[The evaluation of the complexity of clinical-diagnostic in-patient processes within the framework of diagnostically associated groups].
A new method for the differentiation of patients within diagnostically related groups is proposed, which differentiates the patients with consideration for the complexity, resource capacity, and cost of the therapeutic and diagnostic process. The intensity of drug therapy expressed through the number of drugs prescribed to a patient during hospitalization is regarded as an integral characteristic of the complexity and resource capacity of the process of management of a patient. The proposed criterion of treatment multiplicity (complexity) includes not only medical, but economic information as well. The informative value and high selective capacity of the treatment complexity criterion are demonstrated. The authors present the results of comparative analysis of the complexity grading and disease staging methods, the latter one being based on grouping patients within diagnostically related groups by the severity of condition.
Boyadzhan
V A
VA
NII sotsial'noy gigieny, ekonomiki i upravleniya zdravookhraneniyem im.N.A. Semashko, Moskva.
Gayenko
O N
ON
Shedina
I V
IV
D003953:Diagnosis-Related Groups; D006298:Health Services Administration; D006801:Humans