의무 기록 업무의 전산화에 관한 실태 조사 연구 = A Study on Computerization in Medical Record System

다국어 초록 (Multilingual Abstract)

The purpose of the study is to be helpful on computerization in medical record system by grasping the actual condition about the use of computerization in medical record system. This study is tried to be offered as a basic material to a hospital that wants to be computerized.
Following are the results of the study.
1) 400-599bed which is 35.9% was the highest for the number of bed of the subject hospitals.
2) The rate of using computerization was the highest in hospitals that have more than 800bed on the aspect of the actual condition on computerization.
3) Computerization on the part of hospital administration was used well according to the result of computerization on hospital work. Computerization on the system of insurance application was the most prevalent as 97.9% and the next was on the system of hospitalzing as 95.2%. Otherwise, computerization on the part of support for medical treatment was lacking as a result of the research about computerization on the radiation administration as 49.0%, the clinic pathological administration as 49.3%, the examined result administration as 45.5%, and the nursing system as 25.5%.
4) The result of computerization on medical record system was relatively used well as 81.4%, but the content of computerization system was used well only on a system that includes simple work and basic work according to the results of computerization on the patient index as 86.9%, operation index as 80%, and statistical data as 81.1%. computerization on the system that is complex and needs skills was in a bed condition according to the result of computerization on the lending administration of hospitalizing as 63.8%.
5) Taking the original copy for medical business custody was 60% of all the hospitals and the more bed to have in a hospital, the higher custody rate of medical business. There was a trend that it is changed to MF or OD and CD gradually (P＜0.01).
6) There was a trend that hospitals in Seoul have computerization system on summary on discharge from a hospital more for the relationship between the character of a hospital and computerization on medical record system(P＜0.05). The more outpatient a day, the more computerization on hospital work(P＜0.01). and the more bed that a hospital has, the more computerization(P＜0.01).
Then, if a hospital is the third, computerization is used more(P＜0.01).