Design and Development of Diagnosis Related Group(DRG)
- VernacularTitle:《按病组(DRG)付费分组方案(2.0版)》的编制和发展
- Author:
Kaihua GAO
1
;
Lü XUAN
;
Yu HOU
;
Jie LUO
;
Ming LU
;
Qinghong LI
;
Hongquan YANG
;
Xianchen MENG
;
Xiaowei ZHU
;
Mu HU
;
Jing YANG
Author Information
1. 北京大学第三医院 北京 100191;DRG付费国家试点技术指导组 北京 100161
- Publication Type:Journal Article
- Keywords:
DRG 2.0;
DRG;
grouping scheme development
- From:
Chinese Health Economics
2025;44(4):46-49
- CountryChina
- Language:Chinese
-
Abstract:
In July 2024,the Diagnosis Related Groups(DRG)2.0 is released based on the Notice from the National Healthcare Security Administration on Issuing the DRG 2.0 and Deepening the Relevant Work.Compared with DRG 1.1,version 2.0 was established based on a wider range of suggestions regarding the Adjacent Diagnosis Related Groups(ADRG),Major Comorbidity or Complication(MCC),and Comorbidity or Complication(CC)from various institutions.A list of disease diagnoses and surgical operations that are not used as grouping rules was compiled,and grouping efficacy was further improved by upgrading the algorithms for MCC and CC with the help of AI.Meanwhile,it is necessary to pay more attention to the number of cases of ADRG,the better methods to list the MCC/CC,the suggestions of various doctors and continuously standardize the data and update the grouping scheme of DRG.
