A disease score adjustment based on big data method and a computing device

Abstract

The embodiment of the invention discloses a disease score adjustment based on big data method and a computing device. The method comprises the following steps: a computing device receives a case set,the case set is a set of cases generated in a first evaluation cycle in a first region and belonging to a first disease classification, and the case set includes actual medical insurance cost; Calculating a disease species score of each case in the case set according to the basic disease species score of the first disease species classification; Calculating a first total medical insurance cost ofthe case set based on the disease category scores of all cases in the case set, and calculating a second total medical insurance cost of the case set based on the actual medical insurance cost of allcases in the case set; Furthermore, the first basic disease score of the first disease classification is adjusted according to the first total medical insurance cost and the second total medical insurance cost, so as to calculate the disease score of the cases belonging to the first disease classification in the second evaluation cycle by the adjusted first basic disease score, thereby improving the accuracy of the disease score.

Description

technical field [0001] The invention relates to the technical field of medical management, in particular to a big data-based disease score adjustment method and computing equipment. Background technique [0002] With the layout of the national public medical care and the continuous deepening of medical reform, the reform of the payment system is a system engineering, a manifestation of the major changes in the management concept of medical insurance and the role of medical insurance agencies. The implementation of payment according to the type of disease fully reflects that the payment system is the key to comprehensive medical reform. [0003] The so-called payment by disease refers to scientifically formulating a fixed payment standard for each disease through a unified disease diagnosis classification. The social security agency pays the hospitalization fee to the designated medical institution according to the standard and the number of hospitalizations, so as to standar...

AI Technical Summary

Problems solved by technology

However, for the overall environment of China's medical care, there are far fewer than 26,000 common diseases in each region, and when medical personnel record cases, due to the diversity and complexity of diseases in the prior art, medical personnel often do not Classification according to international standards, each region has a regional language description, which brings certain difficulties to the implementation of payment by disease type

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