ABSTRACT
OBJECTIVE: To examine the applicability of an Australian casemix classification system to the description of Chinese hospital activity. DESIGN: A total of 161,478 inpatient episodes from three Chengdu hospitals with demographic, diagnosis, procedure and billing data for the year 1998/1999, 1999/2000 and 2000/2001 were grouped using the Australian refined-diagnosis related groups (AR-DRGs) (version 4.0) grouper. MAIN OUTCOME MEASURES: Reduction in variance (R2) and coefficient of variation (CV). RESULTS: Untrimmed reduction in variance (R2) was 0.12 and 0.17 for length of stay (LOS) and cost respectively. After trimming, R2 values were 0.45 and 0.59 for length of stay and cost respectively. CONCLUSIONS: The Australian refined DRGs provide a good basis for developing a Chinese grouper.
Subject(s)
Diagnosis-Related Groups/statistics & numerical data , Hospitals, Public/statistics & numerical data , Hospitals, Urban/statistics & numerical data , Utilization Review/methods , China , Cost Allocation/methods , Diagnosis-Related Groups/classification , Episode of Care , Hospital Costs/statistics & numerical data , Hospitals, Public/economics , Hospitals, Urban/economics , Humans , International Classification of Diseases , Length of Stay , Outliers, DRGABSTRACT
Health sector reform in China has led to increasing responsibility for hospital managers in the management of staff; but constraints continue. New personnel reforms offer new opportunities but face a number of difficulties. Drawing on research in Chinese hospitals in 1997 this paper identifies two major obstacles to improved human resource management: wage policy and lack of control by local managers over staffing.
