CAJ | 학술논문

目的建立计算机病例分型方法,为完善病种分类分型体系以及按病种的质量与费用的管理提供依据.方法对875份病例进行定义分型,并分为两种情况进行分析:在非手术情况下,筛选出病种诊断数、入院时的严重程度、患者年龄等8个判别参数;在手术情况下,筛选出诊断数、手术量、入院时的严重程度等5个判别参数.然后使用Fisher判别得出函数判别方程,实现计算机判别分型.结果计算机病例分型与手动分型的吻合率约为86.2％.所得出的函数判别方程准确率较高,这说明了计算机病例分型的判别效果比较好.结论计算机病例分型的判别效果令人满意,因此将其应用在临床实践中,能更好地进行医疗质量或医疗费用管理.
목적 건립계산궤병례분형방법,위완선병충분류분형체계이급안병충적질량여비용적관리제공의거.방법 대875빈병례진행정의분형,병분위량충정황진행분석:재비수술정황하,사선출병충진단수、입원시적엄중정도、환자년령등8개판별삼수;재수술정황하,사선출진단수、수술량、입원시적엄중정도등5개판별삼수.연후사용Fisher판별득출함수판별방정,실현계산궤판별분형.결과 계산궤병례분형여수동분형적문합솔약위86.2％.소득출적함수판별방정준학솔교고,저설명료계산궤병례분형적판별효과비교호.결론 계산궤병례분형적판별효과령인만의,인차장기응용재림상실천중,능경호지진행의료질량혹의료비용관리.
Objective To build the method of computerized case classification,for the purpose of perfecting the diseases typing and classification,and supporting the management based on the quality and expenses of the disease.Methods 875 cases were defined into two types.Eight parameters were selected for non-surgery cases,namely the disease diagnosis,severity at admission,and age.For surgery cases,five parameters were defined,namely the disease diagnosis,operative quantity,and severity at admission.Then Fisher function was called into play to obtain the function descriminant equation,realizing computerized classification.Results The rate of matching was 86.2％ between computerized classification and manual classification.The high accuracy of function descriminant equation proves the satisfactory outcomes of the classification.Collusion The computerized classification is satisfactory in its outcomes,and therefore it can better quality of care and cost management of diseases in clinical practice.