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如何做好病案信息的开发与利用

Development and Utilization of Medical Record Information

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【作者】 刘银蓉

【Author】 LIU Yinrong(Shenzhen Hospital of TCM,Shenzhen 518033,China)

【机构】 深圳市中医院

【摘要】 随着医院计算机管理网络化、信息存储介质——光盘和IC卡等的应用及Internet的全球化发展,电子病历是信息技术和网络技术在医疗领域的必然产物,是医院病历现代化管理的必然趋势,其在临床的初步应用,极大地提高了医院的工作效率和医疗质量,但这还仅仅是电子病历应用的起步。如何充分发挥病案信息的作用,更好地服务于医院管理、临床、教学、科研、疾病预防与保健、医疗保险、解决医疗纠纷等,值得我们去探讨。加强病案信息的管理开发,提高病案信息利用率,就能体现出病案管理的真正价值。

【Abstract】 With the development of networking of hospital management,application of new information storage media as CD and IC cards and the globalization of Internet,electronic medical record is the inevitable product.Electronic medical record,whose clinical applica-tion has greatly improved the efficiency and quality of medical care,is the trend of modern management of hospital medical records.Howev-er,this is just the start of electronic medical record application.It is worthy for us to explore how to give full play to the role of medical record information in order to serve better for the hospital management,clinical,teaching,research,disease prevention and health care,med-ical insurance,medical disputes resolution,and so on.Management and development of medical record information and improvement of its application rate will reflect the true value of medical record management.

  • 【文献出处】 临床医学工程 ,Clinical Medical & Engineering , 编辑部邮箱 ,2011年07期
  • 【分类号】R197.323
  • 【被引频次】3
  • 【下载频次】66
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