病案是医院进行医疗、教学、科研工作的宝贵资料,其质量的高低成为衡量一个医院医疗和管理水平的重要指标。随着现代医学的发展,医疗法律的健全,以及人民自我保健意识的增强,如何顺应当前医疗改革、医疗保险制度的实施,依法严格管理病案书写形成质量,对病案进行有效的监控与评 Medical records are valuable information for hospitals for medical treatment, teaching, and scientific research. Their quality is an important indicator to measure the medical and management level of a hospital. With the development of modern medicine, the improvement of medical laws, and the enhancement of people’s self-care awareness, how to comply with the current medical reforms and the implementation of the medical insurance system, strictly manage the quality of medical record writing, and effectively monitor and evaluate medical records.