Trialling diagnosis-related groups classification in the Iranian health system: a case study examining the feasibility of introducing casemix.

This paper examines the quality of routinely collected information in an Iranian hospital in a trial of casemix classification. Australian Refined Diagnosis Related Groups (AR-DRG) were used to classify patient episodes. There were 327 DRGs identified, of which 20% had only 1 case. The grouper progr...

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Publicado en:Eastern Mediterranean Health Journal Vol. 16; no. 5; pp. 460 - 467
Autores principales: Ghaffari, S., Doran, C., Wilson, A., Aisbett, C.
Formato: equations & formulas research tables/charts Journal Article
Publicado: World Health Organization may2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Trialling diagnosis-related groups classification in the Iranian health system: a case study examining the feasibility of introducing casemix.
      aug:
        au:
          Ghaffari, S.
          Doran, C.
          Wilson, A.
          Aisbett, C.
        affil: School of Population Health, University of Queensland, Brisbane, Australia; Social Security Organization, Tehran, Islamic Republic of Iran
      sug:
        subj:
          Diagnosis-Related Groups
          Coding
          Patient Care
          Human
          Iran
          Medical Records Utilization
          Data Analysis
      ab: This paper examines the quality of routinely collected information in an Iranian hospital in a trial of casemix classification. Australian Refined Diagnosis Related Groups (AR-DRG) were used to classify patient episodes. There were 327 DRGs identified, of which 20% had only 1 case. The grouper program identified invalid records for 4% of total separations. Approximately 4.5% of cases were classified into error DRGs and 3.4% were ungroupable. No complication and comorbidity effects were identified with 93% of total cases. R2 (variance in length of stay explained) was 44% for untrimmed cases, increasing to 63%, 57% and 58% after trimming by L3H3, IQR and 10th-95th percentile methods respectively.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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