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随着科学技术的发展,现代医疗技术也在不断进步,患者病案资料的激增促使了病案信息化管理的诞生。目前,病案管理信息化的应用普及率尚且不高,部分医院仍在使用人工病案。本文旨在通过研究珠海市当前部分医院病案管理信息化的现状,分析存在的问题和不足并提出相应的解决策略。例如:病案信息系统保密度不够,安全性较差,存在泄露病人隐私的风险~([1])。病案资料保存混乱,存在信息丢失的风险。病案管理信息系统与医院整体信息系统结合度不高,不便于信息交流共享~([2])。相关管理人员素质偏低,缺乏一定的病案管理知识等。
With the development of science and technology, modern medical technologies are also making continuous progress. The surge of medical records of patients has led to the birth of medical record information management. At present, the application rate of medical record management information is still not high, and some hospitals are still using artificial medical records. The purpose of this paper is to analyze the current situation of medical records management in some hospitals in Zhuhai and analyze the existing problems and shortcomings and propose corresponding solutions. For example: medical information system is not enough security, security is poor, there is the risk of disclosure of patient privacy ~ ([1]). Medical records are confused and there is a risk of losing information. The combination of medical records management information system and hospital overall information system is not high enough to facilitate information exchange and sharing. ([2]). Related managers are of low quality and lack of knowledge of case management.