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目的随着国家社会医疗保险的普及,人民的保险意识逐渐加强,使得病案的利用率不断增加。通过总结,为我们今后从提高病案管理质量和复印病历工作服务方向上进一步科学化提供依据。方法本文通过对某三甲医院2011年-2012年出院患者病历档案复印情况进行分类统计分析。结果 2011年病历复印总数为12793人,2012年病历复印总数为15220人,2012年较2011年增长了19%。医疗保险报销复印病历数居首位;办理大病医保、重症慢性病鉴定位居第二。结论病案的复印需求逐年增加,要求临床医师在保证病历质量的同时及时完成病历。要求病案管理人员在提供病历复印时,严格按照相关制度办理复印。在保证病历安全的情况下,为复印病历者提供优质服务。科学、完善病历档案复印服务流程,是提高我们病案管理质量的一个重要组成部分,我们通过病案复印窗口的优质服务,来提升病案服务的满意度,从而增加患者对医院的满意度。
Objectives With the popularization of the national social medical insurance, the people’s insurance awareness has gradually increased, making the utilization of medical records increasing. By summarizing, we will provide a basis for further scientific development in the future from the perspective of improving the quality of medical record management and the service of copying medical record work. Methods This paper analyzes the situation of copying medical records of hospital patients discharged from 2011-2012 in a top-three hospital. Results In 2011, the total number of medical record copies was 12,793, and the total number of medical record copies in 2012 was 15,220. In 2012, it increased by 19% compared with 2011. The number of medical insurance reimbursement medical records was the highest, and the identification of major medical care and critical chronic diseases ranked second. Conclusion The photocopying needs of medical records have been increasing year by year, requiring clinicians to complete medical records in a timely manner while ensuring the quality of medical records. Medical records management personnel are required to apply for copying strictly in accordance with the relevant regulations when providing medical records. In the case of ensuring the safety of medical records, provide quality services for photocopying patients. Scientific and perfect medical record copying service process is an important part of improving the quality of our medical record management. We improve the satisfaction of the medical record service through the high-quality services of the medical record copying window, thereby increasing patient satisfaction with the hospital.