[对基于人口的系统来分类与疾病相关的医疗保健需求的综合疾病组的定义:PopGroup]
Chrissa Tsatsaronis1, Maria Klemt1, Karen Kinder1
1Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany.
这项研究开发了德国医疗保健分类系统的综合疾病组 (CDG) 和主要疾病类别 (MDC). 这些由专家验证的小组有助于评估医疗需求和分析疾病.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 在德国,对以病率为导向的医疗保健设施规划的需求日益增加.
- 需要基于人口的分类系统来评估区域医疗保健需求.
- 其他国家的现有分类系统.
研究的目的:
- 为德国医疗保健系统开发和测试基于人口的分类系统 (PopGrouper).
- 创建具有医学意义的综合疾病组 (CDG),作为PopGroups的基础.
- 定义疾病严重程度水平用于CDG的等级排名.
主要方法:
- 使用医学专业知识和BARMER疾病基金索赔数据,形成了CDG.
- 利用了先前存在的诊断组 (DxG) 并定义了主要疾病类别 (MDC).
- 与医学协会验证了CDG,并计算了综合疾病严重程度得分.
主要成果:
- 定义和验证了32个MDC和433个CDG.
- 给每个CDG分配了一个严重性得分.
- 奠定了形成PopGroups考虑疾病组合的基础.
结论:
- CDG和MDC是PopGrouper发展的关键初步步骤.
- 将诊断集成到有意义的群体中有利于医疗保健研究和患者识别.
- 该系统有助于分析具有相似特征的疾病和患者群体.
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