疾病风险调整在医疗质量管理中的应用

doi:10.3969/j.issn.1006-5253.2023.02.007

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Abstract Objective To explore the application of disease risk adjustment method in medical quality management. Methods The disease risk adjustment model was used to analyze and compare the medical quality, efficiency and cost of some cases in the same population with the DRGs method.Results In the four indicators of hospitalization days, total hospitalization cost, drug cost and consumable cost, the predicted values provided by the disease risk adjustment model modeled separately for different management objectives were closer to the actual values than the reference values of DRGs, and the difference was statistically significant (P<0.05). In fatality management, it is possible to provide predictions of fatality in disease groups that cannot be given by DRGs.Conclusions Compared with the DRGs method, the disease risk adjustment model has better representativeness and application value in multiple quality management dimensions such as hospitalization days, costs, and fatality. It can provide the predictive value of indicators such as expenses and hospitalization days for individual cases, which is more instructive in specific management practices.

Key words： medical quality disease risk adjustment diagnosis-related group hospital management

Received: 13 December 2022

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	Ma Shangyin
	Tian Wei

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Ma Shangyin,Tian Wei. Application of disease risk adjustment in medical quality management [J]. journal1, 2023, 30(2): 119-122.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2023.02.007 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2023/V30/I2/119

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