14 BSC 15 3
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1 14 BSC 15 3
2 BSC 36 Evidence-Based Policy BSC BSC BSC 36 BSC BSC BSC Spearman 0.5 BSC Peer Group 3 BSC BSC
3 BSC DRG ICD
4 BSC Balanced Scorecard
5 BSC
6
7 BSC (1) National Health ServicesNHS BSC NHS 1997 (Health Authority: HA) NHS 2000 BSC NHS BSC BSC ( ) NHS (2) 2000 (District Health Board: DHB) BSC 4 4
8 4 4 ( ) BSC (3) BSC BSC 1998 BSC ( 5 ) ( ) BSC 12 IT 10 ( ) 8 5
9 BSC BSC BSC BSC BSC BSC 4 4 BSC BSC BSC 1 6
10 1 / NHS (1) 4 (2) 2 Pearson Spearman 7
11 (3) Negative Data i k k (4) 1 50% (5) (4) Spearman Spearman Pearson
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19 DRG DRG Diagnosis Re1ated Group ICD-9-CM 1 1, ,500 2 DRG 16
20 DRG DRG QC Quality Control DRG DRG HCFA-DRG(Hea1th Care Financing Administration-DRG)AP-DRG(A11 Patient-DRG)APR-DRG(A11 Patient Refinement-DRG)IR-DRG(International Refined-DRG) DRG 183 J-DRG DRG DPC(Diagnosis Procedure Combination) DRG DRG DRG ICD/DRG CMI DRG 6 ICD10 ICD9 ICD9CM , , , , IR-DRG DRG IR-DRG IR-DRG 3 DRG DRG IR-DRG DRG 5 17
21 DRG IR-DRG R R DRG MDC=Major Diagnostic Categories MDC MDC R 2 DRG DRG 25 DRG AMI 10 AMI AMI (exp) AMI (exp) NA
22 Fact-Finding AMI Spearman Spearman AMI
23 12 4 DRG PTCA DRG CMI (1 1 3)
24 CMI CMI CMI
25 3 36 Peer Group Spearman CMI CMI CABG,
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28 Peer Group Peer Group Peer Group 25
29 36 3 ADLActivities of Daily Living DPC = Diagnosis Procedure Combination CMICase Mix Index 26
30 2001 R. D U.K. Department of Health, NHS Performance Ratings. Acute Trusts, Specialist Trusts, Ambulance Trusts, Mental Health Trusts 2001/02. (2002) A joint initiative of the Ontario Hospital Association and the Government of Ontario. Hospital Report Acute Care. (2001) personal communication with New Zealand Ministry of Health (2002). Premier Healthcare Informatics. (2002) 27
31 1 ICD ICD = International Classification of Disease WHO 10 ICD-10 ICD-9-CM 9 ICD-9 ICD-9 2 (t) t (t)= 0(t) exp{1x1 2X2 nxn} 0(t) X AMI X AMI X X X3 PTCA X4 CABG X5 (IDDM) X6 (NIDDM) X X X X X X X X X X X X X19 28
32 X X X X X X X X X X X X X X X X X X X X X X X X X X X27 Hodgkin X X X X X32 20 (exp) (exp)
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