奖惩机制在病案回收管理中的应用  

Application of award and punishment mechanism in medical record recycling management

作　　者：马金火[1] Ma Jinhuo(Department of Medical Record Statistics, the First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, China)

机构地区：[1]广东药科大学附属第一医院病案统计科,广东广州510080

出　　处：《中国医院统计》2020年第2期147-148,152,共3页Chinese Journal of Hospital Statistics

基　　金：2018年度广东省临床教学基地教学改革研究项目(2018JD029)。

摘　　要：目的探讨应用奖惩机制解决医院实际工作中病案回收难题,提高病案回收效率,保证病案信息利用的及时性。方法通过对某医院2014年至2018年病案回收与奖惩相关考核规定的修改执行情况,以及具体数据的统计分析,以确定奖惩机制对病案回收管理工作的实效。结果2014年建立工作考核规定,2015年、2016年、2017年和2018年每年调整一次。医院出院病案3个工作日归档率从2014年的7.62%提升到2018年的53.62%,7个工作日归档率从2014年的44.45%提升到2018年的95.76%。2018年比2017年减少了218670元的开支,减少47.24%。结论奖惩机制是提升住院病案回收效率的有效手段。病案管理水平和利用程度地提高,对医院病案管理制度的完善与执行,以及医院管理层、各科室重视程度,有更高的要求。Objective To explore the mechanism of reward and punishment in solving the problem of medical record recovery in the actual work of the hospital,improve the efficiency of medical record recovery,and ensure the timeliness of medical record information utilization.Methods The actual effect of the reward and punishment mechanism on the management of the recovery of medical records was determined through the modification and implementation of the assessment regulations on the recovery of medical records and rewards and punishment from 2014 to 2018 in a hospital,as well as the statistical analysis of specific data.Results Work appraisal regulations were established in 2014 and adjusted annually in 2015,2016,2017 and 2018.The 3-day filing rate of discharged medical records increased from 7.62%in 2014 to 53.62%in 2018,and the 7-day filing rate increased from 44.45%in 2014 to 95.76%in 2018.The expenditure in 2018 was 218670 yuan less than that in 2017,with a decrease of 47.24%.Conclusion The reward and punishment mechanism is an effective way to improve the efficiency of hospitalization of medical records.The improvement of medical record management level and utilization level has higher requirements for the improvement and implementation of hospital medical record management system,as well as the importance of hospital ma-nagement and the departments.

关 键 词：奖惩机制 病案回收 病案管理 

分 类 号：R197.32[医药卫生—卫生事业管理]