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复制病历资料是国家机关解决医疗纠纷的重要环节,是病案管理的重要工作内容。国家卫生和计划生育委员会颁布的新版《医疗机构病历管理规定》已经于2014年1月1日起生效并实施。其中第二十条允许医院为国家和社会机构复制个人病历,涉及公检法、保险、伤残鉴定、理赔、病退等部门。本文分析医院为国家机关复制病历资料存在提供证件不全、提供信息不准确、病历复制内容不清、个人隐私泄露和保护等问题;讨论了从法律角度对于病历的复制权问题;有针对性的提出了落实病案管理制度、强化法律意识、提高病案管理人员素质、加强立法、多方综合监管等有效对策,以此提升病历复制工作的质量,不断扩大病案利用的范围,让病案更好的服务于社会。
Copying medical records is an important part of state organs in resolving medical disputes and is an important part of medical record management. The new edition of the “Regulations on the Management of Medical Records of Medical Institutions” promulgated by the National Health and Family Planning Commission took effect and implemented on January 1, 2014. The twentieth article allows the hospital for the state and social institutions to copy personal medical records, involving public security law, insurance, disability identification, claims, sickness and other departments. This article analyzes the hospital for the state organs to copy the medical records to provide evidence of the existence of incomplete, inaccurate information provided, ill-defined medical records, personal privacy disclosure and protection issues; discussed from the legal point of view on the issue of the right to copy the medical records; To implement the medical record management system, strengthen legal awareness, improve the quality of medical record management personnel, strengthen legislative, multi-comprehensive supervision and other effective measures to enhance the quality of medical record duplication, and continuously expand the scope of the use of medical records, so that medical records better serve the community .