新形势下病案管理工作存在的问题及对策

The Main Problems and Countermeasures of Medical Records Management in the New Situation

随着网络信息时代的快速发展,数字化、信息化的病案管理模式在医院临床服务、科研和教学领域中的应用快速普及。然而,与之相匹配的病案管理人员素质、病案管理制度等都成为了制约病案管理工作有效开展的极大障碍。因此,只有不断采取加强对病案管理人员的素质培养和技能培训,不断更新病案管理制度,改变病案管理模式,扩充病案管理内容,调整病案管理人员的服务态度,同时,利用质量控制手段等多种措施,才能使电子病历使用范围不断扩大,病案管理工作质量得到有效提升。

With the rapid development of the network information age,digital,informationized medical record management model in the hospital clinical services,research and teaching applications in the field of rapid popularization. However,with the matching of the quality of medical records management,medical records management system has become a restricted disease management work effectively carried out a great obstacle. Therefore,only continue to take to strengthen the quality of medical records management and skills training,and constantly update the medical record management system,change the case management model,expand the medical record management content,adjust the attitude of medical records management staff,at the same time,the use of quality control means and other Measures to make the use of electronic medical records continue to expand,the quality of medical records management work has been effectively improved.