电子病案的原始性问题及解决方法探讨

Discussion of Primitiveness Problems and Solutions of Electronic Medical Records

电子病案为现代医院信息化发展的产物,具有便于储存、管理、资源共享等诸多优点,同时也存在着易被篡改和缺乏安全性等弊端。电子病案能否被法律认可已成为制约医院信息化发展的瓶颈,其中保持真实性、原始性则起着至关重要的作用。本文从电子病案的优点及现存问题进行深入分析,并从信息技术、病案管理和法律保障三个层面就如何有效可行地保障电子病案的原始性进行探讨。

Electronic medical record, modern hospital information development product, has advantages as ease storage, management and resource sharing, and also has corrupt practices such as susceptible to distorting and lack of security. This article provides insight analysis of the advantages and problems of electronic medical records and discuss how to effectively protect the primitiveness of electronic medical record in three parts of information technology, medical record management and legal protection.