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[以一所骨科大学诊所为例说明1988年起所需L1统计数据的信息价值(联邦法律IV)]

[The informational value of L1 statistics required as of 1988 (Federal Law IV) exemplified by an orthopedic university clinic].

作者信息

Schepp H J, Kattenborn H, Michel A

机构信息

Orthopädische Klinik u. Poliklinik, FU-Berlin im Oskar-Helene-Heim.

出版信息

Z Orthop Ihre Grenzgeb. 1989 Jul-Aug;127(4):448-50. doi: 10.1055/s-2008-1044699.

Abstract

1986's data of 2,428 hospitalised cases resp. 1762 patients were evaluated. The three codes most frequently used based on ICD-9 (715, 717 and 722) were separately considered. Repeated admissions to the hospital, patient age and duration of hospitalisation were analysed with reference to diagnoses. Analysis of covariance presented a weak correlation between age and length of stay for the ICD-9-codes 715 and 722. The encoding of diagnoses by different physicians proved to be unreliable and non-uniform. Therefore the encoding process should be centralized. Interpretation has to be made after careful examination of data. The results of more comprehensive statistics may be useful for negotiations concerning hospital allowance.

摘要

对1986年2428例住院病例及1762名患者的数据进行了评估。分别考虑了基于国际疾病分类第九版(ICD - 9)最常用的三个编码(715、717和722)。参照诊断对再次入院情况、患者年龄和住院时间进行了分析。协方差分析表明,ICD - 9编码715和722的年龄与住院时间之间存在弱相关性。不同医生对诊断的编码被证明是不可靠且不统一的。因此,编码过程应集中进行。必须在仔细审查数据后进行解读。更全面统计的结果可能有助于有关医院津贴的谈判。

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[DocuMed--a personal computer program system for basic documentation and ICD statistics based on SNOMED].
Z Orthop Ihre Grenzgeb. 1989 Jul-Aug;127(4):458-62. doi: 10.1055/s-2008-1044702.

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