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目的:为合理测量医疗产出、制订合理收费标准、有效控制医疗费用上涨等提供科学依据。方法:在陕西省全病种分组(CSAP-DRGs)的基础上,采用绝对值法、相对权重系数法、权重基准利率法3种方法对住院费用标准进行测算和确定。结果:(1)绝对值法,预测出了2011年和2012年的住院费用标准;(2)相对权重系数法确定肺炎和流行性感冒为基准组合,计算出了各个DRG组合的相对权重系数;(3)权重、基准利率法计算出了各个DRG组的权重。结论:以CSAP-DRGs为基础来确定住院费用标准是科学合理的,但需要根据实际情况进行调整。
Objective: To provide a scientific basis for measuring medical output rationally, formulating a reasonable charging standard and effectively controlling rising medical costs. Methods: On the basis of CSAP-DRGs in Shaanxi Province, the methods of absolute value method, relative weight coefficient method and weighted reference interest rate method were used to calculate and determine the hospitalization cost standard. Results: (1) The absolute value method predicted the hospitalization cost standard in 2011 and 2012; (2) The relative weight coefficient method was used to determine the pneumonia and influenza as the baseline combination, and the relative weight coefficient of each DRG combination was calculated; (3) Weight, the benchmark interest rate method to calculate the weight of each DRG group. Conclusion: It is scientific and reasonable to determine the standard of hospitalization based on CSAP-DRGs, but it needs to be adjusted according to the actual situation.