Ben-Tovim D I, Elzinga R H
Department of Psychiatry, Repatriation General Hospital, Daw Park, SA.
Med J Aust. 1994 Sep 5;161(S1):S33-6. doi: 10.5694/j.1326-5377.1994.tb138389.x.
Providers of mental health and substance abuse care cannot afford to ignore the existence of casemix descriptions of their services. As casemix comes to be the predominant language used to describe the products of hospital care, its use will inevitably impinge upon psychiatric services. The psychiatric components of the Australian national diagnosis-related groups classification 1 and 2 (AN-DRG 1 and 2) do not describe the relevant products with great accuracy. We review some possible reasons for this and the effects on the homogeneity of resource consumption of technical procedures, such as trimming of data sets, in the context of the current casemix system and that proposed for AN-DRG-3. The evolution of a casemix system which does justice to current and future psychiatric services will be a complex process. Some of the crucial areas are discussed. Clinicians involved in mental health and substance abuse care must continue to advocate for the resources and effort needed to improve casemix information in their area.
心理健康和药物滥用护理服务的提供者不能忽视其服务病例组合描述的存在。随着病例组合逐渐成为用于描述医院护理产品的主要语言，它的使用将不可避免地影响到精神科服务。澳大利亚国家诊断相关组分类1和2（AN-DRG 1和2）中的精神科部分并未非常准确地描述相关产品。我们审视了造成这种情况的一些可能原因，以及在当前病例组合系统和拟议的AN-DRG-3系统背景下，诸如数据集调整等技术程序对资源消耗同质性的影响。建立一个能公平对待当前和未来精神科服务的病例组合系统将是一个复杂的过程。文中讨论了一些关键领域。参与心理健康和药物滥用护理的临床医生必须继续倡导为改善其所在领域的病例组合信息所需的资源和努力。
