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随着现代医学与管理的发展,病案管理作为医院管理的一个重要组成部分,越来越受到各界的关注。本文结合军队医院实际工作情况,针对病案管理中在人员安排、学历结构、专业教育及编码、病案首页、病案等方面存在的实际问题进行分析。为改变病案管理状况,提出医院领导应在思想上重视病案管理工作,并从如何充实改变病案管理队伍、加强病案质控等方面进行了探讨。
With the development of modern medicine and management, medical record management as an important part of hospital management has received increasing attention from all walks of life. This article analyzes the actual problems existing in military hospitals in terms of personnel arrangement, education structure, professional education and coding, the first page of medical records, medical records and other aspects in the medical record management. In order to change the status of medical records management, it is proposed that hospital leaders should ideologically attach importance to the management of medical records, and discuss how to enrich the medical record management team and strengthen the quality control of medical records.