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本文对当前医院病案管理存在的问题进行了归纳,主要是管理分散、收集不全、利用不足、保管不善、信息丢失等问题,并对存在问题的原因进行了分析。在此基础上,从病案与民生的关系、病案的内容、病案管理手段以及利用范围四个方面阐述了对病历档案再认识的必要性,以期达到提高医院管理者对病案管理重视程度之目的。
This article summarizes the existing problems of medical records management in hospitals, mainly including the problems of decentralized management, incomplete collection, inadequate utilization, inadequate storage and information loss, and analyzes the reasons for the existing problems. On this basis, the necessity of re-understanding of the medical record is expounded from the relationship between the medical record and the people’s livelihood, the content of the medical record, the means of medical record management and the scope of utilization, in order to achieve the purpose of improving the emphasis of hospital administrators on the medical record management.