A qualitative study of DRG coding practice in hospitals under the Thai Universal Coverage Scheme
2011

Hospital Coding Practices in Thailand

Sample size: 43 publication 10 minutes Evidence: moderate

Author Information

Author(s): Pongpirul Krit, Walker Damian G, Winch Peter J, Robinson Courtland

Primary Institution: Johns Hopkins Bloomberg School of Public Health

Hypothesis

What are the roles of key hospital staff and internal dynamics affecting coding quality in Thai hospitals?

Conclusion

Hospital coding practices vary significantly across hospitals and are influenced by multiple internal and external factors.

Supporting Evidence

  • The study involved interviews with staff from hospitals of different sizes and locations.
  • At least eight health care professional disciplines were involved in the coding process.
  • Five main factors were identified that affect hospital coding practices.

Takeaway

This study looks at how hospitals in Thailand keep track of patient information for billing, and it shows that many people are involved in this process, which can be complicated.

Methodology

Qualitative semi-structured interviews with 43 participants from 10 hospitals of varying sizes and types.

Potential Biases

Potential bias from self-reported data and the influence of hospital management on coding practices.

Limitations

The study may not represent all hospitals in Thailand due to the purposive sampling method.

Participant Demographics

Participants included hospital staff from various disciplines involved in the coding process.

Digital Object Identifier (DOI)

10.1186/1472-6963-11-71

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