摘要
目的了解重庆市公立医院病案管理工作的现状,为推进病案学科的发展提供依据。方法采用问卷调查,于2022年7月1日-2022年10月31日期间,对随机抽取的重庆市31家二级及以上公立医院病案科的人员配置、信息化程度及人才引进等调查,运用描述性统计方法进行分析。结果31家医院实际开放床位与病案管理人员配备比为126.38:l,独立病案科占22.58%。三级医院病案管理相关专业人员占比为75.35%,以大学本科学历为主,占60.28%;二级医院病案管理相关专业人员占比为80.00%,大学本科为57.30%%。各级医院电子病历评级平均仅为3.5级;61.29%二级、三级医院近3年有引进人才需求。结论重庆市二级及以上医院病案科室仍存在人员紧缺、信息化程度不高等问题,需要进一步从人才培养、系统升级、管理改进等方面提升,以满足现代医院管理对病案工作的要求。
Objectives This study aims to understand the current status of medical record management in public hospitals in Chongqing,in order to provide a basis for promoting the development of the medical record discipline in the city.Methods A total of 31 public hospitals of secondary or above in Chongqing were randomly selected to conduct a questionnaire survey on the staffing,informatization level,and talent introduction of the medical records department,etc.,from July 1,2022 to October 31,2022.Descriptive statistical methods were used for analysis.Results The actual ratio of open beds to medical record management staff in 31 hospitals was 126.38:1,and independent medical record departments accounted for 22.58%.Professionals related to medical record management in tertiary hospitals accounted for 75.35%,mainly with a bachelor's degree,accounting for 60.28%.Professionals related to medical record management in secondary hospitals accounted for 80.00%,and undergraduates accounted for 57.30%.The average electronic medical record rating of hospitals at all levels was only 3.5.61.29%of secondary and tertiary hospitals had the need to introduce talents in the past three years.Conclusions The medical record departments of secondary and above hospitals in Chongqing still have problems such as staff shortages and low levels of informatization.Further improvements need to be made in terms of talent training,system upgrades,and management improvements to meet the requirements of modern hospital management for medical record work.
作者
蔡明春
鄢正波
邓宇
Cai Mingchun;Yan Zhengbo;Deng Yu(Chongqing Tongliang District People's Hospital,Chongqing 402560,China;不详)
出处
《中国病案》
2024年第5期1-4,共4页
Chinese Medical Record
基金
重庆医药职业教育集团2020年度教科研及院级项目CQZJ202046/Y2021-8。
关键词
公立医院
病案
现状
Public hospitals
Medical records
Current situation
