医院病案管理工作现状及发展趋势探讨  

Present status and development trend of hospital medical records management

作　　者：黄锋[1] 陈剑铭[2] 

机构地区：[1]北京大学人民医院病案统计室,100044 [2]北京大学第三医院病案科

出　　处：《中华医院管理杂志》2013年第3期192-194,共3页Chinese Journal of Hospital Administration

摘　　要：【摘要】分析了当前医院病案管理发展情况及存在的主要问题，提出现阶段医院病案管理工作应以医改为契机，有针对性地加强管理；创新管理模式，强化服务；加强信息安全管理，保护患者隐私和医院无形资产；用现代管理理念和技术解决病案管理中的历史问题；科学合理地建立病历质量控制体系。在此基础上，对医院病案管理发展趋势及策略进行了探讨。The paper analyzed the development and main problems of medical records management in hospitals, and proposed a number of measures based on the ongoing healthcare reform for medical records management in the hospitals. These include targeted management; innovative management model to enhance service; enhanced information security for better protection of patient privacy and hospital＇s intangible assets; modern management theories and technologies for resolving remaining problems in medical records management; scientific building of medical records quality control system. On such basis, the paper discussed the development trend and strategy of hospital medical records management.

关 键 词：病案管理 现状 发展 趋势 

分 类 号：R197.3[医药卫生—卫生事业管理]