从新医疗政策的推进看编码专科医生的工作压力

Yu-Hua Yan
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摘要

目的:探讨新卫生政策的推行对编码专科医生工作压力的影响。方法:采用邮寄或发放问卷的方式,由编码专家在全国范围内完成;收集调查结果进行统计、分析和讨论。2个月内共发放问卷802份,剔除无效问卷后有效问卷333份,回复率为41.5%。结果:台湾地区编码专家以34 ~ 50岁女性居多;大多数人都受过大学教育,工作时间超过10年。大多数人每天花6到8个小时编码,并在20分钟内完成每份病历的编码。性别和年龄对胜任力特征和工作压力无显著的主效应。服务年限和受教育程度对知识、技能和学习愿望的掌握程度有影响,对角色压力、人际关系、专业知识和工作量有显著影响。结论:编码专家面临着专业知识的挑战和角色转换的压力。我们建议政府提供不同程度的培训,并为不同能力的人士提供额外的培训设施,以及重视编码专家的专业价值,以增加他们的工作热情和提高他们的专业素质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploration on the Work Stress of Coding Specialists from the Promotionof New Medical Policies
Objectives: The purpose of the present study is to explore the influence from the promotion on the new health policy on the work stress of the coding specialists. Methods: The present study mail or hand out questionnaire survey to be completed by the coding specialists throughout the nation; the surveys were collected for statistics, analyses and discussion. 802 surveys were distributed within the two months, and a total of 333 surveys were valid after invalid surveys were removed, the response rate was 41.5%. Results: Most of the coding specialists in Taiwan are females between the age of 34 to 50 years old; most are college educated with over 10 years of service. Most spent 6 to 8 hours coding each day, and finish coding for each medical record in 20 minutes. No significant main effect was observed in gender and age on competency characteristics and work stress. The length of service and level of education can influence how much the knowledge, skills and learning aspiration one holds, as well as significant influence on role stress, interpersonal relationship, professional knowledge and workload. Conclusions: Coding specialists are facing challenges in professional knowledge and stress from role transition. Recommendations are made to the government to provide different levels of training and to allocate additional training facilities aimed at the needs of those at different competence, and to value the professional value of the coding specialists to increase their enthusiasm and enhance their professional quality.
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