山东省病案科现状调查

Investigation on the Current Situation of the Medical Records Department in Shandon Provinice

目的了解目前山东省三级综合医院的病案科现状,为医院病案科建设提供依据。方法通过调查问卷形式向山东省三级综合医院病案科调查设置、隶属、人员配置、教育培训情况。结果山东省三级综合医院中13.79%病案科作为独立科室;所有三级综合医院病案科均不负责挂号工作;病案科工作人员男女比例1:4.76,年龄结构以40岁以上为主,学历以大学本科为主,人员专业以护理与临床医学为主;平均编制床位与病案管理人员的配备比例117.43:1;病案科每人每年参加继续教育0.25次。结论山东省三级综合医院病案科隶属关系混乱,病案科人员配比不合理,病案管理专业人员缺乏,医院编制床位与病案管理人员的配比不足,教育培训不足。

Objectives To understand the current situation of medical records departments in the Three-level Hospitals within Shandong Province. and provide basis for the construction of the medical record departments of the hospitals. Methods To investigate the current situations of the medical records departments such as setting.membership. staffing. education and training of the Three-level General Hospital in Shandong province through the form of questionnaires. Results In all of the three general hospitals in Shandong province. 13.79% medical record department acted as an independent department. and not responsible for the registration work. The staff gender ratio of male and female in medical records department was 1： 4.76. the age structure was mainly above 40 years old. the education background was mainly undergraduate and most of which were skilled nursing and clinical staff profession. The ratio between average compiled beds and medical records management staff was 117.43： 1.and the continuing education situation was 0.25 times per year per person. Conclusions The affiliation relationship of medical records departments of the three general hospitals was confused in Shandong province. the medical record department staff ratio was unreasonable. the medical records management professionals was of great shortage.the ratio between average compiled beds and medical records management staff was insufficient as well as education and training were inadequate.