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基层医院病案管理工作相对滞后,未能充分认识到病案信息在医院发展规划中的价值所在,由于病案质量不高导致病案信息缺乏真实性和科学性。同时病案管理人员专业素质较低,缺少先进的服务理念。在今后发展过程中要充分发挥病案信息在医院经营活动中的科学指导作用,加强医务人员关于病案知识和相关法律法规的培训教育,保证病案的完整、准确和优质。同时强化病案管理人员的“人性化”服务理念,适应当代病案管理需要,最终使基层医院的病案管理走向规范化和科学化。
The management of medical records in grassroots hospitals lags behind and failed to fully recognize the value of medical record information in the planning of hospital development. Due to the low quality of medical records, the medical record information lacks authenticity and scientificity. At the same time the professional quality of medical staff is low, the lack of advanced service concept. In the course of future development, it is necessary to give full play to the scientific guiding role of medical record information in the operation of hospitals and strengthen the training and education of medical staff on medical record knowledge and related laws and regulations so as to ensure the integrity, accuracy and quality of medical records. At the same time, it is necessary to strengthen the service concept of “humanization” of medical record managers and adapt to the needs of contemporary medical records management, and eventually to standardize and scientifically manage medical records in primary hospitals.