Disease diagnosis related grouping payment scheme decision method, device and equipment

Abstract

The invention relates to the technical field of digital medical treatment, and discloses a disease diagnosis related grouping payment scheme decision method, device and equipment, and the method comprises the steps of obtaining a health service elasticity coefficient prediction result according to medical influence factor data, a to-be-evaluated payment scheme decision parameter and a historical health service elasticity coefficient; obtaining a plurality of medical simulation sample data according to the sampling parameters, an MCMC sampling method, a Gibbs sampling method and the health service elasticity coefficient prediction result; performing qualification evaluation according to the hospital actual receipt change rate threshold, the medical insurance payment change rate threshold, the change rate constraint condition data, all target medical insurance payment fees obtained according to the to-be-evaluated payment scheme decision parameters and the plurality of medical simulation sample data and the plurality of medical simulation sample data, and repeating the above steps until the target medical insurance payment fees and the plurality of medical simulation sample data are qualified; and determining a target payment scheme decision result according to the to-be-evaluated payment scheme decision parameter. Automatic decision making is realized, and decision making efficiency and accuracy are improved.

Description

technical field [0001] The present application relates to the field of digital medical technology, in particular to a payment plan decision-making method, device and equipment for groups related to disease diagnosis. Background technique [0002] DRGs (Diagnosis Related Groups, diagnosis-related classification) payment, that is, payment according to disease diagnosis-related groups, after grouping inpatients, payment according to the standard according to the group. DRGs payment will reasonably allocate medical expenses, help optimize doctors' diagnosis and treatment behaviors, and control the rise of total medical expenses. It is one of the payment methods that the Medical Security Bureau has recently promoted. When paying for DRGs in the pilot project, it is necessary to simulate the decision-making parameters of the payment plan corresponding to the disease diagnosis-related groups in the region based on the historical inpatient medical record data and charging data, so a...

AI Technical Summary

Problems solved by technology

[0003] The main purpose of this application is to provide a payment scheme decision-making method, device and equipment for disease diagnosis-related grouping, aiming to solve the problem of using The method of manual decision-making determines the decision-making parameters of the payment plan, and there is a technical problem that the workload of decision-making is relatively large

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