A Preliminary Study on the Construction of the CCI Index of the Policy Auxiliary Coefficient for the Payment of Diag-nosis-Intervention Packet
- VernacularTitle:按病种分值付费辅助系数CCI指数实现方案研究
- Author:
Guanlin DOU
1
;
Huacai YANG
;
Zebin WANG
;
Junlin ZHAN
Author Information
1. 广州医科大学附属第二医院医保科 广州 510260
- Keywords:
Diagnosis-Intervention Packet;
CCI Index;
Lasso Regression;
K-means clustering
- From:
Chinese Health Economics
2024;43(2):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a solution for the construction of the CCI index with an example of cerebral infarction to provide a guide for adjusting the policy of Diagnosis-Intervention Packet.Methods:Lasso regression was used to screen for comorbidities to construct the model,K-means clustering was used for case severity categorization.CCI indices were calculated as one plus the sum of standardized regression coefficients.Results:According to the analysis,five key variables were found,including other disorders of the lungs,non-insulin-dependent diabetes mellitus with ketoacidosis,systemic inflammatory response syndrome of non-infectious etiology with organ failure,acute duodenal ulcer with bleeding,and chronic obstructive pulmonary disease with acute lower respiratory tract in-fection,with CCI indices of 1,1,1.026,1.034,and 1.101.Simulated calculation's result showed a decrease in medical insurance pay-ment losses after applying CCI indices.Conclusion:The CCI index construction scheme based on Lasso regression and K-means clus-tering is reasonable and effective.
