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| Survey on the status of medical record practitioners in secondary and above general hospitals in Guangdong Province from 2018 to 2020 |
| Pang Hui, Xin Ziyi, Xiong Ying |
| Deptment of Medical Records Management, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China |
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Abstract 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 10 000 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.
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Received: 22 March 2022
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| ［1］国务院办公厅.国务院办公厅关于加强三级公立医院绩效考核工作的意见：国办发〔2019〕4号［A/OL］.（2019-01-30）［2022-03-22］.http://www.gov.cn/zhengce/content/2019-01/30/content_5362266.htm.
［2］中共中央国务院关于深化医疗保障制度改革的意见［A/OL］. （2020-02-25）［2022-03-22］.http://www.gov.cn/zhengce/2020-03/05/content_5487407.htm.
［3］国家卫生健康委办公厅.国家卫生健康委办公厅关于印发2021年国家医疗质量安全改进目标的通知:国卫办医函〔2021〕76号［A/OL］. （2021-02-20）［2022-03-22］.http://www.nhc.gov.cn/yzygj/s7657/202102/8c53313663284a7ba146648509538ee2.shtml.
［4］刘新奎，杨林朋，尚小平，等．河南省51家三级公立医院病案编码员现状分析［J］．中国病案，2020，21(7)：1-3．DOI:10.3969/j.issn.1672-2566.2020.07.001.
［5］黄韵橙，晁俊，杨曦，等．两类院校健康服务和管理专业本科人才培养比较及提升策略［J］．中华医学教育杂志，2021，41(2)：113-116．DOI:10.3760/cma.j.cn115259-20200607-00890.
［6］朱汉祎，谢小燕，曾志嵘，等．新形势下医学课程整合改革的实践与反思［J］．中华医学教育杂志，2018，38(2)：183-186．DOI:10.3760/cma.j.issn.1673-677X.2018.02.005.
［7］袁永旭，张淑婷，赵晓婷，等．基于爬虫技术的病案管理人才需求现状分析［J］．中国病案，2020，21(9)：3-7．DOI:10.3969/j.issn.1672-2566.2020.09.002. |
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