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随着我国经济和社会的迅速发展,法制的不断健全和完善,公民的法律意识不断提高,为了适应新形式社会发展的需要,医院管理的信息化和法制化日臻完善,病案管理作为医院管理决策的重要信息来源和对外服务的窗口显得尤为重要,病案管理的成功与否,完善的管理制度是前提、高素质的管理人员是根本、应用先进的科学技术为手段、以病案工作者的责任心和法律意识、观念作保证,实现:(1)为医院领导决策的改进提供更多的医疗质量、技术水平、管理水平综合评价的信息参考依据。(2)为医务工作者提供更完整丰富的医学、教学、科研的第一手资料。(3)更有利于维护医患双方的利益和更好地服务于社会。
With the rapid economic and social development in our country, the legal system is continuously perfected and perfected, and citizens’ legal awareness is continuously improved. In order to meet the needs of new forms of social development, the informationization and legalization of hospital management are improving day by day. The medical record management as a hospital management decision Important source of information and service window is particularly important, the success of medical records management, improve the management system is the premise, high-quality management personnel are fundamental, the application of advanced science and technology as a means to the responsibility of medical record workers And legal awareness and concept as a guarantee, to achieve: (1) To provide more reference information for the improvement of hospital leadership decision-making, and to provide more information on the comprehensive evaluation of medical quality, technical level and management level. (2) to provide medical workers with more complete and abundant medical, teaching, scientific research first-hand information. (3) more conducive to safeguard the interests of both doctors and patients and better serve the community.