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基于决策树模型的青光眼住院费用DRG分组实证研究

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目的/意义探讨上海市青光眼患者的DRG分组和相应住院费用标准,为医疗机构合理控制住院费用提供方法学依据.方法/过程提取2022年1月1日—2023年12月31日主要诊断为青光眼的住院患者相关数据,通过单因素分析和多元线性回归初筛分类节点变量.运用数据挖掘技术中决策树模型探讨青光眼住院患者的DRG分组方案、住院费用标准及病种权重,利用变异系数、方差膨胀因子、秩和检验测试模型效能.结果/结论基于决策树模型建立的青光眼患者DRG分组具有较高的组内同质性,有无并发症、出院情况作为分类节点变量,病例组合的变异系数为0.33~0.75,均小于1.最终形成4个住院费用标准和病种权重方案,整体较为合理,为医疗资源合理配置提供参考依据.
An Empirical Study on DRG Grouping of Glaucoma Hospitalization Costs Based on Decision Tree Model
Purpose/Significance To discuss the DRG grouping and the corresponding hospitalization cost standard of glaucoma pa-tients in Shanghai,and to provide methodological basis for the reasonable control of hospitalization costs in medical institutions.Method/Process Data of inpatients with the principal diagnosis of glaucoma from January 1,2022 to December 31,2023 are extracted,and the classification node variables are classified by single factor analysis and multiple linear regression.The DRG combination scheme,hospi-talization cost standard and disease weight of glaucoma inpatients are investigated by using decision tree model in data mining technology.Coefficient of variation,variance inflation factor and rank sum test are used to test the efficacy of the model.Result/Conclusion The DRG grouping of glaucoma patients established based on decision tree model has high intra-group homogeneity,and the presence or ab-sence of complications and discharge status are entered into the model as classification node variables.The coefficient of variation of the case combinations is 0.33 to 0.75,all less than 1.Finally,a total of 4 hospitalization cost standards and disease weight schemes are formed,and the overall scheme is reasonable,providing references for rational allocation of medical resources.

decision tree modelglaucomahospitalization costsDRG

袁筱祺、董笑、赵爽

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上海市第一人民医院医务处 上海 200080

上海市第一人民医院肿瘤科 上海 200080

决策树模型 青光眼 住院费用 DRG

2024

医学信息学杂志
中国医学科学院

医学信息学杂志

CSTPCD
影响因子:1.348
ISSN:1673-6036
年,卷(期):2024.45(12)