病案复印线上邮寄与传统邮寄的实用性探讨

Discussion on the practicality of online mailing and traditional mailing of medical record copies

传统线下邮寄方式存在着弊端,如受时间、地域、证件等较多条件限制,不能随时随地为患者办理业务,预付收费方式也不够合理。本着以患者为中心的思想,某院进行了邮寄业务改革,由微信公众号线上办理方式取代了传统线下邮寄方式。回顾改革前后2年复印工作的变化,并针对延迟邮寄的病案进行统计分析,对比新旧邮寄方式的利弊,找出新邮寄方式需要改善的问题。结果显示线上邮寄方式复印人数占出院人数的比例是传统方式的2倍多,并且线上方式总复印页数明显高于传统方式,差异有统计学意义。邮寄方式的改革受到了广大患者的支持认可,病案复印工作的重点由线下向线上转化。线上邮寄可以节省患者及家属的往返时间、减少医患矛盾、提高病案邮寄办理效率,是病案工作的发展趋势。但是线上方式存在延迟邮寄等重要问题,需要针对延迟邮寄的主要原因如病案不完整、邮寄线上审核出错、邮寄内容有异议但与患者电话沟通不上等方面进行重点整改,还可以扩展线上业务渠道与范围使线上邮寄发展成为实用性更高的病案复印服务模式。

The traditional offline mailing method has certain disadvantages.For example,it is restricted by many conditions such as time,region,and certificates,so it cannot handle services for patients anytime and anywhere.At the same time,the charging method is not reasonable enough.In line with the patient-centered thinking,the hospital has carried out mail service reform,and the traditional manual method has been replaced by the online WeChat public account method.This study aims to summarize the situation of copying work in the past two years before and after the reform and conduct statistical analysis on the delayed mailing of medical records,so as to compare the pros and cons of the new and old mailing methods and find out the problems that need to be improved in the new mailing method.The results showed that the proportion of people who made copies by online mail accounted for more than twice that of those who were discharged by traditional methods,The total number of pages copied by online methods was significantly higher than that by traditional methods,and the difference was statistically significant.This indicates that the reform of the mailing method has been supported and recognized by the majority of patients,and the focus of medical record copying has shifted from offline to online.Online mailing can save patients and their families travel time,reduce doctor-patient conflicts,and improve the efficiency of medical record mailing.It is a development trend in medical record work.However,the online method has important problems such as delayed mailing.Key rectifications need to be made to address the main reasons for delayed mailing,such as incomplete medical records,errors in the online review of mailings,objections to the mailing content but lack of telephone communication with patients,etc.Online business channels and scope could be expanded to develop online mailing into a more practical medical record copying mode.