TABLE 4.11: Hipe Report: Table 4.11 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),2015

MDC 9 Diseases and Disorders of the Skin, subcutaneous tissue and Breast: 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 2015 Version 6.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2015, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2015. 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 2015 HIPE Discharges were coded using ICD-10-AM/Achi/ACS 8th Edition and grouped into AR-DRG Version 6.0. See the complete Activity in Acute Public Hospitals in Ireland Annual Report 2015 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2015/HIPE_Report_2015.pdfMDC 9：皮肤、皮下组织与乳腺疾病及病症：医学诊断分类（MDC，Medical Diagnosis Category）是一类以单一身体系统或病因为基础、对应特定医学专科的分类体系。诊断相关组（DRGs，Diagnosis Related Groups）是具有相似临床特征与医疗资源消耗需求的病例聚类集合。爱尔兰自2005年起启用澳大利亚精细化诊断相关组（AR-DRG，Australian Refined Diagnosis Related Group），并于2015年采用其6.0版对出院病例进行分组。《2015年爱尔兰急性公立医院诊疗活动年度报告》针对2015年参与医院住院患者调查计划（HIPE，Hospital In-Patient Enquiry）的急性公立医院的住院患者与日间患者出院情况展开统计分析。该报告按患者类型（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（如年龄与性别）对出院诊疗活动进行多维度拆解分析。报告中涉及爱尔兰医疗体系的相关议题还包括：按医疗卡持有者身份与公/私立医保状态划分的出院病例构成情况。此外，报告还针对诊断结果、手术操作、主要诊断分类以及诊断相关组对医疗费用展开分析，所有分析均基于国家层面数据开展。2015年HIPE体系下的出院病例采用ICD-10-AM/ACHI/ACS第8版进行编码，并归入AR-DRG 6.0版分组体系。完整报告可通过以下链接获取：http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2015/HIPE_Report_2015.pdf