Objective To analyze the DIP diseases with low degree of homogeneity based on coefficient of variation (CV),and to explore the management path. Methods The cost and time CV of 417 DIP groups of 26894 diseases in a tertiary hospital were calculated. Combined with the difficulty distribution of diseases and the reasonable interval of standardized cost,the correlation of cost homogenization was compared and analyzed. The key diseases and key problems were identified,and the idea of DIP diseases homogeneous management was put forward. Results The degree of hom-ogenization of DIP diseases was different. The diseases with low degree of homogenization of time and cost (CV≥0.6) accounted for 26.34％. The diseases with cost CV ≥ 0.6 were more likely to have abnormal costs and were distributed in high-difficulty cases. The diseases with time and cost CV≥ 1 accounted for 3.60％ of the total cases,mainly for the diseases with long hospitalization days such as tumors or acute and critical diseases. These diseases are the key problem diseases and need to be homogenized. Conclusion There are some groups with low degree of homogeneity in DIP dis-eases. Medical institutions should monitor the cost and time CV value of each disease,focus on controlling diseases with CV ≥ 1,and establish a homogeneous management path to achieve refined management of DIP diseases.
Diagnosis-Intervention Packet(DIP)Coefficient of Variation(CV)Homogenized Diagnosis and TreatmentDisease Management
维普
万方数据
