基于关系数据库构建DIP结合DRG体系在医院儿科学科建设中的应用

doi:10.3969/j.issn.1006-5253.2023.01.004

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (5224 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the construction of digital image processing(DIP) and diagnosis related grouping(DRG) combined system based on relational database, and apply it to pediatric discipline construction in public general hospitals, and explore the development direction of discipline construction.Methods By applying the evaluation system of DRG and DIP provided by the government platform and associated with the hospital medical record homepage database, the corresponding evaluation indexes of DRG and DIP for pediatric inpatients from 2018 to 2020 were calculated, and the win-win measures for medical insurance expense control and discipline development were discussed.Results From 2018 to 2020, the ability, efficiency and safety of hospital treatment of difficult and severe patients had not changed much. The case mix index(CMI) was maintained at 0.45-0.47 (general pediatrics) and 1.43-1.54 (neonatology), respectively, and the time and cost efficiency index was 0.74-0.87. There were no deaths in the medium-low risk group, except that the proportion of difficult patients in neonatology decreased from 24.68% to 17.71% in 2020. The medical insurance cost was controlled well and by 2020, there was no loss in the general and neonatology departments. Some of the high-CMI- diseases admitted had development potential, such as "viral brain, spinal cord and meningitis without comorbidities" in the general department of pediatrics and "neonatal respiratory distress syndrome" and "premature infant with serious problems" in the department of neonatology.Conclusion The combination of DRG and DIP is the approach of understanding the development trend of the discipline construction and well-controlling medical insurance cost, as well as grasping the future development orientation of the discipline, without depending on other software companies.

Key words： diagnosis related grouping digital image processing general hospital discipline construction pediatrics

Received: 05 September 2022

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Liu Yuanting
	Fang Jiawei
	He Liping
	Huang Guobiao
	Liang Zhimin

Cite this article:

Liu Yuanting,Fang Jiawei,He Liping, et al. Application of DRG and DIP based on relational database in hospital pediatric discipline construction[J]. journal1, 2023, 30(1): 19-25.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2023.01.004 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2023/V30/I1/19

［1］王亦龙，葛建一，葛国曙，等．公立医院特需医疗服务SWOT分析及对策建议［J］．卫生软科学，2012，26(7)：610-612．DOI:10.3969/j.issn.1003-2800.2012.07.007.
［2］高深甚，陶永琳，陈烨，等．综合性医院儿科学科建设［J］．解放军医院管理杂志，2017，24(7)：629-631，636．DOI:10.16770/J.cnki.1008-9985.2017.07.010.
［3］冀慧玲，胡起波，胡海霞．吉林省公立医院儿科学科发展现状［J］．中国妇幼保健，2018，33(12)：2641-2643．DOI:10.7620/zgfybj.j.issn.1001-4411.2018.12.01.
［4］傅卫，江芹，于丽华，等．DRG与DIP比较及对医疗机构的影响分析［J］．中国卫生经济，2020，39(12)：13-16．DOI:10.7664/CHE20201203.
［5］伍达锋．基于DRG分组下的子宫平滑肌瘤住院费用影响因素分析［J］．中国病案，2022，23(2)：61-64．
［6］陈甜甜，陈霞，阎景红，等．秩和比法结合疾病诊断分组在护理绩效管理中的应用［J］．中国病案，2021，22(6)：19-22．DOI:10.3969/j.issn.1672-2566.2021.06.008.[ZK)]
［7］孟洁，刘辰雨，张梦蝶．某三甲综合医院QY病案原因分析［J］．中国病案，2022，23(3)：9-12．
［8］国家医疗保障局办公室．关于印发国家医疗保障按病种分值付费（DIP）技术规范和DIP病种目录库（1.0版）的通知［EB/OL］.(2020-11-20)［2020-11-20］.http://www.nhsa.gov.cn/art/2020/11/20/art_37_3987.html.
［9］吴丽，吕志杰，李秋爽，等．疾病诊断相关分组在中国医院管理中的研究现状［J］．中国医院统计，2022，29(2)：156-160．
［10］黎永锋，余楚红．基于疾病诊断相关分组的慢性阻塞性肺病患者住院费用影响因素分析［J］．中国医院统计，2021，28(4)：339-342．

［11］王建，王敬毅．基于DRG的某院神经内科住院医疗服务绩效评价［J］．中国医院统计，2021，28(6)：528-532．
［12］陈媛，文小焱，陈俐．某省2018年基于DRG的医疗能力评价及病种分析［J］．中国病案，2021，22(10)：12-15．DOI:10.3969/j.issn.1672-2566.2021.10.005.