DRG支付下基于因子－聚类法的BR29病组分类控费的探索

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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

近年来，越来越多的统筹地区开展DRG支付方式改革并实际付费，医保患者群体也随之扩大，费用也逐年上涨，部分医院“收不抵支"的情况也时有发生[-3]。（剩余5287字）