|本期目录/Table of Contents|

[1]郭永丽,曾跃萍,王心雨,等.基于大数据的CN-DRG儿童分组年龄优化研究[J].慢性病学杂志,2020,21(10):1455-1457.
　GUOYong-li,ZENGYue-ping,WANGXin-yu,et al.Study on age optimization of children CN-DRG based on big data[J].,2020,21(10):1455-1457.
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基于大数据的CN-DRG儿童分组年龄优化研究

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年10期
页码:
1455-1457
栏目:
论　著
出版日期:
2020-09-28

文章信息/Info

Title:
Study on age optimization of children CN-DRG based on big data
作者:
郭永丽; 曾跃萍; 王心雨; 宋菲; 田剑; 徐新; 冯国双
福棠儿童医学发展研究中心，国家儿童医学中心，首都医科大学附属北京儿童医院，北京 100045
Author(s):
GUOYong-li; ZENGYue-ping; WANGXin-yu; SONGFei; TIANJian; XUXin; FENGGuo-Shuang
FutangResearchCenterof PediatricDevelopment,BeijingChildren’sHospital,Capital MedicalUniversity, National CenterforChildren’sHealth, Beijing100045,China Correspondingauthor：FENGGuo-shuang, E-mail:glxfgsh@163.com
关键词:
年龄; 疾病诊断相关分组; 儿童
Keywords:
Age;  Diagnosis Related Groups;  Children
分类号:
R197.5
DOI:
-
摘要:
目的 基于大数据分析不同年龄对儿童住院费用的差异性并提出年龄优化分组的合理化建议。方法 选 取2018年1—12月福棠儿童医学发展研究中心22家医院经过中国版疾病诊断相关分组（CN-DRG）分组器 分组为“<17岁”的414571例患儿作为研究对象，基于统计分析确定最优年龄分组节点。结果 综合儿童年 龄的生长周期变化及国内外多项研究结果，本研究初步选定4个年龄组别，对4种不同年龄分组方式进行评价发 现，以6岁为年龄节点对“<17岁”的DRG组进行优化细分，年龄?6岁组与7~17岁组内的住院费用同质性较 高，且年龄?6岁组与7~17岁组的平均住院费用比较，差异有统计学意义（P<0.05），分组结果合理性最优。 结论 结合儿童住院的实际情况，建议将儿童“<17岁”组进行调整。
Abstract:
Objective To analyze the differences in hospitalization costs for children at different ages and to make rational recommendations for age-optimized groupings based on big data analysis. Methods A total of414 571 inpatients from 22 hospitals in the Futang Children’s Medical Development Re-search Center were selected as subjects in 2018 according to the Chinese version of Diagnosis Related Groups（CN-DRG）. This study would determine the best age grouping node based on statistical anal-ysis. Results Based on the changes in the growth cycle of children’s age and multiple research re-sults, weinitially selected 4 age groups and did assessment on them. Taking 6 years old as the node to optimize and subdivide the "<17 years" DRG group was the best choice because the hospitalization expenses of the 6-year-old group and the7 to 17-year-old group were more homogeneous, and the difference in average hospitalization expenses between the two groups was statistically significant. Conclusion Based on the actual situation of children’s hospitalization, we recommended to adjust the "<17 years old" groups.

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. [2] 王卫平.儿科学[M].8版,北京:人民卫生出版社,2013:3-5. [3] Lindley LC, Shaw SL. Who are the children using hos-pice care [J]. J Spec Pediatr Nurs,2014,19(4):308. [4] 陈吟.基于CN-DRG的儿童外科类年龄分组优化研究[D].北京 协和医院,2018. [5] 北京市发展与改革委员会.床位费等医疗服务项目及价格表[DB/ OL].[2017-03-22].http://fgw.beijing.gov.cn/fgwzwgk/zcgk/ bwqtwj/201912/t20191226_1506601.htm [6] Kabacoff RI.R语言实战[M].王小宁,刘撷芯,黄俊文,译.2版.北 京:人民邮电出版社,2016:343.

备注/Memo

备注/Memo:
作者简介：郭永丽，博士研究生，研究员，研究方向：分 级诊疗和现代医院管理研究 通信作者：冯国双，E-mail: glxfgsh@163.com
更新日期/Last Update: 2020-09-28