葡萄牙医疗编码人员对ICD-10-CM/PCS过渡的看法:一项全国调查
Filipa Santos Martins1,2, Fernando Lopes2,3, Júlio Souza2,3
1Centro Hospitalar Universitário de São João, Portugal.
概括
葡萄牙的医疗编码人员发现,向国际疾病分类,第十次修订,临床修改/程序编码系统 (ICD-10-CM/PCS) 的过渡改善了数据质量. 然而,这个新系统需要更多的时间来进行临床编码.
科学领域:
- 医疗信息学 医疗信息学
- 医疗编码系统 医学编码系统
- 医疗保健管理部门的管理.
背景情况:
- 葡萄牙的医院报销依赖于受过训练的医生进行的临床编码.
- 2017年,葡萄牙从ICD-9-CM过渡到ICD-10-CM/PCS进行诊断和程序编码.
- 这一变化影响了医院发病率数据的分类.
研究的目的:
- 评估医学编码人员对ICD-9-CM到ICD-10-CM/PCS过渡的看法.
- 评估对临床数据质量的影响.
- 确定在过渡期间遇到的差异,优势和挑战.
主要方法:
- 在葡萄牙进行了一项观察性研究.
- 一个基于网络的调查被分发给了医疗程序员.
- 调查设计包括文献审查和先前的焦点小组调查结果.
主要成果:
- 有103名具有ICD-9-CM和ICD-10-CM/PCS经验的医疗编码人员作出回应.
- 82%的人更喜欢ICD-10-CM/PCS系统.
- 74%的人认为ICD-10-CM/PCS增强了编码数据的质量,59%的人指出时间要求增加.
结论:
- 转向ICD-10-CM/PCS被认为可以提高临床编码数据的质量.
- 尽管质量有所提高,但编码人员报告说,编码过程的时间投资增加了.
- 与增加的工作量平衡数据质量收益是关键考虑因素.
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