摘要
目的研究广东省二级及以上综合医院病案从业人员现状及变化趋势,为病案专业人员培养及队伍建设提出建议。方法通过全国医疗质量数据抽样调查中病案管理专业调查获取2018—2020年广东省病案科从业人员的数量、学历背景及工作负荷等相关数据,采用四分位数及非参数检验描述及分析病案从业人员的发展趋势。结果2020年样本机构病案科平均人员数9.52人,每百床病案人员数1.22人,每万出院病人工作人员数3.24人,病案相关专业人员数6.82人,本科及以上学历人员5.01人,人年均负担病案数1.02万份/人年,与2018年相比基本保持稳定。结论病案专业人员队伍不断发展,人员数量有一定增长,但人员工作负荷仍然较重,不同地区、不同机构间病案队伍建设不平衡仍然突出。应继续重视病案专业人员的教育,包括在高等教育中加强病案信息学相关专业的本科和研究生教育,特别是要不断地提高病案编码员的毕业后教育体系建设,以适应病案学科发展的新形势,为病案管理专业提供人才资源。
Objective To study the current situation and change trend of medical record practitioners in secondary and above general hospitals in Guangdong Province,and put forward suggestions for training and team construction of medical record practitioners.Methods The number,educational background and workload of medical record practitioners in Guangdong Province from 2018 to 2020 were obtained through the medical record management professional survey in the national medical quality data sampling survey,and the development trend of medical record practitioners was found by comparative analysis.Quartile and nonparametric tests were used to describe and analyze the data.Results In 2020,the average number of personnel in the medical record departments of sample institutions was 9.52,the number of personnel per 100 beds was 1.22,the number of staff per 10000 discharged patients was 3.24,the number of medical record-related professional was 6.82,the number of undergraduate and above education personnel was 5.01,and the average annual number of medical records was 1.02 million copies/person-year,which remained stable compared to those in 2018.Conclusion With the continuous development of medical record professional team,the number of personnel has increased to a certain extent,but the workload of personnel is still heavy,and the imbalance of medical record team construction in different regions and different institutions is still prominent.We should continue to pay attention to the education of medical record professionals,including strengthening the undergraduate and postgraduate education of medical record informatics-related majors in higher education,especially continuously improving the construction of the post-graduation education system of medical record coders,so as to adapt to the new situation of the development of medical record disciplines and provide talent resources for medical record management.
作者
庞辉
辛子艺
熊莺
Pang Hui;Xin Ziyi;Xiong Ying(Deptment of Medical Records Management,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)
出处
《中国医院统计》
2022年第5期373-376,共4页
Chinese Journal of Hospital Statistics
关键词
病案专业人员
现状分析
病案教育
medical record practitioner
status analysis
medical record education
