主要医疗保健专业人员对临床编码的方法:威尔士的一个定性面试研究
Aled Davies1, Haroon Ahmed2, Tracey Thomas-Wood3
1PRIME Centre Wales, Cardiff University, Cardiff.
概括
由于复杂的系统和时间压力,初级保健人员面临重大临床编码挑战,影响数据质量和患者护理. 需要人工智能和改进培训等解决方案来支持准确的电子健康记录编码.
科学领域:
- 医疗信息学 医疗信息学
- 初级保健研究研究初级保健研究
- 质量健康研究 质量健康研究
背景情况:
- 临床编码标准化了电子医疗记录.
- 在一般实践中,了解员工对临床编码的方法是有限的.
研究的目的:
- 调查初级保健工作人员对临床编码的经验和观点.
主要方法:
- 一项定性研究,涉及与威尔士的初级保健工作人员进行半结构面试.
- 采访于2023年2月至6月进行,转录并使用反射主题分析进行分析.
主要成果:
- 六个主题出现了:编码挑战,动机,简化,日常任务,编码决策和COVID-19期间的编码.
- 参与者强调非直观的系统,多病症和时间压力是关键的编码困难.
结论:
- 初级保健中的临床编码是复杂的,在贫困地区的挑战可能会加剧,并影响研究和患者护理的数据有效性.
- 需要技术 (如人工智能) 和非技术 (如培训) 解决方案来改善临床编码流程和支持人员.
相关概念视频
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
Data Collection II
8.1K
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
8.1K
Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K


