지방의료원의 의무기록사 현황과 관련요인 분석 (Analysis of the State of Medical Record Administrators and Relevant Factors in Regional Public Hospitals)

서지정보

· 발행기관 : 한국보건복지학회
· 수록지 정보 : 보건과 복지 / 10권 / 121 ~ 133페이지
· 저자명 : 고민석

초록

Objectives. The purpose of this study was to examine the state of medical record administrators in regional public hospitals and relevant medical environments, operating management and medical treatment activities in an attempt to help improve the posting of medical record administrators.
Methods. The subjects in this study were 34 regional public hospitals across the nation, and the data of 2006 on the selected regional public hospitals were analyzed. This study encoded the data gathered and carried out frequency analysis, descriptive statistics, t-test, ANOVA using SPSS 13.0 for windows.
Result. As a result of analyzing the data, (1) the average number of medical record administrators who worked in the regional public hospitals was 1.56, which showed that there was a very insufficient number of medical record administrators in the hospitals. The regional public hospitals that employed no medical record administrators accounted for 20.6 percent, and the regional public hospitals that hired just one medical record administrator represented 50.0 percent. (2) number of medical record administrator was statistically significant difference in region, whether or not training hospital, number of beds, number of departments, average charge per outpatient day. It was mostly difference in the medical environment and the operating management.
Conclusions. Regional public hospitals are public medical institutions that should contribute to the health of local residents and the development of local medicine, and the hospitals should wake up to the importance of medical record and hire more personnels in charge of that in order to ensure the accuracy, reliability and efficient management of medical record. Currently, the coverage of the law on medical record is confined to hospitals, and the government should revise the present law to cover not only medical environments and operating management but medical treatment activities.

영어초록

Objectives. The purpose of this study was to examine the state of medical record administrators in regional public hospitals and relevant medical environments, operating management and medical treatment activities in an attempt to help improve the posting of medical record administrators.
Methods. The subjects in this study were 34 regional public hospitals across the nation, and the data of 2006 on the selected regional public hospitals were analyzed. This study encoded the data gathered and carried out frequency analysis, descriptive statistics, t-test, ANOVA using SPSS 13.0 for windows.
Result. As a result of analyzing the data, (1) the average number of medical record administrators who worked in the regional public hospitals was 1.56, which showed that there was a very insufficient number of medical record administrators in the hospitals. The regional public hospitals that employed no medical record administrators accounted for 20.6 percent, and the regional public hospitals that hired just one medical record administrator represented 50.0 percent. (2) number of medical record administrator was statistically significant difference in region, whether or not training hospital, number of beds, number of departments, average charge per outpatient day. It was mostly difference in the medical environment and the operating management.
Conclusions. Regional public hospitals are public medical institutions that should contribute to the health of local residents and the development of local medicine, and the hospitals should wake up to the importance of medical record and hire more personnels in charge of that in order to ensure the accuracy, reliability and efficient management of medical record. Currently, the coverage of the law on medical record is confined to hospitals, and the government should revise the present law to cover not only medical environments and operating management but medical treatment activities.

참고자료

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