[2006年德国OPS手术分类系统中的耳鼻喉科相关变化]
[ENT relevant changes in the German OPS Procedure Classification System for 2006].
作者信息
Alberty J, Franz D
机构信息
Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, Universitätsklinikum Münster.
出版信息
Laryngorhinootologie. 2006 Jun;85(6):435-40. doi: 10.1055/s-2006-925196. Epub 2006 Apr 10.
BACKGROUND
Classification of surgical and medical procedures is of increasing relevance for health care financing. From this viewpoint, classification according to the German "Operations- und Prozedurenschlüssel" (OPS) was frequently inadequate so far.
METHODS
In the course of a comprehensive DRG evaluation project, deficits of the economic classification of ENT-medicine were identified. Based on these findings, proposals for further improvement of the OPS were developed.
RESULTS
An improper medical economic classification was identified for common surgical procedures on middle ear, nose and paranasal sinuses, and for coding of prosthetic voice restoration. In agreement with the German Institute for Medical Documentation and Information (DIMDI) the OPS was revised accordingly.
CONCLUSIONS
Significant modifications of the OPS will take place at January 1 (st) 2006, which are of great impact for health care financing by the G-DRG-System and in the context of outpatient surgery.
背景
手术和医疗程序的分类对于医疗保健融资的相关性日益增加。从这个角度来看，到目前为止，根据德国“手术与程序编码系统”（OPS）进行的分类常常不够充分。
方法
在一个全面的疾病诊断相关分组（DRG）评估项目过程中，确定了耳鼻喉科医学经济分类方面的不足。基于这些发现，制定了进一步改进OPS的建议。
结果
发现中耳、鼻和鼻窦常见外科手术以及人工喉恢复编码的医疗经济分类不当。与德国医学文献与信息研究所（DIMDI）达成一致后，相应地对OPS进行了修订。
结论
OPS将于2006年1月1日进行重大修改，这对德国疾病诊断相关分组（G-DRG）系统的医疗保健融资以及门诊手术而言影响重大。
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