对中国医疗记录编码人员的工作量进行系统审查和元分析
Yu Liu1, Chao Wu2, Meiling Cao3
1Department of Medical Administration, Baotou Central Hospital, Baotou, Inner Mongolia, 014040, China.
BMC medical informatics and decision making
|November 11, 2024
概括
中国中国中国中国.
科学领域:
- 医疗信息学 医疗信息学
- 医疗记录管理 医疗记录管理
- 医疗保健管理部门的管理.
背景情况:
- 医疗记录主页的质量对于国家评估和支付至关重要.
- 编码人员作为审计人员,对医疗记录质量有很大影响.
- 了解编码器分配对于医疗保健系统的效率至关重要.
研究的目的:
- 分析目前在中国的全职医疗记录编码员的分配和特点.
- 确定医疗记录编码人员分配和工作负载的挑战.
主要方法:
- 对多个数据库 (CNKI,万芳,VIP,PubMed) 的系统文献审查,截至2023年11月.
- 分析重点是编码员分配,工作量,专业背景,资格,头,证书和经验.
- 包括11项研究中的1783家医院和4448名编码人员的数据.
主要成果:
- 很大一部分程序员有医疗背景 (61%),学士学位或更高 (62%) 和编码证书 (61%).
- 然而,51%的人有不到5年的经验,这表明了潜在的员工流动.
- 高等医院的编码员处理的平均工作量更高 (约为1. 12,049条记录) 与二级医院 (大约. 7,399 条记录). 这就是为什么.
结论:
- 这项研究揭示了医疗记录编码人员的短缺,工作量高,以及资格和经验的不平衡.
- 建议包括优先招聘受过教育的专业人员,改进职称评估,减少编程人员的工作量.
- 提高编码质量对于准确的医疗保健绩效评估和支付至关重要.
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