电子病案成为现代化病案管理的必然产物和必然趋势。文章提出在电子病案的管理中存在诸多问题。如缺乏统一标准、电子签名的可靠性、真实性易受质疑,有信息泄露和破坏的风险,以及医师责任心欠缺等问题。针对这些问题,应完善相关法规、制定电子病案统一标准,加强医护人员安全教育和病案质量培训,提高硬件设施等措施,保障电子病案的顺利实施。 Electronic medical records become the inevitable product and inevitable trend of modern medical records management. The article put forward many problems in the management of electronic medical records. Such as the lack of uniform standards, the reliability of electronic signatures, the authenticity of questions of being questioned, the risks of information leakage and destruction, and the lack of physician responsibility. In response to these problems, relevant laws and regulations should be perfected, a unified standard for electronic medical record should be established, safety education and medical record quality training should be strengthened, hardware facilities should be improved, and the smooth implementation of electronic medical records should be ensured.