ذخیره‌سازی الکترونیکی گامی برای کاهش هزینه‌ها: بررسی استفاده از شیوه تصویربرداری از اسناد در بخش مدارک پزشکی*

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای مدیریت اطلاعات بهداشتی و درمانی، عضو گروه مدارک پزشکی دانشکده پیراپزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز

2 مربی، گروه مدارک پزشکی دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی اصفهان

3 دانشیار، گروه مدارک پزشکی دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی اصفهان

4 مربی، گروه انفورماتیک پزشکی دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی اصفهان

چکیده

مقدمه: هدف مطالعه حاضر مقایسه هزینه‌های ذخیره و بازیابی مدارک پزشکی، در شیوه ذخیره‌سازی الکترونیکی با شیوه بایگانی سنتی در 9 بیمارستان منتخب است.
روش پژوهش: مطالعه حاضر از نوع پژوهش‌های توصیفی-مقطعی و در سال 1388 انجام شده است. جامعه آماری پژوهش را 9 بیمارستان منتخب از شهرهای اهواز، اصفهان و شیراز تشکیل می‌دهد. به منظور مقایسه هزینه نگهداری مدارک پزشکی، در شیوه تصویربرداری اسناد با شیوه بایگانی سنتی، هزینه‌های منابع مصرفی و سرمایه‌ای در هر دو شیوه محاسبه شده است. داده‌های مورد نیاز برای مطالعه، با استفاده از مشاهده مستقیم، مصاحبه و چک لیست پژوهشگرساخته گردآوری شده است.
یافته‌ها: استفاده از شیوه تصویربرداری اسناد در تمامی بیمارستان‌های مورد مطالعه باعث کاهش هزینه در بخش مدارک پزشکی شده است به‌طوری‌که متوسط هزینه سالیانه هر پرونده در شیوه ذخیره‌سازی الکترونیکی یک یازدهم شیوه بایگانی سنتی است. افزون‌بر این، استفاده از این شیوه در دو بیمارستان باعث آزادسازی فضای بخش مدارک پزشکی و کاهش 3/44% در زمان فرایند ذخیره و بازیابی مدارک پزشکی شده است.
نتیجه‌گیری: استفاده از شیوه ذخیره‌سازی الکترونیک با تصویربرداری از اسناد در مقایسه با بایگانی سنتی در بیمارستان افزون‌بر تسهیل در دسترسی به مدارک پزشکی، باعث صرفه‌جویی در هزینه‌ها نیز می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Electronic Storage as a Step towards Reducing Costs: An Investigation into the Use of Document Imaging in Medical Records Department

نویسندگان [English]

  • J. Zarei 1
  • S. Saghaiannejad 2
  • S. Ajami 3
  • S. Saidbakhsh 4
1 Ph. D. Student of Health Information Management, Department of Medical Record, School of Allied Health Sciences, Ahvaz Jondishapur University of Medical Sciences
2 Lecturer, Department of Medical Record, School of Management and Medical Information Science, Isfahan University of Medical Sciences
3 Associate Professor, Department of Medical Record, School of Management and Medical Information Science, Isfahan University of Medical Sciences
4 Lecturer, Department of Medical Informatics, Health School of Management and Medical Information Science, Isfahan University of Medical Sciences
چکیده [English]

Introduction: The aim of this study was to compare the cost of electronic storage and retrieval of medical records with that of paper-based filing method in nine selected hospitals.
Methods: This study is a descriptive and cross-sectional study conducted in 2009-2010. The sample was consisted of nine selected hospitals in Ahvaz, Isfahan and Shiraz. In order to compare the cost of storage and retrieval of medical records in electronic storage method and document-based method, the capital and the consumed resources were calculated. Data were collected through direct observation, interview and a checklist prepared by the researchers of this study.
Results: The use of electronic storage method has lowered the cost of storage and retrieval of medical records in all hospitals under investigation. On average, the electronic method for storage and retrieval cut the cost of filing medical records eleven times in comparison to the traditional paper-based method per case. Besides, the use of electronic method resulted in two more benefits: not only this method cleared more space for medical records, but also it saved processing time by 44.3%.
Conclusion: The use of electronic storage methods by document imaging in hospitals not only facilitated access to medical records but also reduced the cost of keeping the records in comparison with paper-based filing.

کلیدواژه‌ها [English]

  • cost
  • Computerized Medical Records
  • Filing
  • Document Imaging
  • Electronic Storage

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