让人民满意是病案管理数码化必须遵循的准则

Satisfying the Patients is the Criterion of the Digitalization of Management of the Medical Record

要解决医疗改革中出现的问题,必须实施“三变”。由“救治”转变为“预防”,由“院内”转变为“社区”,由“被动”转变为“主动”。即由历来的指导思想“抢救治疗”转变为预防在前,使原来的“让部分人恢复健康”转变为全民健康;将医院内救治转变为社区病后、病前的增强抗病能力;将被动的、静止的、孤立的治疗转变为主动的、动态的、关联的病案信息网络互动治疗,它是医疗改革信息化建设的基础工程。加强病案管理的信息基础建设,让病案管理信息复盖社区,将能达到事半功倍的效果。在病案信息建设中,必须建立“病案数码化患者信息响应系统”,建好医疗服务信息数据库,建立信息联系的高速通道,使有限的医疗资源用在必须的病患群体上。

If we want to make use of medical record information, we must implement the three medical ＂transformations＂： from ＂treatment＂ to ＂prevention＂, from ＂in the hospital＂ to the community, from ＂passive＂ to ＂active＂ . That is, to change from the previous direct thought ＂salvaging＂ to preventative treatment; change from the previous ＂recovery for partial citizens＂ to ＂health for the whole nation＂; change from ＂in- hospital treatment＂ to ＂community preventative and post - disease treatment＂; change from passive, static, isolate treatment to interactive and active treatment, being relative with the medical record information network. It is the basic for the informational construction of medical treatment reform. We improved informational basic construction of medical record management, covered the local medical centers with medical record management information. Then we＇ll get the twice result with half the effort. In medical record information construction, we＇ll build up the Medical Record Management Digital and Patients Information Respond System. We＇ll build up the medical service information data. We＇ll build up high speed path for information network. Make sure that the limited medical service resource is used on the patients needed.