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題 名 | 疾病分類編碼一致性與其DRGs分派之影響--以膽結石處置病例為例=Coding Agreement and Its Implications for DRGs Assignment--A Study of Cases with the Procedure of Cholelithiasis |
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作 者 | 楊美雪; 蘇秀玉; 施驊真; 陳寶如; 范春寶; | 書刊名 | 病歷管理期刊 |
卷 期 | 6:2 2007.04[民96.04] |
頁 次 | 頁53-64 |
分類號 | 419.26 |
關鍵詞 | 診斷關聯群; 編碼一致性; 膽囊切除術; DRGs; Coding agreement; Cholecystectomy; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討影響DRGs分派之疾病分類編碼不一致原因。 方法:回溯性病歷審查某區域醫院住院醫療資料檔之膽囊及/或膽道結石處置病例共507個案例。以羅吉斯迴歸分析影響DRGs分派之疾病分類編碼不一致原因。 結果:在多變量羅吉斯迴歸控制病例特性如診斷個數、處置個數、及住院天數等變項之下,具統計上顯著影響(p<0.05)DRGs分派之編碼不一致原因,其重要性依序為處置編錯代碼、主要處置選擇錯誤、診斷病歷書寫不完整、診斷編錯代碼、忽略可編之次要診斷診斷等。 結論:處置編錯代碼是影響外科DRGs分派之主要編碼不一致原因。值得一提的是診斷病歷書寫不完整卻比診斷編錯代碼更重要。因此建議疾病分類人員對於外科DRGs個案之手術紀錄應謹慎判讀,此外醫院也應正視病歷書寫不完整之改善,如此方能確保最低的DRGs分派變異。 |
英文摘要 | Objectives: To investigate the factors causing the disagreement of the DRGs assignment. Methods: Claim data of 507 regional hospital's inpatients with the procedure of cholelithiasis and/or choledocholithisis were reviewed retrospectively. Logistic regression analyses were performed to determine the factors causing the disagreement of the DRGs assignment. Results: logistic regressions showed that after controlling for patient characteristics, factors in order of importance affecting the disagreement of the DRGs assignment were miscoding of procedures, incorrect choices of key diagnosis, incomplete diagnosis documentation, miscoding of diagnosis, and undercoding of secondary diagnosis. Conclusions: The key factors affecting surgical DRGs was miscoding of procedures. It was worth mentioning that incomplete diagnosis documentation being more important than miscoding of diagnosis in terms of the changes of DRGs assignment. This research suggests that coders need to review operating note cautiously for surgical DRG's cases and hospitals need to improve medical record documentation to ensue that DRGs variation is kept to a minimum. |
本系統中英文摘要資訊取自各篇刊載內容。