教育用電子カルテを用いた症例経営分析教育の試み  [in Japanese] The Trial of Analysis for Management by Case-studies Education Using the Educational Electronic Medical Recoding System  [in Japanese]

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Author(s)

    • 山崎 友義 Yamazaki T
    • 宮崎大学医学部附属病院 医療情報部 University of Miyazaki Hospital, Medical Informatics Division
    • 酒田 拓也 Sakata T
    • 宮崎大学医学部附属病院 医療情報部 University of Miyazaki Hospital, Medical Informatics Division
    • 鈴木 斎王 Suzuki M
    • 宮崎大学医学部附属病院 医療情報部 University of Miyazaki Hospital, Medical Informatics Division
    • 荒木 賢二 Araki K
    • 宮崎大学医学部附属病院 医療情報部 University of Miyazaki Hospital, Medical Informatics Division

Abstract

DPC データによる量的経営分析は病院経営の有効な手法である.しかし,同一DPCでも症例ごとに投入する医療資源量は異なり,現場の医師が分析結果を受容しやすい内容の提示は難しい.われわれは上記の量的な分析とともに電子カルテのテキスト記録の質的分析を追加した症例経営分析を継続して行い,その内容で現場の医師たちに行動変容を促している.この分析手法を普及させるため,患者個人情報を匿名化した教育用電子カルテを作成し,これを用いて医療経営分析担当者を対象とした教育プログラムの開発を試みている.本稿では,このプログラムを用いた講習会の結果より,開発した手法の効果を検討した.<br/> 教育プログラムの受講者に上記の電子カルテを使用させ,症例経営分析を行わせた.分析結果は,医師や事務担当者の患者病態把握や知識不足が,コーディングミスや長期入院の原因・誘因だと指摘した質的分析内容を提示し,この教育手法の有効性が示唆できた.

Statistical analysis using the data of the Diagnosis Procedure Combination system (DPC) has been the effective method of hospital management. However, the contents of the expended healthcare resource differ from the same DPC code by difference in patient's condition. As a result, many doctors did not agree on the contents of the statistics analysis. We are performing continuously management by case-studies which added case-survey to statistics analysis. The contents of analysis which we carried out have obtained many doctors' agreement.<br/> We developed the educational electronic medical recoding system (EERS) which invalidated patient's information, in order to generalize this analytical method. Furthermore, development of the educational program using this system for healthcare administrators is tried. In 2012, the participants in the educational program were made to experience the management by case-studies using EERS.<br/> Participants' analysis result was indicated to be the cause by which the insufficiency of knowledge by either doctors or healthcare clerks wasted the health resource. This analysis result was the same as the result of us who carried out in advance.<br/> Therefore, the effectiveness of the educational program has been suggested.

Journal

  • Japan Journal of Medical Informatics

    Japan Journal of Medical Informatics 33(4), 219-223, 2013

    Japan Association for Medical Informatics

Codes

  • NII Article ID (NAID)
    130004709158
  • Text Lang
    JPN
  • ISSN
    0289-8055
  • Data Source
    J-STAGE 
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