[1]曾跃萍宋菲吕亚奇田明月张欣刘帅.儿童呼吸系统疾病病例组合方法研究[J].中国卫生质量管理,2020,27(02):46-48.[doi:10.13912/j.cnki.chqm.2020.27.2.15]

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儿童呼吸系统疾病病例组合方法研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第27卷期数: 2020年02期页码: 46-48 栏目: 关注DRG 出版日期: 2020-03-28

作者:: 曾跃萍宋菲吕亚奇田明月张欣刘帅; 国家儿童医学中心/首都医科大学附属北京儿童医院

关键词:: 儿童; 呼吸系统疾病; 病例组合

Keywords:: Children; Respiratory Diseases; Diagnosis Related Groups

DOI:: 10.13912/j.cnki.chqm.2020.27.2.15

摘要:: 目的确定儿童呼吸系统的疾病病例的分组方法。方法选择北京某三甲儿童医院2017-2018年主要诊断为呼吸系统疾病的非手术患者作为研究对象，用决策树模型修正的交互卡方自动检验（E-CHAID）进行分组，并用变异系数法、方差减少量和非参数检验对分组结果的合理性进行检验和评价。结果共形成9个DRGs组，经检验分组合理。结论 E-CHAID决策树分类方法用于DRGs分组可行且有效。

Abstract:: Objective To determine the method of disease diagnosis related groups (DRGs) for children with respiratory diseases .Methods The non-surgical patients who were diagnosed as respiratory diseases from 2017 to 2018 in a tertiary children's hospital in Beijing were selected as subjects. The E-CHAID modified by the decision tree model was used to divide the participants into groups.And the rationality of the grouping results was tested and evaluated by the coefficient of variation method, and non-parametric test.Results A total of 9 DRGs were formed, which was reasonable by testing.Conclusion The E-CHAID decision tree classification method was proved feasible and effective on DRGs.

参考文献/References:

［1］张恩思, 邱平珍, 欧阳慰英, 等. 基于DRGs病例组合指数在医院住院科室绩效评价中的应用研究［J］.中国医学创新，2016，13（21）:129-131.

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更新日期/Last Update: 2020-03-28