Hanson R M, Phythian M A, Jarvis J B, Stewart C
New Children's Hospital, Sydney, NSW.
Med J Aust. 1998 Oct 19;169(S1):S39-41. doi: 10.5694/j.1326-5377.1998.tb123475.x.
Paediatric patients (compared with adults) require additional time, effort and skill from hospital staff caring for them. Many suggestions for making successive versions of AN-DRGs more child friendly have not been implemented. Rather than relying on age, the AN-DRG classification should allow a better definition of complexity within DRGs. The two groups of children who place a disproportionate burden on paediatric teaching centres are children under 3 years and those with congenital abnormalities and chronic illness. Cost weights are not specific for paediatric patients. The extra costs of caring for children are reflected in nursing costs, highlighting the importance of including nurse dependency data in any costing study.
儿科患者（与成人相比）需要医院护理人员投入更多的时间、精力和技能。许多使后续版本的澳大利亚诊断相关分组（AN-DRGs）对儿童更友好的建议尚未得到实施。AN-DRG分类不应依赖年龄，而应更好地界定诊断相关分组内的复杂性。给儿科教学中心带来不成比例负担的两类儿童是3岁以下儿童以及患有先天性异常和慢性病的儿童。成本权重并非针对儿科患者设定。护理儿童的额外成本体现在护理费用上，这凸显了在任何成本核算研究中纳入护士依赖数据的重要性。
