河南省安阳市病案编码员现状调查及离职倾向分析  

Investigation on the current situation and resignation tendency of medical record coders in Anyang,Henan province

作　　者：万子瑾 戴遥 陶红兵[1] 刘利红[2] Zijin Wan;Yao Dai;Hongbing Tao;Lihong Liu(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Medical Affairs,Anyang People′s Hospital,Anyang 455000,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030 [2]河南省安阳市人民医院医务科,455000

出　　处：《中华医院管理杂志》2021年第9期752-756,共5页Chinese Journal of Hospital Administration

摘　　要：目的了解医院病案编码员群体现状及离职倾向, 为病案编码员培养及队伍建设提出建议。方法 2020年4—5月, 对河南省安阳市27家按疾病诊断相关分组付费试点医院的在职病案编码员进行问卷调查, 统计在职编码员所处医院的病案科概况、个人基本信息、专业素质、工作满意度及离职倾向等, 采用肯德尔系数分析离职倾向的相关因素。结果受访医院共有编码员98人, 其中专职编码员43人, 兼职编码员55人。回收有效问卷83份, 有效回收率为84.7%。其中学历水平为大专及以下者29人(34.9%), 职称为初级及以下者51人(61.4%), 15人(18.1%)所学专业为医学信息或病案管理, 29人(34.9%)未获得疾病分类与手术操作分类编码技能水平培训(考试)合格证(以下简称编码证), 31人(37.3%)对薪酬制度不满意, 14人(16.9%)有离职倾向。职称越低、持有编码证、薪酬满意度低的病案编码员更易有离职倾向。结论安阳市的病案编码员存在人才数量偏少、编码证持证比例低以及薪酬满意度低等问题, 职称、编码证持有情况以及薪酬满意度与离职倾向之间有相关性。医院管理层应加强对病案编码工作及编码员的重视程度, 建立合理的薪酬、职称考评及绩效激励制度, 提高编码员岗位对优秀专业人才的吸引力。Objective To investigate the current status of medical record coders and their resignation tendency,and put forward suggestions for the training and team building of medical record coders.Methods From April to May 2020,a questionnaire survey was conducted among the medical record coders in 27 DRG payment pilot hospitals in Anyang,Henan.Statistical analysis was conducted on the profile of the medical case department,basic personal information,professional quality,job satisfaction and resignation intention.Kendall coefficient was used to analyze the factors related to the resignation intention.Results There were 98 coders in the surveyed hospitals,including 43 full-time coders and 55 part-time coders.Eighty-three valid questionnaires were recovered,and the effective recovery rate was 84.7%.Among them,29(34.9%)had education level of junior college or below,51(61.4%)had junior title or below,15(18.1%)had medical information or case management as their major,29(34.9%)coders had not obtained a coding certificate,31(37.3%)were dissatisfied with the salary system,and 14(16.9%)had a tendency to leave.The medical record coders with lower professional titles,coding certificates and lower salary satisfaction were more likely to have the intention of resignation.Conclusions Medical record coders in Anyang were challenged with such problems as shortage of manpower,low percentage of coding certificate holders and low salary satisfaction.Title,code certificate issuance and salary satisfaction were correlated with their resignation intention.Hospital managers should strengthen the importance of medical record coding and coders,and establish a reasonable salary,title evaluation and performance incentive system,so as to improve the attractiveness of coder position.

关 键 词：人力资源管理 病案编码员 现状分析 离职倾向 

分 类 号：R197.32[医药卫生—卫生事业管理]