评估儿科急诊医药计费代码分配的可靠性,以作为代理工作量衡量的未来考虑
Justin M Park1,2, Erica McDonald1,2, Yijinmide Buren2
1Faculty of Medicine, University of British Columbia, Vancouver, Canada.
PloS one
|August 25, 2023
概括
儿科急诊室的医生可靠地分配了计费代码,显示了与审计师分配的实质性协议. 这支持计费代码作为儿科急诊医生工作负载的有效衡量标准.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 准确的儿科急诊室 (PED) 工作量测量对于资源分配和减少医生倦怠至关重要.
- 目前,没有一个单一的验证变量能够一致地测量PED工作负载.
- 计费代码反映了医疗决策的复杂性,显示了作为工作负载的代理的潜力,但需要可靠性评估.
研究的目的:
- 评估PED医生分配的计费代码的可靠性.
- 在PED环境中识别影响计费代码分配的计费者间可靠性的因素.
主要方法:
- 150名四级PED医生的回顾性横截面研究 (2018年1月至12月).
- 医生分配的计费代码与计费审计师的分配 (标准标准) 相比较.
- 计算了评价者之间的可靠性;逻辑回归分析了共变量和可靠性之间的关联.
主要成果:
- 在医生和审计师计费代码分配之间发现了实质性的评价者间可靠性 (AC2 0.72).
- 调整后的模型表明,临床实习生参与与提高评估者之间的可靠性有显著的关联.
结论:
- 计费代码由PED医生可靠地分配,证明了与专家审计师的实质性协议.
- 这一发现是验证计费代码作为儿科急诊医生工作负载的可靠代理的关键一步.
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