案例报告指南(CAse REport Guidelines, CARE)由多学科国际专家共同制定,旨在规范临床实践中案例报告的撰写,提升案例报告的准确性、透明度与实用性。本文介绍了基于CARE条目的扩展,用以医院按疾病诊断相关分组付费病例的医保管理案例报告指南(CARE for Diagnosis-Related Groups-based Payment,CARE-DRG),旨在为医院医保管理提供规范化的病组研究和案例教学工具,以期提升医院临床病组的医保管理案例报告质量。
Abstract
To improve the consistency of information contained in case reports, the CAREwas developed, published for the medical community by international experts with multi-disciplinary background. This article reports an adaptation of the CARE guidelines for Diagnosis-Related Groups-based payment case report(CARE-DRG)based on a consensus process in the Chinese setting. We believe the implementation of the CARE-DRG by medical journals, authors could contribute to improving the completeness, transparency of case reports for DRG-based payment, insurance audit
关键词
疾病诊断相关分组 /
医保管理 /
案例报告 /
指南
Key words
Diagnosis-Related Groups /
medical insurance management /
case report /
guideline
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Gagnier Joel J, Kienle Gunver, Altman Douglas G, et al.The CARE guidelines: consensus-based clinical case report guideline development[J]. Journal of Clinical Epidemiology, 2014,67(1):46-51.
[2] Riley David S, Barber Melissa S, Kienle Gunver S, et al.CARE guidelines for case reports: explanation and elaboration document[J]. Journal of Clinical Epidemiology, 2017,89:218-235.
[3] Munk N, Boulanger K.Adaptation of the CARE Guidelines for Therapeutic Massage and Bodywork Publications: Efforts To Improve the Impact of Case Reports[J]. Int J Ther Massage Bodywork, 2014,7(3):32-40.
[4] Munk N, Shue S, Freeland E, et al.Identifying Inconsistencies and Reporting Deficits in Therapeutic Massage and Bodywork (TMB) Case Reports Authored by TMB Practitioners: a TMB-Adapted CAse REport (CARE) Guidelines Audit Through 2014[J]. Int J Ther Massage Bodywork, 2016,9(3):3-14.
[5] 张惠文,邹强,张拥军.罕见病病例报告写作规范专家共识[J].临床儿科杂志,2022,40(03):229-234.
[6] 刘冰,沈锡宾,魏均民,等.中国临床案例成果数据库建设与运营实践[J]. 编辑学报, 2022,34(04):438-442.
[7] 中共中央,国务院.关于深化医疗保障制度改革的意见[J]. 中华人民共和国国务院公报, 2020(09):10-15.
[8] 唐超. 医保变革下的医院应变之道[J].中国医院院长, 2021,17(21):32-37.
[9] 彭晓霞,秦海强,崔树起,等. 病例报告的临床价值、科研意义与撰写规范[J]. 中国卒中杂志, 2009,4(03):259-264.
[10] 张晓雯,刘建平.药品安全性个案报告的国际规范:CARE清单及其应用的评价[J].中国药物警戒,2021:1-9.
[11] 玄律,程超,郑杰,等.北京市DRG付费改革实践及DRG付费国家试点技术方案特点分析[J].中国医疗保险,2020(09):36-39.
[12] Seguel Moraga Paulina, Onetto Juan E, Uribe Sergio.Reporting quality of case reports about dental trauma published in international journals 2008-2018 assessed by CARE guidelines[J]. Dental Traumatology, 2021,37(2):345-353.
基金
中央级公益性科研院所基本科研业务费专项资金(2018PT33009)