摘要
对407份新农合扣款病历缺陷分析,主要存在新农合目录外用药,知情同意告知不足、重复检查、病程记录简单、诊疗不规范等缺陷,采取强化组织领导,加强培训;规范医疗服务行为,有针对性的Targeted把农合办New rural cooperative medical Office医疗管理Medicalmanagement具体措施细化,严把新农合病历质量关等整改措施,以达到规范病历书写,有效控制医疗费用,提高医疗质量的目的 。
To analyze the Defects of 407 New rural cooperative charge deduction medical records.The main defects are pharmacy without new rural cooperative medical catalog,insufficient informed consent,rechecking,simple course record,and non-standard treatment.Some rectification measures that are enhancing leadership,strengthening training,regulating medical service behavior,refining the specific measures should be taken to standardized medical record writing,control medical costs,and improve the medical quality.
出处
《中国病案》
2011年第6期25-26,共2页
Chinese Medical Record
关键词
新农合
病历质量
缺陷
New rural cooperative medical
Medical record quality
Defect
