【摘要】 病案首页信息是DRGs的唯一数据来源,其数据质量是DRGs能否顺利实施的关键,而病案首页填写的主体是临床医生,针对如何让临床医师按照规范"填得全、写得准",笔者从设立、管理临床DRGs专管员,提升临床医生参与度的角度,探讨了提高病案首页质量的有效途径。更多还原

【Abstract】 The first page information of medical record is the only data source of DRGs, and the data quality is the key to the smooth implementation of DRGs. The main body of the medical record is the clinicians. In view of how to make clinicians do it"complete and accurate"according to the standard, the author discusses the effective ways to improve the quality of the first page of medical records from the perspective of establishing and managing clinical DRGs specialist and enhancing the involvement of clinicians.更多还原