创建诊断相关组：一种处理《精神疾病诊断与统计手册》第三版的可行方法。

Creating diagnostic related groups: a manageable way to deal with DSM-III.

作者信息

Sinclair Esther, Alexson Joyce

机构信息

UCLA Mental Retardation and Child Psychiatry Program.

出版信息

Am J Orthopsychiatry. 1985 Jul;55(3):426-433. doi: 10.1111/j.1939-0025.1985.tb03459.x.

DOI:10.1111/j.1939-0025.1985.tb03459.x

PMID:3927742

Abstract

Diagnostic related groups (DRGs) are being adopted as a practical tool in psychiatric classification, as well as a means of reducing health care costs. This study highlights a step-by-step description of the development of 16 outpatient and 14 inpatient DRGs from DSM-III Axis I and Axis II diagnoses on a sample of 591 children (ages 6-14). A plan for the application of diagnostic rules is presented, and issues of generalizability among different treatment populations are discussed.

摘要

诊断相关分组（DRGs）正被用作精神科分类的实用工具，也是降低医疗成本的一种手段。本研究详细描述了如何根据591名6至14岁儿童样本的《精神疾病诊断与统计手册》第三版（DSM-III）轴I和轴II诊断结果制定16个门诊DRG和14个住院DRG。文中还介绍了诊断规则的应用计划，并讨论了不同治疗人群中的普遍性问题。