A Preliminary Study on the Construction of the CCI Index of the Policy Auxiliary Coefficient for the Payment of Diag-nosis-Intervention Packet / 中国卫生经济
Chinese Health Economics
; (12): 34-36, 2024.
Article
em Zh
| WPRIM
| ID: wpr-1025240
Biblioteca responsável:
WPRO
ABSTRACT
Objective:To explore a solution for the construction of the CCI index with an example of cerebral infarction to provide a guide for adjusting the policy of Diagnosis-Intervention Packet.Methods:Lasso regression was used to screen for comorbidities to construct the model,K-means clustering was used for case severity categorization.CCI indices were calculated as one plus the sum of standardized regression coefficients.Results:According to the analysis,five key variables were found,including other disorders of the lungs,non-insulin-dependent diabetes mellitus with ketoacidosis,systemic inflammatory response syndrome of non-infectious etiology with organ failure,acute duodenal ulcer with bleeding,and chronic obstructive pulmonary disease with acute lower respiratory tract in-fection,with CCI indices of 1,1,1.026,1.034,and 1.101.Simulated calculation's result showed a decrease in medical insurance pay-ment losses after applying CCI indices.Conclusion:The CCI index construction scheme based on Lasso regression and K-means clus-tering is reasonable and effective.
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Índice:
WPRIM
Idioma:
Zh
Revista:
Chinese Health Economics
Ano de publicação:
2024
Tipo de documento:
Article