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中国和澳大利亚医院在病案管理部门的设置、职能划分、工作内容、信息利用、人员及专业教育等方面存在差异。经比较分析,差异与两国的医药卫生体制、管理理念、医疗费用支付制度、专业教育环境等诸多因素有关。中国正在深入开展医药卫生体制改革,随着临床路径、疾病诊断相关组付费机制等改革措施的推广应用,病案管理工作将会得到加强,中澳合作空间也会增加。
There are differences between Chinese and Australian hospitals in the setting of medical record management departments, functions, work contents, information utilization, personnel and professional education. After comparative analysis, the differences are related to the medical and health systems, management concepts, medical expenses payment system and professional education environment in the two countries. China is deepening the reform of the medical and health system. With the promotion and application of reform measures such as clinical pathways and payment-related mechanisms for disease diagnosis, medical record management will be strengthened and the space for cooperation between China and Australia will also increase.