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[工作编码(2003年医疗过程编码系统):一项在职业健康服务机构开展的研究的反馈]

[Job coding (PCS 2003): feedback from a study conducted in an Occupational Health Service].

作者信息

Henrotin Jean-Bernard, Vaissière Monique, Etaix Maryline, Malard Stéphane, Dziurla Mathieu, Lafon Dominique

出版信息

Sante Publique. 2016 Oct 19;28(4):471-480.

Abstract

Aim: To examine the quality of manual job coding carried out by occupational health teams with access to a software application that provides assistance in job and business sector coding (CAPS). Methods: Data from a study conducted in an Occupational Health Service were used to examine the first-level coding of 1,495 jobs by occupational health teams according to the French job classification entitled “PSC- Professions and socio-professional categories” (INSEE, 2003 version). A second level of coding was also performed by an experienced coder and the first and second level codes were compared. Agreement between the two coding systems was studied using the kappa coefficient (κ) and frequencies were compared by Chi2 tests. Results: Missing data or incorrect codes were observed for 14.5% of social groups (1 digit) and 25.7% of job codes (4 digits). While agreement between the first two levels of PCS 2003 appeared to be satisfactory (κ=0.73 and κ=0.75), imbalances in reassignment flows were effectively noted. The divergent job code rate was 48.2%. Variation in the frequency of socio-occupational variables was as high as 8.6% after correcting for missing data and divergent codes. Conclusions: Compared with other studies, the use of the CAPS tool appeared to provide effective coding assistance. However, our results indicate that job coding based on PSC 2003 should be conducted using ancillary data by personnel trained in the use of this tool.

摘要

目的

研究职业健康团队在使用一款可辅助进行工作和业务部门编码的软件应用程序(CAPS)时,手工进行工作编码的质量。方法:利用在一家职业健康服务机构开展的一项研究中的数据,根据法国工作分类标准“PSC - 职业和社会职业类别”(法国国家统计局,2003年版),对职业健康团队进行的1495个工作的一级编码进行研究。还由一名经验丰富的编码员进行了二级编码,并对一级和二级编码进行了比较。使用kappa系数(κ)研究两种编码系统之间的一致性,并通过卡方检验比较频率。结果:在14.5%的社会群体(1位数字)和25.7%的工作代码(4位数字)中观察到数据缺失或编码错误。虽然2003年PCS前两级之间的一致性似乎令人满意(κ = 0.73和κ = 0.75),但重新分配流程中的不平衡现象确实存在。不同工作代码率为48.2%。在校正数据缺失和不同代码后,社会职业变量频率的变化高达8.6%。结论:与其他研究相比,使用CAPS工具似乎能提供有效的编码辅助。然而,我们的结果表明,基于2003年PSC的工作编码应由经过该工具使用培训的人员使用辅助数据来进行。

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