Evaluation application of death indicators and unplanned return indicators based on provincial diagnosis-related groups platform
10.3760/cma.j.issn.1000-6672.2020.02.007
- VernacularTitle:基于省级DRG平台的死亡类与非计划重返类指标评价应用研究
- Author:
Chang XU
1
;
Junhan ZHUANG
;
Qiang FU
;
Zhaohui CHENG
;
Miao CAI
;
Xiaojun LIN
;
Bin LUO
;
Yun CHEN
;
Wanting ZHONG
Author Information
1. 北京大学深圳医院院长办公室，深圳 518036
- From:
Chinese Journal of Hospital Administration
2020;36(2):117-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between death indicators and unplanned return indicators on healthcare quality evaluation.Methods:A total of 836 976 medical record data were collected from 31 tertiary public general hospitals in a diagnosis-related groups(DRG) data platform in 2017. Multiple death indices(low and low-risk risk group mortality, high-risk group mortality, crude mortality, and risk adjusted mortality) and unplanned return indices(31-day unplanned readmission rate and 31-day unplanned return to surgery rate) were calculated. Pearson′s correlation coefficient was used to examine the relationships among those indices.Results:Death indicators were correlated with each other, but the unplanned readmission rate was not correlated with the unplanned reoperation rate( r=0.305). There was no correlation between unplanned re-entry rate and death rate. The correlation coefficients were as follows: unplanned readmission rate versus low and low-risk group mortality( r=-0.227), versus high-risk group mortality( r=-0.098), versus actual mortality( r=-0.130), versus risk adjusted mortality( r=0.010); unplanned reoperation rate versus low and low-risk group mortality( r=0.105), versus high-risk group mortality( r=0.030), versus actual mortality( r=-0.004), versus risk adjusted mortality( r=-0.141). Conclusions:The indicators of death and the indicators of unplanned return are not the same in terms of actual management technology and evaluation effect. They are complementary to each other and can form an ideal combination of quality evaluation indicators.
