医生对健康查社会决定因素的Z代码的看法
Michael Enich1, Emmy Tiderington2
1University of Washington, Seattle, WA, USA. menich2@uw.edu.
Journal of general internal medicine
|May 5, 2025
概括
医生经常使用ICD-10 Z代码来计费健康的社会决定因素 (SDOH),而不是记录患者的需求. 改进Z代码的利用可以提高社会需求护理.
科学领域:
- 医疗保健信息学是一种医疗信息学.
- 医疗服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 卫生系统越来越多地解决了健康的社会决定因素 (SDOH).
- ICD-10 Z 代码提供了一种无处不在的方法来记录 SDOH.
- 医生对Z代码对社会需求文档的实用性的看法尚未得到充分研究.
研究的目的:
- 为了探索医生对Z代码的理解.
- 评估医生对Z代码的看法,以记录与健康相关的社会需求.
主要方法:
- 对新泽西州高Z编码医院的18名医生进行了半结构化的定性访谈.
- 采用演和诱导的主题内容和交叉案例分析.
主要成果:
- 医生们确定了社会需求,但缺乏系统的记录过程.
- Z代码经常在不经意间被用于计费和表示医疗复杂性.
- 医院系统,SDOH查和退款影响了Z码的使用.
结论:
- Z代码在电子健康记录中普遍存在,并为社会需求文档提供了机会.
- 医生主要使用Z代码进行计费,并反映与社会风险相关的复杂护理.
- 未来的举措可以将Z码纳入查或资助社会卫生计划.
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