頁籤選單縮合
題 名 | 診斷組合(DRGs)分類結構20年之變遷--疾病與臨床因素=Change of Diseases and Transition of DRG Structures--From 1983 to 2001 |
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作 者 | 韓揆; 郭萃華; 范碧玉; 呂雅雲; | 書刊名 | 病歷管理期刊 |
卷 期 | 5:1 民94.10 |
頁 次 | 頁37-45 |
分類號 | 419.45 |
關鍵詞 | 診斷組合; 醫院管理; 健保支付; DRGs; Hospital administration; Health care payment; |
語 文 | 中文(Chinese) |
中文摘要 | 診斷組合(HCFA DRGs)自創立及實施至今,20年來在基本架構及分類邏輯上仍保持原狀,僅隨時代之進展有細微調整。MDC或DRG調整項目雖不多,俱能因應近年來醫療科技及人類社會之發展而適切反映於分類機制中,而經由停用一些碼號、替換一些碼號及新增碼號,適當地區分了臨床、疾病與病人之不同組合,使DRG整個結構更為精密合用。診斷組合支付制度之立意除控制醫療費用上漲外,亦期望醫療院所在維持醫療品質的前提下,減少不必要的檢查檢驗與治療。DRG版木結構愈清晰明確,與當前醫療發展同步,對於臨床及管理愈有幫助。本文並對於前後版本內碼之變動與20年間疾病與臨床變動之關係作了廣泛的討論。 |
英文摘要 | HCFA DRGs virtually remained the same in its basic structure since its formulation 20 years ago. Though there are not many changes of items of MDC (Major Diagnostic Categories) or DRG (Diagnosis Related Groups), it still reflects the development of human diseases and the improvement of medical technology. The classification of DRG became more appropriate by substituting, changing or discontinuing some codes. The purpose of DRG/PPS is not only controlling the cost of medical care, but also leveling up the quality of it. Clearer classification scheme helps clinical practice and hospital management. The relation between the change of DRG code, diseases and clinical technology is discussed. |
本系統中英文摘要資訊取自各篇刊載內容。