaclassificationsystemofaseriesofinterrelatedanddifferentpatients’characteristics，includingthestateof8／1illness，diseaseprognosis，thedifficultyoftreatment，thenece豁iqf

3、ortreatmentandOOosLlmptionintensityofhospitalresouree．There晰manydifferentcasemixmodelsatpresent,buttheirdifferenceisonlyintheemphasis，thatis，theyaredifferentinclassificadonaXeS．Thediagnosis—relatedgroups(DRGs)classificationisacase-mixmodeloriginallydevelopedbasedontheclassificatio

4、n8xeofhospitalreSOln'Ceconsumptionintensity．ResearchesonDRGsandapplicationofDRGshavebeenfrequentlyperformedforseveraldecades，andhaveachievedgreatprogressindevelopedcountries．InAmerica,ProspectivePaymentSystem(PPS)thatWasputintopracticein1983isdevelopedbasedonDRGs．Americanmedicalex

5、pensesincreasedbytwo-digitnumberseveryyearbefore1990，anddecreasedtoone-digitafter1990．Theexpensedecreasedgradually,andmached4．6％in1996whichWasthelowestofthelast40years．Atpresent,manydevelopedcountriessuchasAustralia,England，France，SwedenetchaveperformedtheresearchabouttheDRGs，anda

6、llmadealotofprogress．Withtherapidandpersistentdevelopmentofeconomyinourcountry,greatimprovementinpeople’Sincome，healthexpenseshaveincreasedrapidlyandpersistently．Accordingtotheresultsofthemeasurementoftotalhealthexpenses,thetotalhealthconsumptionofthewholecountryin2002isabout50tim

7、esmorethanthatin1978，thatis，itcameto568．463billionsyuanin2002while11．021billionsyuanin1978．SoitisveryimportantnOWtodevelopahospitalizationconsumptioncontrolunitsuchasDRGsinourcountry．In2000，basedonICD·9，Xuyongyongetc．establishedCADRGl32(ChinaAdjustedDRGl32)．Atpresent，theresearchab

8、outtheDRGsisstillatthebeginningof