诊断相关分组、报销与质量脱节
Diagnosis-Related Groups, Reimbursement, and the Quality Disconnect.
作者信息
Woo Joyce L, Anderson Brett R
机构信息
Division of Pediatric Cardiology, 21611Columbia University Irving Medical Center/New York-Presbyterian, Morgan Stanley Children's Hospital, NY, USA.
出版信息
World J Pediatr Congenit Heart Surg. 2020 Sep;11(5):563-564. doi: 10.1177/2150135120933150.
Abstract
Diagnosis Related Groups were established to reduce excess waste in the healthcare system. These classification systems provide standardized and scalable approaches to measuring severity of illness, assessment of treatment difficulty, and resource intensity. In this commentary, we discuss how the current DRG models in pediatrics—and for congenital heart surgery in particular—are not constructed to optimize quality.
摘要
诊断相关分组的建立是为了减少医疗系统中的过度浪费。这些分类系统提供了标准化且可扩展的方法来衡量疾病的严重程度、评估治疗难度以及资源强度。在这篇评论中，我们讨论了当前儿科的诊断相关分组模型——尤其是先天性心脏病手术的模型——并非为优化质量而构建。
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2
Administrators: Do you know how your pediatric cardiac surgeries are reimbursed?管理人员：你知道你们的小儿心脏手术是如何报销的吗？
J Thorac Cardiovasc Surg. 2020 Sep;160(3):e153-e154. doi: 10.1016/j.jtcvs.2020.03.147. Epub 2020 Apr 13.
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Hospital Costs Related to Early Extubation After Infant Cardiac Surgery.婴儿心脏手术后早期拔管相关的医院费用。
Ann Thorac Surg. 2019 May;107(5):1421-1426. doi: 10.1016/j.athoracsur.2018.10.019. Epub 2018 Nov 17.
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