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目的:探讨妇婴疾病诊断相关组模型的分组效果和应用评价。方法:比较分析WI-DRGs模型的组内同质性和组间异质性。比较分析WI-DRGs、CN-DRGs、MS-DRGS和AR-DRGs的分组效果,比较三个独立院区CMI指数以评价其应用效果。结果:WI-DRGs费用RIV为0.596,CV为0.10~0.54,平均住院日RIV为0.389,CV为0.02~0.22。WI-DRGs在妇婴疾病分组方面较优。结论:WI-DRGs组间异质性和组内同质性较好,具有较好的实用性,在控制费用增长,优化费用结构,尤其是提升妇幼卫生经费使用效率方面具有较广泛的应用前景。
Objective: To investigate the grouping effect and application evaluation of related maternal and child disease diagnosis related group models. Methods: The in-group homogeneity and inter-group heterogeneity of WI-DRGs model were comparatively analyzed. We compared the grouping effect of WI-DRGs, CN-DRGs, MS-DRGS and AR-DRGs, and compared the CMI index of three independent institutions to evaluate their effect. Results: The RIV of WI-DRGs was 0.596, the CV was 0.10-0.54, the average length of stay RIV was 0.389, and the CV was 0.02-0.22. WI-DRGs are better at grouping maternal and child diseases. Conclusion: The heterogeneity and intra-group homogeneity of WI-DRGs group is good and has good practicability. It has a wide range of application prospects in controlling the cost increase, optimizing the cost structure, especially improving the utilization efficiency of MCH expenditure .