摘要
医院病案既是临床实践工作的总结,同时也是探索疾病规律的原始数据和处理医疗纠纷的法律依据.本研究通过实地考察和文献资料的查阅对医疗健康大数据视角下医院病案统计及管理进行了论述,说明了医院在病案信息统计和管理中使用大数据手段的意义,介绍了医院当前病案信息管理现状和存在的问题,同时探究了医疗健康大数据视角下病案统计和管理的发展;认为增加对病案信息管理的专门机构、对病案室的管理需要使用信息化手段进行辅助,以及对人员素质的培养是需要解决的问题,并对发展前景进行了展望.
Hospital medical record is not only the summary of clinical practice,but also the legal basis for exploring the original data of disease law and dealing with medical troubles.The author discussed the statistics and management of medical records from the perspective of big medical data through on-the-spot investigation and literature review,explained the significance of using big data in statistical management of medical records,introduced the current situation and existing problems of information management of medical records in hospitals,and explored the development of statistical information from the perspective of big medical data.It is pointed out that informationized means are necessary for increasing the specialized institutions for information management of medical record and managing medical record rooms.And also,the cultivation of quality of staff in the hospital is a problem to be solved,and the prospects of development have been predicted.
作者
杨英
齐德广
Yang Ying;Qi Deguang(Laboratory Department,Second Affiliated Hospital of Military Medical University,Chongqing 400037,China;Hospital Office,Second Affiliated Hospital of Military Medical University,Chongqing 400037,China)
出处
《中华医学教育探索杂志》
2019年第9期961-965,共5页
Chinese Journal of Medical Education Research
关键词
医疗健康
大数据
病案统计
管理
Medical health
Big data
Medical record statistics
Management