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題名 | 通訊平臺在未完病歷管理之應用--以某醫學中心為例=Applications in Incompleted Medical Record Management of Communication Platform--Take One Medical Center as an Example |
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作者 | 羅友聲; 顏正忠; 李碧玲; 龍安靖; 黃介銘; | 書刊名 | 病歷管理期刊 |
卷期 | 5:1 民94.10 |
頁次 | 頁11-20 |
分類號 | 419.26 |
關鍵詞 | 未完成病歷; 逾期病歷; Incomplete medical record; Delinquent medical record; DRGs; Diagnosis related groups; |
語文 | 中文(Chinese) |
中文摘要 | 醫療院所申報的健保費用為醫院最主要的收入來源,醫師是否能如期完成病歷的書寫為申報給付的先決條件,在即將導入的DRGs制度讓我們瞭解到病歷與保險費用之間關係緊密,因此也讓醫療單位體認到即時完成病歷的重要性。 隨著資訊科技的發展,本研究試圖透過醫院既有的通訊平台以簡訊的方式通知醫師,加強院內工作人員溝通的管道並強化原有病歷室以電話、文件通知的形式,此外並在醫師所使用的門診、急診、住院醫令中加入未完成病歷提示系統,研究結果顯示在逾期病歷率、醫師完成病歷平均天數率方面皆有顯著的效果。 |
英文摘要 | What the medical institute declares is strong in protecting the expenses as the main source of revenue of the hospital, doctors can finish to it writes to precondition paid to declare case history as scheduled, let us know that relation between the medical record and insurance premium is close in DRGs system that will implemented into soon, so let the medical unit realize to the importance of finishing the medical record in time. With the development of information technology, this research attempts to notify the doctor by way of news in brief through the communication platform which the hospital has already had, strengthen the channel that staff members communicate in the courtyard and strengthen the original records room by telephone, in addition join the incomplete medical record to point out the system while combining Computerized Physician Order Entry (CPOE), the result of study shows in the delinquent medical record rate, the doctor finishes average days of medical record leading the respect to all have apparent results. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。