Marganitt B, MacKenzie E J, Smith G S, Damiano A M
Health Services Research and Development Center, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
Am J Public Health. 1990 Dec;80(12):1463-6. doi: 10.2105/ajph.80.12.1463.
We examined the trends in hospital discharge E-coding in Maryland over a 10-year period. The overall proportion of E-coded discharges has increased from 40 percent in 1979 to 55 percent in 1988. E-coding was lower in the severely injured, the elderly, and patients with long hospital stays. Our findings demonstrate that E-code reporting varies because of the limited number of data fields available for coding of discharge diagnoses. Universal, systematic reporting of E-codes in hospital discharge data is essential if these data are to provide critically needed information about nonfatal injuries. Hospital discharge data formats should contain separate fields for E-codes and the use of these codes, we believe, should be mandated.
我们研究了马里兰州10年间医院出院电子编码的趋势。电子编码出院的总体比例已从1979年的40%增至1988年的55%。在重伤患者、老年人以及住院时间长的患者中，电子编码比例较低。我们的研究结果表明，由于出院诊断编码可用的数据字段数量有限，电子编码报告存在差异。如果医院出院数据要提供有关非致命伤害的急需信息，那么在医院出院数据中对电子编码进行通用、系统的报告至关重要。我们认为，医院出院数据格式应包含电子编码的单独字段，并且应强制使用这些编码。
