| Summary: | 碩士 === 國立陽明大學 === 醫務管理研究所 === 104 === Study Aim: The main purpose of this study was to analyze the correlation between hospitals’ and respondents’ characteristics and the attitudes toward ICD-10 implementation, as well as to identify the most difficult jobs and assistances needed at major hospitals in Taiwan.
Materials and Methods: The samples of this study included all of the medical centers and district hospitals in Taiwan. A self-administered structured questionnaire was developed to collect data with response rate of 98%. Descriptive analysis and multiple regression were conducted for the purpose of the study.
Main results:
1.The general attitude of ICD-10 implementation had non-significant difference, except for hospital ownership.
2.For the executives support view, it showed although the hospital executives were very concerned about the ICD-10 implementation, but coders were still insufficient current.
3.For professional coders view, it showed the coder although generally had received sufficient education and training current, but in practice a lot of coding consistency of diagnostic or procedure codes had still not a consensus.
4.For the ICD-10 implementation apply to practical work view, the respondent’s attitude was positive.
5.For medical professional’s compliance view , although the coders and physician's communication had no problem, but the physician cannot provide adequate medical messages for coding more complete and accurate.
6.For the government authority view, the government associated units previously had a lot of planning in the implementation process, the government planning and the practice process was still not comprehensive.
7.The respondents considered the coding consulting was the most needed by outside assistance, there were many coding problems encounter currently.
Conclusions: This study found that hospital ownership was significantly associated with the attitudes toward ICD-10 implementation. It also found that for ICD-10 implementation, the executive’s support was the most important factor, strengthening physicians’ understanding of ICD-10 needed to be improved the most, and consultation about coding was the help most sought.
|
|---|
