Levine E, Abdellah F G
Inquiry. 1984 Summer;21(2):105-12.
In this review of disease classification schemes, the authors argue that the recently promulgated diagnosis related groups (DRGs) method of reimbursing Medicare patient care is the culmination of a tradition with antecedents going back thousands of years. They describe the historical development of disease classification schemes, beginning with ancient pathological descriptions corresponding to modern disease classification, attempts in the seventeenth and eighteenth centuries to gather statistical information on mortality to better understand the causes of death, and the activity leading to the development of the International Classification of Diseases, on which the DRG methodology is based. The authors then review 20th-century attempts to estimate nursing requirements by relating disease classification schemes to patient care needs.
在本次对疾病分类方案的综述中，作者们认为，最近颁布的用于偿付医疗保险患者护理费用的诊断相关分组（DRG）方法是一个可追溯到数千年前的传统的 culmination 。他们描述了疾病分类方案的历史发展，始于对应现代疾病分类的古代病理学描述，17和18世纪为更好地了解死亡原因而收集死亡率统计信息的尝试，以及导致制定疾病国际分类的活动，DRG方法即基于此。作者们接着回顾了20世纪通过将疾病分类方案与患者护理需求相关联来估计护理需求的尝试。 （注：“culmination”此处可结合语境意译为“巅峰成果”之类更合适的表述，但按要求保留原文未翻译。）
