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我国使用国际疾病分类已有十多年的时间,但临床医生对它的认识却不容乐观。据有关人员调查显示,目前在我国医科院校中,有关国际疾病分类知识教育仍很薄弱,临床医师对ICD-9的知识、用途、临床诊断术语与国际疾病分类的联系也了解甚少。因此在工作中往往临床医师填写的诊断与国际疾病编码要求有一定的差距,造成部分疾病分类错误,直接影响今后病案的开发利用。
It has been more than 10 years since China used the international classification of diseases, but its understanding by clinicians is not optimistic. According to the relevant personnel survey, at present, in our medical colleges and universities, the knowledge about the international classification of diseases is still very weak. The knowledge of clinicians about the use of ICD-9, the relationship between clinical diagnostic terms and the international classification of diseases is also poorly understood. Therefore, clinicians often fill in the diagnosis of the disease and the international coding requirements have a certain gap, resulting in some diseases classified as a direct impact on the future development and utilization of medical records.