Document 0754
 DOCN  M95A0754
 TI    [Application of DRGs at a regional hospital]
 DT    9510
 AU    Suarez-Varela MM; Segarra Castello L; Lloret Caballeria A; Villuendas
       Gorrochategui A; Area de Medicina Preventiva y Salud Publica,
       Bromatologia,; Toxicologia y Medicina Legal, Facultad de Farmacia,
       Universidad; de Valencia.
 SO    Rev Sanid Hig Publica (Madr). 1994 Sep-Dec;68(5-6):579-87. Unique
       Identifier : AIDSLINE MED/95343290
 AB    BACKGROUND: Of among the different measures systems of hospital
       production, we adopted the Diagnosis Related Groups (DRG) approach for
       the management of the cases series of the Arnau de Vilanova Hospital
       (Valencia, Spain). The use of hospital services makes it possible to
       establish the number of patients attended and in which services, while
       pathology distribution reflects the types of patients who makes us of
       the hospital. METHODS: A transverse study was made, reviewing the
       clinical histories of the hospitalized patients and applying an
       autoexcluding medical or surgical DRG designation. Patient inspection
       and comments with the healthcare staff afforded greater specifications.
       We included all patients hospitalized between May 11 and 24, 1992, i.e.,
       263 in total, corresponding to 2.53% of the annual hospitalizations in
       1992. RESULTS: The most frequently employed services were Internal
       Medicine and General and Digestive Surgery. Hospital activity was
       defined by 90 DRGs, the GDRGs most associated to hospital (nosocomial)
       infection being HIV-positive individuals, those operated on for inguinal
       hernia, and oncological patients with laryngeal cancer. CONCLUSIONS:
       Hospital activity was found to be concentrated in high volume DRGs--one
       of them being the Medical Type non-groupable diseases due to clinical
       incompleteness of the management parameters, as a result of which this
       information remained undetermined.
 DE    Cross Infection/*EPIDEMIOLOGY  *Diagnosis-Related Groups  English
       Abstract  Hospitals  Human  Spain  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).