TABLE 5.11: Hipe Report: Total Discharges: MDC 9 Diseases and Disorders of the Skin, subcutaneous tissue and Breast: AR-DRG by Patient Type (N, In-Patient Length of Stay), 2014

MDC 9 Diseases and Disorders of the Skin, subcutaneous tissue and Breast: On-DRG by Patient Type (day patient and in-patient). The MDC is a category Generally based on a single body system or aetiology that is associated with a particular medical specialty. DRGs are clusters of cases with similar clinical Attributes and resource requirements. In Ireland, Australian Refined Diagnosis Related Group (AR-DRG) have been in use in Ireland since 2005, in 2014 Version 6.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2014, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2014. Charging activity is Examined by type of patient and hospital, and by demographic parameters. Certain issues of relevance to the Irish health care system covered in the report relate to the composition of Discharges by medical card and public/private status. Charges are also analysed by diagnoses, procedures, major Diagnostic categories, and Diagnosis related groups. Maternity Discharges are Examined separately from other Discharges. The analysis is presented at the national level. In 2014 HIPE Discharges were coded using ICD-10-AM/Achi/ACS 6th Edition and grouped into AR-DRG Version 6.0. See the complete Activity in Acute Public Hospitals in Ireland Annual Report 2014 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2014/HIPE_Report_2014.pdf主诊断分类（Major Diagnostic Category，简称MDC）9 皮肤、皮下组织及乳房疾病与病症：按患者类型（日间患者与住院患者）划分的诊断相关分组（Diagnosis Related Group，简称DRG）。主诊断分类是一类基于单一身体系统或病因、关联特定医学专科的分类单元；诊断相关分组则是将临床特征与医疗资源消耗需求相似的病例归为一类的分组体系。澳大利亚改良版诊断相关分组（Australian Refined Diagnosis Related Group，简称AR-DRG）自2005年起在爱尔兰投入使用，2014年采用其6.0版本对出院病例进行分组。《2014年爱尔兰急性公立医院运营年度报告》聚焦2014年参与医院住院患者调查（Hospital In-Patient Enquiry，简称HIPE）计划的急性公立医院的住院患者与日间患者出院情况，从患者类型、医院属性及人口统计学参数维度对收费行为展开分析。报告中涉及的与爱尔兰医疗体系相关的若干议题，包含按医疗卡持有者身份与公/私立参保状态划分的出院病例构成情况；收费情况还将按诊断结果、诊疗操作、主诊断分类以及诊断相关分组进行细分分析。产科出院病例将与其他出院病例分开单独开展分析，本次分析以全国层面为统计范围。2014年HIPE计划覆盖的出院病例采用国际疾病分类第十版澳大利亚修订版（ICD-10-AM）、澳大利亚健康干预分类（ACHI）及澳大利亚手术操作分类（ACS）第6版进行编码，并归类至AR-DRG 6.0版本分组体系。可访问以下链接获取完整的《2014年爱尔兰急性公立医院运营年度报告》：http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2014/HIPE_Report_2014.pdf