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目的探讨在新的医改方案实施后,病案管理工作的变化及发展方向。方法研读新医改方案,结合目前医院病案管理工作的情况,了解新医改对病案管理发展的影响及需求。结果新医改呼唤中国卫生信息化,目前的病案管理工作要满足新医改的需求尚存在一定差距。结论新医改将医疗信息化提到了前所未有的高度。面对新医改,病案作为重要的医疗信息资源,其管理工作的发展应该有以下几个转变:1.病案管理向电子信息网络化共享的方向发展;2.病案管理模式向卫生信息化管理模式发展;3.发挥病案在医疗费用控制方面的作用;4.加强病案管理人员的综合素质。
Objective To explore the changes and development of medical record management after the implementation of the new medical reform plan. Methods To study the new plan of medical reform and to combine with the current situation of medical record management in the hospital to understand the impact and demand of new medical reform on the development of medical record management. The results of the new medical reform call for China’s health information, the current medical records management to meet the needs of the new medical reform there is still a certain gap. Conclusion The new medical reform has referred to the medical informatization to unprecedented heights. The face of the new medical reform, medical records as an important medical information resources, the management of the development should have the following changes: 1 medical record management to the sharing of electronic information network development direction; 2 medical record management model to the health information management model Development; 3 play medical records in the role of medical expenses control; 4 to strengthen the overall quality of medical record management personnel.