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題名:SNOMED協助國際疾病分類第十版編碼的認知調查
書刊名:醫務管理期刊
作者:陳亞屏鄭天浚錢才瑋
作者(外文):Chen, Ya-pingCheng, Tain-junnChien, Tsair-wei
出版日期:2016
卷期:17:3
頁次:頁247-265
主題關鍵詞:國際疾病分類重要-表現分析人與題目對照圖尤登圖現代測驗理論SNOMEDICD-10Importance-performance analysisItem-person mapYouden plotItem response theory
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:78
  • 點閱點閱:8
目的:利用重要-表現分析,評估SNOMED對國際疾病分類第十版編碼的價值與意義。方法:於2015年10月至12月調查南部三家醫院339位員工對於SNOMED協助國際疾病分類第十版編碼的認知。利用現代測驗理論單參數Rasch(羅序;1960)模式,將原始分數轉換為等距的洛基分數,進行模式擬合度的統計檢測,圖示受試者的洛基得分盒形圖,繪製彩色人與題目對照圖,及繪製重要-表現分析的尤登圖與填卷者身份的性別人數金字塔圖。結果:結果顯示:(1)17道題目的同意度與重要性量表,皆呈單向度的測量(內部一致性信度分別為0.83及0.87)、(2)疾病分類人員及醫師表達對SNOMED較高的同意度與重要性、(3)94.1%(=16/17)題目呈現同意SNOMED的價值與意義。結論:引進許多國家採用的SNOMED轉換國際疾病分類第十版的編碼方式,期以資訊人員的努力,以提供醫師另一具填列ICD-10的選擇方式。
Objectives: To evaluate perceptions about the Systematized Nomenclature of Medicine (SNOMED) in terms of International Classification of Disease version 10 (ICD -10) coding using Importance-Performance Analysis (IPA) Methods: We queried 339 employees from three hospitals in southern Taiwan regarding their perceptions about SNOMED in terms of ICD-10 coding from October to December 2015. The Rasch (1960) model based on item response theory (IRT) was utilized to transform ordered categorical scores into interval Rasch logit scores and then used to test the data-model fit. Visual representations using a box plot with a logit unit, a colorful item-person map, IPA Youden plot, and a pyramid plot with describing respondent count number across gentles were made. Results: The results showed that (1) both 17-item scales of agreement and importance were unidimensional, (2) the highest scores for perceptions about SNOMED were from respondents in terms of disease classification and from clinical physicians, (3) 94.1%(=16/17) of the items showed a positive attitude about SNOMED as used in hospitals. Conclusions: Use of the international SNOMED by computer programmers can help physicians select appropriate ICD-10 codes in clinical settings.
期刊論文
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2.蘇子炘、林沛縈、陳淑慧(20121200)。醫學美容消費者體驗之品質要素歸類:以Kano二維模式分析。醫務管理期刊,13(4),229-248。new window  延伸查詢new window
3.Wright, B. D.(1998)。Who is awarded first prize?。Rasch Measurement Transactions,12(2),629。  new window
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7.Wilson, M.(2011)。Some Notes on the Term: "Wright Map"。Rasch Measurement Transactions,25(3),1331。  new window
8.何政勳、溫信財、高嘉徽、蔡若婷(20150600)。某區域教學醫院醫師使用行動醫療之滿意度研究--應用重要性與滿意分析法。醫療資訊雜誌,24(2),1-10。new window  延伸查詢new window
9.溫信財、鄭金英、范碧玉、簡文山、林玲珠(20071100)。電子病歷時代病歷管理人員的轉型與人才培育。醫療品質雜誌,1(6),48-53。new window  延伸查詢new window
10.鐘伶、林丹紅、林曉華(2007)。臨床醫學系統術語SNOMEDCT的特點及其應用。中華醫學圖書情報雜誌,2007(2),1-6。  延伸查詢new window
11.Chien, T. W.、Huang, C. C.(2015)。A Screening Tool for a Hyperglycemic Crisis Death Scale using a colorful Wright map。Health Med,9(2),75-83。  new window
12.France, F. H.(1999)。SNOMED-A Step Toward the Electronic Health Record. (Reflections on F.A. Cote's paper: The SNOP - SNOMED concept: Evolution towards common medical nomenclature and classification)。Yearb Med Inform,1,245-246。  new window
13.Ganesan, K.、Lloyd, S.、Sarkar, V.(2016)。Discovering Related Clinical Concepts Using Large Amounts of Clinical Notes。Biomed Eng Comput Biol,7(Suppl 2),27-33。  new window
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15.Martinez-Salvador, B.、Marcos, M.、Manas, A.、Maldonado, J. A.、Robles, M.(2016)。Using SNOMED CT Expression Constraints to Bridge the Gap Between Clinical Decision-Support Systems and Electronic Health Records。Stud Health Technol Inform,228,504-508。  new window
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18.Youden, W. J.(1959)。Graphical diagnosis of interlaboratory test results。Industrial Quality Control,15,24-28。  new window
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20.陳麗華(2008)。ICD-10簡介及在台灣之推廣。台灣醫學,12(6),691-697。  延伸查詢new window
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圖書
1.Rasch, G.(1960)。Probabilistic models for some Intelligence and attainment tests。University of Chicago Press。  new window
其他
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3.Centers for Medicare & Medicaid Services(20151001)。ICD-10 Implementation,https://www.cms.gov/medicare/coding/icd10/index.html。  new window
4.Linacre, J. M.(2016)。Winsteps software,http://www.winsteps.com。  new window
5.Linacre, J. M.(2006)。A user's guide to FACETS,http://www.winstips.com/facets.htm。  new window
 
 
 
 
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