Progress of the DRGs payment reform is raising higher demands on coders'competence at county-level hospitals. These coders at present are mostly transferred from nurses or medical technicians, who tend to be older in age and lower in education and academic title. To improve their competence, it is imperative to promote coders cultivation in terms of regular career needs, self-determination theory and performance management. Coder ranks deserve attention to build professional and outstanding coders.%DRGs支付方式改革的推进,对县级医院编码员素质提出了更高要求.目前,我国县级医院编码员多由护理人员或医技人员转岗而来,年龄偏大,学历和职称偏低.为提高县级医院编码员的编码能力,应按照职场正态、自我决定理论、绩效管理等进行编码员培养,以及优秀编码员专业化队伍的建设和规划.
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