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随着医学科学飞速发展和医疗体制改革的不断深入,病案资料的应用价值正在提高, 应用范围逐渐扩大,病案不仅是病人病情变化及诊疗过程的原始资料,也是评价和衡量医院管理、医疗质量和水平的重要依据,在医疗质量管理中起着重要的作用。医院质量管理是医院管理的核心,病案质量管理是保证医疗质量的关键。病案管理已成为医院管理的重要组成部分,病案管理的好坏直接影响到医院的管理水平。
With the rapid development of medical science and the continuous deepening of the reform of the medical system, the value of medical record data is increasing, and the scope of application is gradually expanding. Medical records are not only the original data of the patient’s condition and the course of diagnosis and treatment, but also the evaluation and measurement of hospital management and medical quality. The important basis of the level plays an important role in the management of medical quality. Hospital quality management is the core of hospital management. The quality management of medical records is the key to ensure the quality of medical care. Medical record management has become an important part of hospital management. The management of medical records has a direct impact on hospital management.