Coding of female genital mutilation in the French Program for Medical Information Systems (PMSI): Why and how to improve accuracy?

IF 0.4 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2026-01-01 DOI:10.3917/spub.263.0075

Delphine Hascoet, Ruth M'bwang-Seppoh, Pascal Inizan

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引用次数: 0

Abstract

Introduction: This study aims to analyze the coding practices of female genital mutilation (FGM) within the French Program for Medical Information Systems (PMSI) in order to identify current limitations and their impact on care classification and healthcare funding.

Methods: A mixed-methods approach was adopted, combining a qualitative analysis based on a semi-structured interview with a specialist physician and an exploratory quantitative analysis based on a questionnaire distributed to Medical Information Departments (DIM). Data analysis relied on descriptive and comparative methods.

Results: All surveyed Medical Information Departments use the ICD-10 code N90.8 to code FGM as the principal diagnosis. However, practices vary significantly regarding associated diagnoses and surgical procedures. The lack of harmonization in coding practices, as well as limited awareness of specific funding mechanisms, restricts access to dedicated financial support for FGM management.

Conclusion: This study highlights the urgent need to improve FGM coding within the PMSI through the adoption of more specific codes. Better data structuring and traceability would improve recognition of care needs and facilitate access to funding mechanisms such as MIGAC and MERRI, thereby enhancing the quality of care provided to patients.

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女性生殖器切割信息系统的医学化方案编码。为什么以及如何提高准确性？

简介：本研究旨在分析法国医疗信息系统项目（PMSI）中女性生殖器切割（FGM）的编码实践，以确定当前的局限性及其对护理分类和医疗保健资金的影响。方法：采用混合方法，对专科医师进行半结构化访谈进行定性分析，并对各医疗信息科室发放的问卷进行探索性定量分析。数据分析依赖于描述性和比较性方法。结果：所有受访医疗信息部门均使用ICD-10编码N90.8将女性生殖器切割编码为主要诊断。然而，在相关的诊断和手术程序方面，实践差异很大。编码做法缺乏统一，以及对具体筹资机制的认识有限，限制了获得对女性生殖器切割管理的专门财政支持。结论：本研究强调了迫切需要通过采用更具体的编码来改善PMSI内部的女性生殖器切割编码。更好的数据结构和可追溯性将改善对护理需求的认识，并促进利用多边投资咨询委员会和MERRI等供资机制，从而提高向患者提供的护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc