重庆市二、三级医院病案科发展现状研究  

Research on the Development Status of Medical Record Departments of the Second and the Third Grade Hospitals in Chongqing

作　　者：李继志 任亚勤 LI Ji-zhi;REN Ya qin(Chongqing Red Cross Hospital/Jiangbei District People's Hospital,Chongqing 400020,China)

机构地区：[1]重庆市红十字会医院(江北区人民医院),重庆市400020

出　　处：《现代医院管理》2024年第5期27-29,共3页Modern Hospital Management

摘　　要：目的调查重庆市二、三级医院病案科发展现状,为全市病案科改革提供数据支撑。方法调查重庆市352家二、三级医院病案科人员基本信息、科室归属和运行情况,收集、整理数据信息并采用描述性分析。结果病案科多为二级科室。病案科人员在三级医院多为20~30岁,二级医院多为31~40岁;二、三级医院女性多于男性;三级医院以本科为主,二级医院以专科为主;三级医院多为护理和临床专业,二级医院多为护理专业;二、三医院以初中级职称为主;三级医院获国家编码证、培训证较多。病案三日归档、病案服务、病案质控、病案信息化有待提升。结论重庆市二、三级医院病案科的发展相对滞后,政府和医院应给予重视。Objective:In order to investigate the development status of the medical records department in the second and the third grade hospitals in Chongqing and provide data support for the reform of the medical records department in the city.Method:The basic information,department afiliation and operation of the medical records department of 352 second and third grade hospitals in Chongqing were investigated,and the data information was collected and sorted out with descriptive analysis.Result:The medical records department is mostly secondary departments.Most of the medical records staff are 20-30 years old in the third grade hospitals and 31-40 years old in the second grade hospitals;More women than men are in the second and the third grade hospitals;The third grade hospitals mainly offer undergraduate programs,while the second grade hospitals mainly offer specialized programs;The third grade hospitals are mostly specialized in nursing and clinical practice,while the second grade hospitals are mostly specialized in nursing;Workers in the second and the third grade hospitals mainly hold intermediate and junior professional titles;The third grade hospitals have obtained more national coding certificates and training certificates.The three-day filing of medical records.medical record services,medical record quality control,and medical record informatization need to be improved.Conclusion:The development of medical record departments in the second and the third grade hospitals in Chongqing is relatively lagging behind,and the govermment and hospitals should pay attention to it.

关 键 词：病案管理 学科发展 人才队伍建设 

分 类 号：R197[医药卫生—卫生事业管理]