Investigation and Analysis on the Construction of Medical Records Department in Shanghai Second-class A and Above Medical Institutions
Objectives To provide reference for improving the level of medical record management and strengthening the construction of full-time medical record management staff through investigation and analysis of the connotation and development of medical record departments in municipal medical institutions.Methods On November 15th,2022,questionnaire survey method was used to collect the data of medical records departments from 90 second-class A and above medical institutions in Shanghai,and Excel2017 and SPSS21.0 were used to organize and analyze the data.Results Most of the medical record departments belong to the medical department,which was the second department of the hospital,accounting for 66.67%.88.12%of those with bachelor's degree or above;The professional titles of medical records information technology accounted for 39.82%;The ratio of full-time medical record management staff to hospital bed allocation was less than 1:50.Conclusions The professional level of full-time medical record management staff in Shanghai medical institutions was not consistent,the proportion of hospital beds and full-time medical record management staff was not reasonable,and the attention of hospitals to medical record departments needed to be further improved.
ShanghaiMedical records departmentConstructionInvestigation and analysis