CAJ | 학술논문

病案专业委员会疾病分类专家组对《中国医疗服务操作项目分类与编码》（CCHI）编制规则与框架结构进行研讨、分析，一致认为一个以收费为目标的系统要达到临床科研检索、医院管理等目标，还需从临床出发进行系统改造。目前版本的CCHI对医疗行政要求不足，不能达到临床医疗、研究、教学等各方面的需要，会影响医院医疗质量的评估、评价，使医疗行政部门失去管理医院的“抓手”，无法提取“三级综合医院服务能力”标准的数据，或导致信息提取的错误。目前版本的CCHI也没有索引，没有完全做好对历史资料的对接，其在医院管理与临床实践工作中的适用性及可操作性尚需认真研究和完善。
병안전업위원회질병분류전가조대《중국의료복무조작항목분류여편마》（CCHI）편제규칙여광가결구진행연토、분석，일치인위일개이수비위목표적계통요체도림상과연검색、의원관리등목표，환수종림상출발진행계통개조。목전판본적CCHI대의료행정요구불족，불능체도림상의료、연구、교학등각방면적수요，회영향의원의료질량적평고、평개，사의료행정부문실거관리의원적“조수”，무법제취“삼급종합의원복무능력”표준적수거，혹도치신식제취적착오。목전판본적CCHI야몰유색인，몰유완전주호대역사자료적대접，기재의원관리여림상실천공작중적괄용성급가조작성상수인진연구화완선。
Group members of the National Disease Classification Experts Group make a collective analysis of the applicability of the Classification and Coding of the Chinese Medical Service Operation in clinical practice. A system aiming to charge should be adapted from clinical practice so as to achieve its goals of clinical scientific research retrieval and hospital management. Without fully considering the medical administrative requirements, and various needs from clinical care, research, teaching and so on, CCHI may affect the evaluation and assessment on hospital medical quality, make the administrative department of a hospital lose the“grip”over hospital management, and fail to extract data of standards for "tertiary general hospital service ability", or lead to incorrect information extraction.