| Summary: | 碩士 === 義守大學 === 醫務管理學系 === 104 === Classification of diseases is crucial in health and medical care systems. The International Classification of Diseases (ICD-10-CM/PCS) has been implemented by the World Health Organization and in advanced countries in Europe and North America. Taiwan implemented a 5-year induction program in 2010 to accurately reflect current treatment techniques and medical procedures, integrate with the global community, share related statistical data, and engage in related research. This study explores the critical barriers and key success factors for system transition.
Purposive sampling was used to recruit participants engaged in coding tasks in medical institutions. Data was collected till saturation. Qualitative in-depth interviews with 10 participants were conducted. The collected data explored the research topic and the data obtained following analyses formed the research conclusion. The interviewees were maintained anonymous during the interviews, and identifiable personal information relating to the participants was not collected. The interviews were conducted after obtaining the participants’ consent.
The results show that the key barriers in the transition from ICD-9 to ICD-10 were, according to their importance, information technology facilities, personnel cooperation, completeness of medical record content, and capital and funding. The key success factors were comprehensive and highly stable equipment, ample funding, favorable team communication, completeness of medical record, and managerial support.
According to the results, we infer that managerial personnel in medical institutions had been able to succeed in system transition because they employed effective communication, arranged in-service education, enhanced team communication and cooperation, and reserved sufficient funding for installing effective information technology equipment. This study suggests managerial divisions should counsel and provide incentives for institutions according to the level and scale of the institution, as well as provide different supporting measures accordingly during policy formulations. Such measures will accelerate the effects of a successful system transition.
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