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在市场经济条件下,医疗服务价格逐步得到合理调整,而病案的有偿服务却前所未有。限于国情,医院对病案管理的投入较少,而病案管理又不直接产生经济效益,也难以用经济指标来评估。笔者认为,在市场经济条件下对病案管理实行有偿服务,值得尝试。 一、病案在医疗服务中的价值 病案是记录患者病情发生、发展、治疗、转归的医疗文书,是临床进行科学诊断的基础资料,它的质量也反映了医院的医疗质量。同时病案对提高医疗水平以及加强临床
Under the conditions of market economy, the prices of medical services have been gradually adjusted, and the paid services of medical records have never been seen before. Confined to national conditions, hospitals invest less in the management of medical records, and medical record management does not directly produce economic benefits, and it is difficult to assess economic indicators. The author believes that the implementation of paid services for medical record management under the conditions of market economy is worth trying. First, the value of medical records in medical services Medical record is a medical document recording the occurrence, development, treatment, and prognosis of patients. It is the basic data for clinical diagnosis, and its quality also reflects the hospital’s medical quality. At the same time, medical records improve medical standards and strengthen clinical practice.