论文部分内容阅读
目的探讨病案管理过程中常见的医患问题,提出改进措施。方法 2014年8月-9月在某院随机选取320人,包括医护人员和患者,进行病案服务满意度调查,使用SPSS17.0对结果进行统计分析。结果共回收有效问卷296份,对服务的总体满意度,医护人员高于患者及其家属,差异具有统计学意义(P<0.01);汉族相对高于少数民族,差异具有统计学意义(P<0.01);男性高于女性,差异具有统计学意义(P<0.01);对病案复印服务的满意度总体处于较为满意的水平,满意及非常满意的构成比为72.2%。结果显示病案管理过程中存在的服务态度问题、病案复印流程问题以及电子病历规范化管理问题,都会引发医患问题,影响医患关系的好坏。结论病案信息服务总体是满意的,但还应针对不同民族、性别进行工作的优化和整改,提高病案质量和人员素质,提升病案管理水平,有利于解决病案管理中的医患问题。
Objective To explore common medical problems in medical record management and to propose improvement measures. Methods A total of 320 patients, including medical staff and patients, were selected randomly from a hospital in August-September 2014 to conduct a survey on the satisfaction of medical record services. The results were statistically analyzed using SPSS17.0. Results A total of 296 valid questionnaires were collected. The overall satisfaction with services was higher than that of patients and their families (P <0.01). Han people were higher than ethnic minorities (P < 0.01). The male was higher than the female, the difference was statistically significant (P <0.01). Satisfaction with the medical record service was generally satisfactory, and the satisfied and very satisfied ratio was 72.2%. The results show that the service attitude problems, medical record copy process problems and the standardized management of electronic medical records in the process of medical record management will all cause problems for doctors and patients and affect the relationship between doctors and patients. Conclusion The medical record information service is generally satisfactory. However, it is necessary to optimize and rectify the work according to different nationalities and gender, improve the medical record quality and personnel quality, improve the medical record management level, and help to solve the doctor-patient problem in medical record management.