四川省病案专职编码员配置现状分析  

Analysis on full-time medical record coders in Sichuan Province

作　　者：魏涵 李红樱[1] 明星宇 陈怡 周蝶 WEI Han;LI Hong-ying;MING Xing-yu;CHEN Yi;ZHOU Die(Department of Case Statistics,Sichuan Provincial People’s Hospital of Sichuan Academy of Medical Sciences,Chengdu,Sichuan 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院病案统计科,四川成都610072

出　　处：《现代预防医学》2021年第18期3345-3347,共3页Modern Preventive Medicine

基　　金：国家社会科学基金项目(20XGL018);四川省卫生健康委重点项目(20PJ106)。

摘　　要：目的通过对四川省病案专职编码员配置情况进行现状分析,以优化病案编码人才队伍建设,促病案专业高质量发展,为病案首页数据利用奠定基础。方法对四川省二级及以上医院病案科(室)进行问卷调查,获得2019年1月1日—2019年12月31日医院病案科(室)和专职编码员基本情况等内容。结果共调查1279名病案专职编码员,平均每家医院配备2.14名专职编码员;其中医学相关专业占77.95%,大专及以下学历占比最高(52.39%),人均每月负担出院患者病历数698.26份。结论四川省目前病案专职编码员配备不足,病案专职编码员的学历偏低,不同医院间专职编码员的工作负荷差距较大,领导部门应加强对编码的重视程度,并重视人才队伍建设,逐步减轻编码员的工作量。Objective To analyze the current situation of full-time medical record coders in Sichuan Province,in order to optimize the construction of the medical record coding talent team,promote the high-quality development of the medical record profession,and lay the foundation for the use of the front page of medical records data.Methods A questionnaire survey was conducted to obtain the basic information of hospital case departments(rooms)and full-time coders from January1,2019 to December 31,2019 in secondary and above hospitals in Sichuan Province.Results A total of 1279 full-time coders of medical cases were surveyed,with an average of 2.14 full-time coders per hospital.Among them,77.95%were medical-related majors and the highest percentage(52.39%)were with college education or below,with a monthly per capita burden of 698.26 medical records of discharged patients.Conclusion At present,the full-time coders for medical cases in Sichuan Province are inadequately equipped,the education of full-time coders for medical cases is low,and the workload of full-time coders varies widely among different hospitals.The competent authority should strengthen the importance of coding and pay attention to train talent team and gradually reduce the workload of coders.

关 键 词：病案 编码员 现状 

分 类 号：R197.323[医药卫生—卫生事业管理]