Bowman E, McCain M
Department of Medical Record Administration, University of Tennessee, Memphis.
Top Health Rec Manage. 1990 Sep;11(1):17-24.
The findings of the study did support the faculty's hypotheses. First, only 50% of the hospitals retain responsibility for the statistical function. This finding was, however, affected by the size of the hospital, with 100% of the hospitals of 400 beds or less retaining such responsibility. Second, the findings showed that only 12.5% of the hospitals had entirely manual statistical systems. However, 50% of the hospitals did compile some statistics manually, including the daily hospital census and discharge service statistics. Finally, in looking at the UT Memphis statistics curriculum and those of 14 other medical record administration programs in the Southeast, the hypothesis that curricula did not mirror this changing practice was confirmed. Although 100% of the programs surveyed had students memorize statistical formulas, only 36% had students working with computers in the statistics course. Of the 14 programs, only 6 specifically covered QA of statistical data in the statistics course, and 9 did not deal at all with how to assess the adequacy of policies and procedures for gathering statistical information. As a result of these findings, UT Memphis has modified its statistical course to increase the emphasis on computerization, QA, and assessment of statistical policies and procedures. These changes will better prepare the UT Memphis graduate for the statistical responsibilities that they will face in the workplace.
该研究的结果确实支持了教员们的假设。首先，只有50%的医院保留对统计职能的责任。然而，这一结果受到医院规模的影响，400张床位及以下的医院中有100%保留了该责任。其次，研究结果表明，只有12.5%的医院拥有完全手动的统计系统。然而，50%的医院确实手动编制了一些统计数据，包括每日医院普查和出院服务统计数据。最后，在审视孟菲斯大学的统计课程以及东南部其他14个医疗记录管理项目的课程时，课程未反映这种不断变化的实践这一假设得到了证实。尽管接受调查的项目中有100%让学生记忆统计公式，但只有36%的项目让学生在统计课程中使用计算机。在这14个项目中，只有6个在统计课程中专门涵盖了统计数据的质量保证，9个根本没有涉及如何评估收集统计信息的政策和程序的充分性。基于这些研究结果，孟菲斯大学修改了其统计课程，以加强对计算机化、质量保证以及统计政策和程序评估的重视。这些变化将使孟菲斯大学的毕业生更好地为他们在工作场所将面临的统计责任做好准备。
