| Summary: | 碩士 === 國立雲林科技大學 === 工業工程與管理系 === 104 === The Diagnosis Related Groups medical payment, only pay a certain amount, if it exceeds this amount, the hospital operator must bear the additional costs them. In medical consumption may be reduced, but in the quality of care may be due to lack of medical care during hospitalization, resulting in future in order to treat the sequelae caused. Taiwan population is increase enters an aged society, and meet the medical needs of their medical consumption will increase. Taiwan every year because of hip fractures hip replacement surgery, the number of elderly population has continued to rise, while in hip fractures of femoral neck fracture incidence and mortality is relatively high, it must be proper treatment to avoid serious injury. Type of treatment in the shift to semi-artificial hip arthroplasty based, which is quite large in the health care expenses. This study is the use of retrospective analysis and data mining technology, investigate DRGs for health care before and after implementation of the system of medical quality and medical consumption impact and relevance. Through the National Health Insurance Research database (NHIRD) to retrieve from 2008 to 2011, Inpatient expenditures by admissions record load operation for the semi-hip replacement surgeon (ICD-9-CM = 81.52), diagnosed with femoral neck fracture (ICD-9-CM = 820.00 ~ 820.30) as an object of study. In the part of the association rules, we can understand the implementation of DRGs in hospital medical expenses before and after the hospital stay, postoperative complications is a positive correlation by the rules associated with that allows physicians and hospital management reference, given appropriate medical care and financial control.
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