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病例组合是通过一定的分类原则,如临床相似性、资源消耗相似性等特征对病人进行分类管理的一种工具。DRGs是其中最常见的一种病例组合。尽管病例组合存在一定的问题,仍被看作是一种有效的筹资和补偿模式。迄今,澳大利亚进行了二轮改革,第一轮只有维多利亚和南澳大利亚州真正使用病例组合筹资模式。第二轮病例组合与按活动筹资改革于2008年启动。除了急性住院服务以外的其他服务也正在研究相应的病例组合分类体系。澳大利亚病例组合体系中全国统一标准化的分类体系和更新维护机制分阶段、分批试点,在充分了解其利弊和实施效果之后再进行推广,对DRGs的监管和评估也至关重要。
Case combination is a tool for the classification management of patients through certain classification principles, such as clinical similarity and resource consumption similarity. DRGs is one of the most common case combinations. Despite the problems with the combination of cases, it is still considered as an effective financing and compensation model. To date, two rounds of reforms have taken place in Australia, with the first round being the case-real fund-raising model in Victoria and South Australia. The second round of casework and fund-raising reforms started in 2008. Other services besides acute inpatient services are also studying the corresponding case-combination classification system. The uniform and standardized national classification system and update maintenance mechanism in Australia’s case-mix system are piloted in stages and in batches. They are also well-known for their pros and cons and implementation effects. They are also crucial for the monitoring and evaluation of DRGs.