DOI: 10.7664/CHE20170602
Grouping Principles and Methods of C-DRG
Abstract：The Pricing and Payment Regulation on Chinese Diagnosis-Related Groups(C-DRG) was self-designed DRG pricing and payment system used for hospital inpatients in China,which was fully based on Chinese patient characteristics and clinical practices.The core technical part of C-DRG system was grouping process,which followed the principles of giving priority to clinical homogeneity and factoring in the resources utilization,as well as combining clinical consulting with data verification,and outputs DRGs whose quantity was manageable.C-DRG was designed in a 4-level construction.The clinical grouping was achieved by clinical consulting with more than 700 clinicians of 37 specialties.statistical grouping was accomplished with PCI as the major indicator.23 main diagnosis catalogue comprising 484 ADRGs and 958 DRGs were produced.C-DRG grouping should be adjusted and updated in accordance with the development of clinical practices and the changing of medical costs.
Keywords：Pricing and Payment Regulation on Chinese Diagnosis-Related Groupsgrouping principlegrouping method
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 9-11 )