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目的对某院病案利用情况进行回顾性的分析,了解病案利用情况的变化趋势,探讨病案对外服务模式的优化。方法以病案室的病案利用登记本的记录为基础,用SPASS软件进行对比和χ2趋势检验分析。结果病案利用率由2004年的469份占当年出院病人的9.19%,上升至2012年的11,219份占当年出院病人的76.51%。院内利用率由2004年的374份占当年病案利用率79.74%,至2012年院内利用3636份利用率下降至32.4%,院外利用率由2004年95份占当年病案利用率20.45%,上升至2012年7583份占当年病案利用率67.59%。结论加大病案室的硬件投入,改善服务态度,简化服务流程,更好地服务于日益增长的病案的利用人员。
Objective To retrospectively analyze the utilization of medical records in a hospital and to understand the trend of the utilization of medical records and to explore the optimization of medical service modes for medical records. Methods Based on the records of medical records in the medical records room, SPASS software was used for comparison and χ2 trend test analysis. Results The utilization rate of medical records increased from 469 in 2004 to 9.19% of discharged patients in that year to 11,219 in 2012, accounting for 76.51% of discharged patients in that year. In-hospital utilization rate dropped from 374 in 2004 to 79.74% in that year, and 3636 in-hospital utilization dropped to 32.4% in 2012. Out-of-hospital utilization rose from 95.4% in 2004 to 20.45% in 2012 7583 copies of the year accounted for 67.59% of cases. Conclusions Increasing the hardware investment in medical records room, improving service attitude, simplifying service flow and better serving staff in the ever-increasing medical record.