Bensadoun H
Service d'Urologie, CHU Côte de Nacre - Caen.
J Chir (Paris). 2001 Feb;138(1):6-14.
The clinical coding system recently instituted in France, the PMSI (Projet de Médicalisation du Système d'Information), has become an unavoidable element in funding allocations for short-term private and public hospitalization centers. Surgeons must take into serious consideration this controversial medicoeconomic instrument. Coding is a dire time-consuming task but, like the hospitalization or surgery report, is an essential part of the discharge procedure. Coding can in the long run be used to establish pricing by pathology. Surgeons should learn the rules and the logic behind this coding system: which, not being based on a medical rationale, may be somewhat difficult to understand. Choosing the right main diagnosis and the comobidity Items is crucial. Quality homogeneous coding is essential if one expects the health authorities to make good use of the system. Our medical societies have a role to play in promoting and harmonizing the coding technique.
法国最近设立的临床编码系统，即PMSI（信息系统医疗化项目），已成为短期私立和公立医院中心资金分配中不可或缺的要素。外科医生必须认真考虑这一颇具争议的医疗经济工具。编码是一项极其耗时的任务，但与住院或手术报告一样，是出院流程的重要组成部分。从长远来看，编码可用于按病理确定价格。外科医生应了解该编码系统背后的规则和逻辑：由于其并非基于医学原理，可能有点难以理解。选择正确的主要诊断和合并症项目至关重要。如果期望卫生当局充分利用该系统，高质量的统一编码必不可少。我们的医学协会在推广和统一编码技术方面可以发挥作用。
