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随着新医改的推进,各地为进一步发展社区卫生服务,引导居民“小病进社区,大病进医院”的就医习惯,在发展社区卫生服务机构硬件建设的同时,社区居民健康档案也在逐步建立并完善起来。但在实际的建档工作中,显现出居民的主动配合不够,健康档案的完整率和准确性不高等问题。文章从建档一线工作人员的视角出发,以实践体会为基点,以归纳目前居民健康档案立档工作的现状为突破口,同时结合目前一些社区积累的相关经验,从“人”的因素出发,提出通过“优化建档团队组合”去开辟健康档案立档的新思路,以期望对我国的居民健康档案的立档工作有一定的帮助,从而为早日实现全民建档、实现远程医疗提供条件,最终实现新医改的设想,使医患双赢,构建和谐社会。
With the advancement of new medical reform, in order to further develop community health services and guide the residents to get medical treatment habits of “minor illnesses into the community and serious illness into the hospital,” while developing the hardware construction of community health service institutions, the health records of community residents are also Gradually establish and improve. However, in the actual filing work, it shows that residents are not enough with the initiative, the integrity and accuracy of health records is not high and so on. Based on the practical experience, this article starts with the practical experience, and concludes the status quo of the current work of residents’ health files as a breakthrough point. At the same time, taking into account the relevant experience accumulated by some communities, starting from the factor of “people” , Put forward a new idea to open up the file of health records through “Optimized File Team Teaming” in order to expect some help to our country’s resident file of health files, so as to achieve the goal of establishing the file for the whole nation as soon as possible and realize the telemedicine Provide the conditions, and ultimately realize the vision of a new medical reform so that doctors and patients will win-win and build a harmonious society.