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目的调查病案复印申请材料的留存方式,探讨存在的问题并加以改进。方法对北京地区45所三级医院病案管理科病案复印申请材料的留存方式进行调查。结果各医院对病案复印申请材料的留存方式不同,有少数医院只审核申请材料而不留存。结论为符合相关规定要求,医院应留存病案复印申请材料,同时为减少患者的经济负担和等候时间,医院可适当采取信息化手段进行有效留存。
Objective To investigate the ways to preserve the application materials of medical records and to explore the existing problems and to improve them. Methods To investigate the method of retaining the application materials of medical records of 45 third-grade hospitals in Beijing area. As a result, the hospital retained different ways to copy application materials for medical records. However, a few hospitals only reviewed application materials and did not keep them. Conclusion In order to meet the requirements of the relevant regulations, the hospital should keep the copy of the application materials for medical records. At the same time, to reduce the economic burden and waiting time of patients, the hospital may adopt appropriate information means for effective retention.