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现代医学管理中,病案管理是医院管理的重要组成部分,病案是医疗、教学、科研信息的重要载体。一份高质量的病案,不仅能够真实地反映医院的医疗水平,科技管理的情况和服务质量,而且也是医疗行政部门制定诊疗标准、评价医疗质量、医院管理和经济效益可靠依据。随着医疗制度改革,医疗付款方式的变化,以及人们对医疗保护意识增加和医疗记录的依赖,病案作为医疗最原始信息资料,对其进行科学管理将日益显示其重要性。因此,要做好病案管理工作,提高病案质量,以促进医院医疗工作的全面发展。
In modern medical management, medical record management is an important part of hospital management. Medical record is an important carrier of medical, teaching and scientific research information. A high-quality medical record can not only truly reflect the medical level of the hospital, the status of science and technology management and the quality of service, but also set the standard of medical treatment and administration for medical administrative departments and evaluate the reliable basis for the quality of medical treatment, hospital management and economic benefits. With the reform of the medical system, changes in medical payment methods, as well as people’s reliance on medical protection awareness and medical records, the medical records as the most original medical information, its scientific management will increasingly show its importance. Therefore, we must do a good job in medical record management and improve the quality of medical records so as to promote the all-round development of medical work in hospitals.