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病案是医院在整个医疗活动中的结晶产物,是医院的宝贵财富,也是社会地位的认可。它的用途广大,法定性强,人们在对它的使用中产生的保护意识以对权益的把握是一种公民文明和社会进步的体现,因而病历记录准确与否是社会效益的一项至关重要环节。良好的病案记录反映出医生的责任心和观察病人的细心程度,也反映了医生良好的文化素质及专业素养,并充分体现出医院在病案管理上的力度,当它在社会起到法定作用时,无不受到社会的充分关注。
The medical record is the crystallization of the hospital in the entire medical activities. It is a valuable asset of the hospital and an acknowledgement of its social status. It is widely used and has strong statutory power. The people’s awareness of protection arising from its use of rights and interests is a manifestation of citizen civilization and social progress. Therefore, the accuracy of medical records is a key to social benefits. Important link. A good medical record reflects the doctor’s sense of responsibility and the patient’s carefulness. It also reflects the doctor’s good cultural qualities and professional qualities, and fully reflects the hospital’s efforts in the management of medical records, when it plays a legal role in the society. All of them are full of social concern.