Adopting Thai Diagnosis Related Group for Vietnam Universal Health Coverage: a case of Ba Vi district hospital

Authors

  • Supasit Pannarunothai

Abstract

This study was conducted on data from Ba Vi hospital from January to December 2012. It was aimed to classify all hospital discharges covered by health insurance system into Diagnosis related group (DRG) to guide provider payment reforms of universal health coverage roadmap. Viet-DRG grouper version 1.0 based on Thai-DRG version 5 methodologies was developed for grouping. The Pearson correlation (r) was used to assess the performance of Viet-DRG grouper as against Thai-DRG grouper. Data of 12,220 inpatient cases were analyzed by both groupers. After 5-step trimming of individual inpatient data to achieve the highest correlations, 84.4% of total cases were classified into 89 DRGs. The three most frequent principal diagnoses were single spontaneous delivery (O80) including spontaneous vertex delivery (O800), bronchopneumonia, unspecified (J180) and unspecified arthropod-borne viral fever (A94). Three most common DRGs were vaginal delivery without complicating diagnosis (14500); respiratory infection or inflammation, no complication and comorbidity (04520) and otitis media and upper respiratory tract infection, no complication and comorbidity (03530). The performance of Viet-DRG grouper v1.0 compared with Thai-DRG grouper v5.0 for 89 DRGs in terms of relative weights as of 0.4 and length of stay as of 0.5 was at moderate level.

 

Keywords: DRG, classification, Viet DRG grouper, Thai DRG grouper

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Published

05-10-2015

How to Cite

Pannarunothai, S. (2015). Adopting Thai Diagnosis Related Group for Vietnam Universal Health Coverage: a case of Ba Vi district hospital. Siriraj Medical Journal, 67(5). Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/55223

Issue

Vol. 67 No. 5 (2015): September-October

Section

Original Article

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