Quality analysis of medical record home pages based on DRG/DIP dual dimensions
10.3969/j.issn.1671-332X.2025.10.014
- VernacularTitle:基于DRG/DIP双维度的病案首页质量分析
- Author:
Ying XIONG
1
;
Ziyi XIN
1
;
Junfeng LIU
1
;
Yan YUAN
1
;
Zhuochen LIN
1
;
Jianjun LU
1
Author Information
1. 中山大学附属第一医院 广东 广州 510080
- Publication Type:Journal Article
- Keywords:
Medical record home page quality;
Diagnosis-related groups(DRG);
Disease intervention program(DIP);
Dual dimensions;
Quality analysis
- From:
Modern Hospital
2025;25(10):1535-1538
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the quality of medical record home pages for discharged patients in a tertiary hospital in Guangzhou in 2023 based on the dual dimensions of Diagnosis-Related Groups(DRG)and Disease Intervention Program(DIP),and to provide a basis for improving the refinement of medical record home page quality management.Methods Dis-charge medical records from a tertiary general hospital in 2023 were selected.All medical records were grouped using DRG,while medical records under Guangzhou medical insurance and cross-province medical insurance implemented under DIP were simulated for DIP grouping.The writing defects in the discharge medical records were analyzed,as well as the DRG grouping,RW,and DIP standard scores of medical records with home page filling defects.Results Among 172 230 discharge medical records,171 786 were grouped into DRG,91 768 were grouped into DIP,and 91 604 were grouped into both DRG and DIP.A significant positive correlation was found between RW and DIP standard scores(r2=0.681,P＜0.001).Among the 91 604 medical records grouped into both DRG and DIP,1 942(2.12％)had writing defects,including 837(0.91％)with home page defects.DRG groups with more home page defect records included NC15,HK2,EJ13,EB15,HJ13,and RE19.Conclusion Quality defects in medical record home pages impact the accuracy of DRG and DIP grouping.Systematic measures such as strengthening medical record writing training and establishing scientific reward and punishment mechanisms should be implemented to provide data sup-port for the further advancement of DRG/DIP payment reform.
