从病案角度谈新型农村合作医疗管理中存在的问题及对策  

Problems and Countermeasures of the New Rural Co-operative Medical Management from the Angle of Medical Records

作　　者：张晓燕[1] 

机构地区：[1]内蒙古医科大学附属医院病案室,呼和浩特市010050

出　　处：《中国病案》2013年第11期15-16,共2页Chinese Medical Record

摘　　要：通过在病案管理中遇到的几种新农合参合患者冒名顶替或未参合患者冒用参合患者身份住院的问题,分析新型农村合作医疗管理中存在的诸多漏洞,如新农合无完善的信息系统、医院住院处无二代身份证识别系统、医师法制观念淡薄、新农合监管部门监管力度不够等。解决上述问题需要加快新农合医疗信息系统的开发利用、强化医院对住院处工作人员的管理力度、强制使用二代身份证识别系统并增加指纹识别功能,增强临床医师、病案室工作人员及广大农牧民的法制观念、提高新农合管理人员素质并加强医院与新农合管理部门的合作等,使新农合能更加健康稳定的发展,为广大农牧民提供更高的医疗保障。Analyzing the loopholes of new rural cooperative medical management such as no perfect information system, hospital ad- mission office have no two generation ID card identification system, the weak concept, medical supervision is not enough through several new rural cooperative medical care patients or masquerading or be hospitalized with fraudulent use of identity. To solve the above problem, we need to accelerate the development and utilization of medical information system and strengthen admission office staff management, manda- tory use the two generation ID card identification system and increase the function of fingerprint identification, enhance the legal sense of clinicians, medical records department staffs and the broad masses of farmers and herdsmen, improve the management quality of staff and strengthen cooperation of the hospital and the new rural cooperative medical system management sectors, so that the new rural cooperative medical can be more healthy and stable development, provide higher medical care for the majority of farmers and herdsmen.

关 键 词：病案 新型农村合作医疗 管理 问题 对策 

分 类 号：R197.1[医药卫生—卫生事业管理]