电子病案对医学科研的支撑作用研究

A study of electronic medical record supporting role on medical research

目的 促进病案信息的深度挖掘利用,为临床科研及医院管理提供有力支撑.方法 研究病案信息利用率较低的原因,提出需建设全结构化的无纸化电子病案,最后指出电子病案为科研提供支撑的关键建设要素.结果 指出建设无纸化电子病案要从存储结构化、建设病案系统、与数据仓库等技术相结合入手,同时实现门诊和住院病历互通、建设区域医疗、完善随访系统,最后指出实现的关键技术.结论 这对促进病案的利用率,提高病案对科研的支撑力度,推动医学的发展和进步,提升医院的软实力有着十分重要的意义.

Objective Promote the use of medical record information, the depth of excavation,provide strong support for clinical research and hospital management.Methods Medical Record Information lower utilization reasons put forward need to build the whole structure of the paperless electronic medical records, electronic medical records for research concluded that the key to building elements to provide support.Results Pointed out that the construction of paperless electronic medical records from the storage structure of the building medical record systems, and data warehouse technology combined start, outpatient and inpatient medical records while achieving interoperability, building regional health care, improve follow-up system, and finally pointed out the key technical implementation.Conclusions It is to promote the utilization of medical records, medical records for research to improve support efforts to promote development and progress of medicine and enhance the hospital＇s soft power has great significance.