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目的对大型综合性医院病案利用情况进行回顾性分析,了解变化趋势,探讨病案服务模式的优化。方法以医院信息数据库中病案借阅记录为基础,用国际知名统计软件SAS8.0进行对比和趋势分析。结果借阅率、院内院外借阅构成、被借病案专科构成、借阅类型构成等按年度的变化趋势均具有高度统计学意义。结论近期病案借阅、病案的院外借阅呈急剧上升趋势提示我们:为了提高工作效率要优化病案的存储结构;为了更好地进行病案对外服务,要加大服务投入、改善服务条件,简化服务手续。
Objective To retrospectively analyze the utilization situation of medical records in large-scale general hospitals, understand the trend of changes, and explore the optimization of medical service model. Methods Based on the medical records borrowed and recorded in the hospital information database, the internationally famous statistical software SAS8.0 was used for comparison and trend analysis. The results of the year-by-year changes in the results of borrowing rates, in-hospital out-of-hospital borrowing, the composition of the borrowed medical specialties, and the type of loan composition were highly statistically significant. Conclusion The recent upward trend in the borrowing of medical records and the out-of-hospital borrowing of medical records indicates that we must optimize the storage structure of medical records in order to improve work efficiency; in order to better serve medical records, we must increase service investment, improve service conditions, and simplify service procedures.