지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 293 - 303 (11page)
이용수
초록· 키워드
오류제보하기
Objectives: This study examined the validity of the principal diagnoses on discharge summaries and coding assessments.
Methods: Data were collected from the National Health Security Office (NHSO) of Thailand in 2015. In total, 118,971 medical records were audited. The sample was drawn from government hospitals and private hospitals covered by the Universal Coverage Scheme in Thailand. Hospitals and cases were selected using NHSO criteria. The validity of the principal diagnoses listed in the “Summary and Coding Assessment” forms was established by comparing data from the discharge summaries with data obtained from medical record reviews, and additionally, by comparing data from the coding assessments with data in the computerized ICD (the data base used for reimbursement-purposes). Results: The summary assessments had low sensitivities (7.3%–37.9%), high specificities (97.2%–99.8%), low positive predictive values (9.2%–60.7%), and high negative predictive values (95.9%–99.3%). The coding assessments had low sensitivities (31.1%–69.4%), high specificities (99.0%–99.9%), moderate positive predictive values (43.8%–89.0%), and high negative predictive values (97.3%–99.5%). The discharge summaries and codings often contained mistakes, particularly the categories “Endocrine, nutritional, and metabolic diseases”, “Symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified”, “Factors influencing health status and contact with health services”, and “Injury, poisoning, and certain other consequences of external causes”. Conclusions: The validity of the principal diagnoses on the summary and coding assessment forms was found to be low. The training of physicians and coders must be strengthened to improve the validity of discharge summaries and codings.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Apiwachaneewong S / 2005 / Quality of inpatient records related to diagnosis related group in Changwat Kamphaengphet / J Health Sci 15 (5) : 730 ~ 739
Bonita R / 2007 / Basic epidemiology / World Health Organization
Chen G / 2010 / Validating ICD coding algorithms for diabetes mellitus from administrative data / Diabetes Res Clin Pract 89 (2) : 189 ~ 195
Jolley RJ / 2015 / Validation and optimisation of an ICD-10-coded case definition for sepsis using administrative health data / BMJ Open 5 (12) : e009487 ~
Karkhaneh M / 2012 / Emergency department coding of bicycle and pedestrian injuries during the transition from ICD-9 to ICD-10 / Inj Prev 18 (2) : 88 ~ 93
Bonita R / 2007 / Basic epidemiology / World Health Organization
Chen G / 2010 / Validating ICD coding algorithms for diabetes mellitus from administrative data / Diabetes Res Clin Pract 89 (2) : 189 ~ 195
Jolley RJ / 2015 / Validation and optimisation of an ICD-10-coded case definition for sepsis using administrative health data / BMJ Open 5 (12) : e009487 ~
Karkhaneh M / 2012 / Emergency department coding of bicycle and pedestrian injuries during the transition from ICD-9 to ICD-10 / Inj Prev 18 (2) : 88 ~ 93
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