[1]谢冰珏,佘 颖,唐 路,等.基于决策树模型的DRG优化分组探索——以新生儿疾病外科组为例[J].卫生经济研究,2023,40(2):47-51.
　XIE Bingjue,SHE Ying,TANG Lu,et al.Group Exploration of DRG Optimization based on the Decision Tree Model——Taking the Surgical Group of Neonatal Diseases as an Example[J].Journal Press of Health Economics Research,2023,40(2):47-51.
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基于决策树模型的DRG优化分组探索
——以新生儿疾病外科组为例

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年2期
页码:
47-51
栏目:
医疗保障
出版日期:
2023-02-01

文章信息/Info

Title:
Group Exploration of DRG Optimization based on the Decision Tree Model
——Taking the Surgical Group of Neonatal Diseases as an Example
作者:
谢冰珏1; 佘 颖1; 唐 路1; 宋 萍1
1.重庆医科大学附属儿童医院，重庆 400014
Author(s):
XIE Bingjue;  SHE Ying;  TANG Lu;  SONG Ping
Children's Hospital of Chongqing Medical University, Chongqing 400014, China
关键词:
新生儿疾病; 疾病诊断相关分组; 决策树模型; 住院费用
Keywords:
neonatal disease;  disease diagnosis-related grouping;  decision tree model;  hospitalization costs
分类号:
R19
文献标志码:
A
摘要:
目的：探索新生儿疾病外科组的DRG优化分组方案。方法：收集某儿童医院新生儿疾病外科组病例数据，采用非参数检验、相关分析和多元线性回归分析住院费用影响因素并筛选分类节点，运用决策树模型构建DRG优化分组方案。结果：是否使用有创呼吸机、是否手术治疗、出生体重、年龄、是否进入重症监护室是影响新生儿疾病外科组患者住院费用的重要分类变量，最终形成10个DRG组及相应标准费用。结论：基于决策树模型构建的新生儿疾病外科组DRG优化分组方案符合临床实际，标准费用可客观反映医疗消耗水平。
Abstract:
Objective To explore the DRG optimization grouping scheme in the surgical group of neonatal diseases. Methods We collected the case data of the neonatal disease surgery group in a children's hospital. Non-parametric test, correlation analysis and multiple linear regression were used to analyze the factors affecting the hospitalization cost and select the classification nodes.We employed decision tree model to build the DRG optimized grouping scheme. Results Usage of invasive ventilator, surgical treatment, birth weight, age, and admission to the intensive care unit were the important classified variables that affected the hospitalization costs of neonatal diseases. A total of 10 DRG groups and the corresponding standard costs was yielded. Conclusion The DRG optimized grouping scheme of neonatal diseases constructed based on the decision tree model meets the clinical practice, and the standard cost can objectively reflect the level of medical consumption.

参考文献/References:

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更新日期/Last Update: 2023-02-01