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TABLE 4.3: Hipe Report: Table 4.3 Total Discharges: MDC 1 Diseases and Disorders of the Nervous System: AR-DRG Version 8.0 by Patient Type (N, In-Patient Length of Stay), 2016

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MDC 1 Diseases and Disorders of the Nervous System: AR-DRG Version 8.0 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 2016 Version 8.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2016, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2016. Discharge activity is Examined by type of patient (day patient/in-patient), admission type (elective/emergency/maternity) and hospital group, and by demographic parameters (such as age and sex). 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. The analysis is presented at the national level. In 2016 HIPE Discharges were coded using ICD-10-AM/Achi/ACS 8th Edition and grouped into AR-DRG Version 8.0. See the complete Activity in Acute Public Hospitals in Ireland Annual Report 2016 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2016/HIPE_Report_2016.pdf

MDC 1 神经系统疾病与病症:按患者类型(日间患者与住院患者)划分的AR-DRG(Australian Refined Diagnosis Related Group,澳大利亚细化诊断相关组)8.0版。MDC(主要诊断分类,Major Diagnostic Category)是一类通常基于单一身体系统或病因、对应特定医学专科的分类范畴。诊断相关组(Diagnosis Related Group, DRG)是具有相似临床特征与资源消耗需求的病例集群。在爱尔兰,澳大利亚细化诊断相关组(AR-DRG)自2005年起投入应用,2016年采用8.0版对出院病例进行分组。《2016年爱尔兰急性公立医院运营年度报告》(Activity in Acute Public Hospitals in Ireland Annual Report, 2016)是针对2016年参与医院住院患者调查(Hospital In-Patient Enquiry, HIPE)方案的急性公立医院的住院患者与日间患者出院情况的专项报告。该报告从患者类型(日间患者/住院患者)、入院类型(择期/急诊/产科)、医院组别,以及人口统计学参数(如年龄、性别)等维度,对出院病例的医疗活动情况展开分析。报告涵盖的多项与爱尔兰医疗体系相关的议题,还涉及按医疗卡身份与公/私医保类型划分的出院病例构成情况。收费情况亦按诊断、手术操作、主要诊断分类以及诊断相关组进行分析。所有分析均以全国层面为统计维度呈现。2016年参与HIPE方案的出院病例采用ICD-10-AM/ACHI/ACS第8版进行编码,并被归入AR-DRG 8.0版分组体系。完整报告可访问以下链接:http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2016/HIPE_Report_2016.pdf

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