DRG支付下基于因子－聚類法的BR29病組分類控費的探索

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Abstract：ObjectiveTexplorethaidominantfactorsfeitheospitalizomedicalexpesesofpatientswithBR29diseaseundrDRG payentdiid toJuneO，2O2，49titsioalteofiseaseeoldinophespialiijgaplefeading the9sub-itesofagelngthofandotalostofospitalatiothctalyssmetoddustergmetodresedtoucee dimensionandusteralssrficatioRsultsThetitsreainlyaleurbnesidentsndutpatientsTemdiana oldndtepadaltspialud thefirstcategossocospialtdcoials andthethidategasthecalostfctoofospialtioCocusdrtroltecsieohfospialodical expesestolil fees；themedicalisuraneptsouldfallneouofeaseopotsmproacusntsf payment standards，and scientifically achievea win-win situation among doctors，insurance and patients.

Keywords：DRG payment；Factor analysis；Clustering；Medical cost control

近年來，越來越多的統(tǒng)籌地區(qū)開展DRG支付方式改革并實際付費，醫(yī)保患者群體也隨之擴大，費用也逐年上漲，部分醫(yī)院“收不抵支"的情況也時有發(fā)生[-3]。（剩余5287字）