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題 名 | 醫院病歷部門主管任用病歷管理與疾病分類人員的條件及建議事項=The Views of Directors of the Medical Records Department on Choosing Medical Records Staffs and Disease Coders and Their Suggestions |
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作 者 | 黃慧娜; 洪錦墩; | 書刊名 | 嘉南學報 |
卷 期 | 27 2001.11[民90.11] |
頁 次 | 頁37-48 |
分類號 | 419.26 |
關鍵詞 | 病歷管理; 疾病分類; Medical records management; Classification of disease; |
語 文 | 中文(Chinese) |
中文摘要 | 疾病分類是病歷管理業務中極具專業的一部份,自從健保實施以後,病歷管理和 疾病分類更突顯其重要性。病歷的完整、審查、檢驗報告的追蹤、疾病分類編碼的正確與完 整,都和醫學研究、衛生統計及醫療費用申報有著重要的關係,而管理人員的知識與技能更 將影響整體業務的運作。 本研究採問卷調查法,探討100床以上醫院病歷部門主管任用病歷管理人員和疾病分類人 員的條件,以及對學校教育和衛生單位的建議。結果顯示:主管任用病歷管理人和疾病分類 人員的條件有所不一,前者較著重於醫管科系畢業、個人特質、有病歷管理工作經驗的考量 ,後者著重於護理科系畢業、有疾病分類甄審考試合格、工作經驗或受訓資歷。主管期望學 校多加強的學科是:疾病分類編碼、醫學專業術語、病歷管理、保險申報實務。亦期望學生 在實習期間應主動些。並建議衛生署或健保局及早建立疾病分類人員專業證照制度。 |
英文摘要 | Classification of disease is a very professional part of medical records management. Medical records management and classification of disease become much more important under the national health insurance system. The completeness and review of charts, the follow up of exam reports, the accuracy and completeness of disease coding are related with medical research, health statistics and medical expenditure claim. Knowledge and skills of staffs will have much influence on the operation of business activities. Samples were the directors of medical records department in hospital with over 100 beds. The purpose of this study was to explore the views of the directors who choose medical records staffs and disease coders and their suggestion to school and health institutes. The result showed that directors prefer the person graduated from hospital management department and owned the working experience to be medical records staffs. On the other hand, directors prefer the person graduated from nursing department and owned certified coding exam and coding experience to be disease coders. The directors hope schools emphasize disease coding, medical terminology, medical records management and insurance claim practice. Suggest the health institutes to establish qualification of disease coders as early as possible. |
本系統中英文摘要資訊取自各篇刊載內容。