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记载着医院重要资料的病案是医疗工作的重要信息来源,它不仅为临床、科研、教学和医疗管理部门提供了决策依据,现在又是医疗保险理赔、疾病和交通伤残事故鉴定及医疗事故处理的重要法律依据。因此,如何正确的认识病案的价值、如何做好医院病案资料管理工作,提高病案管理的质量、如何更大更好地利用病案资源发挥病案应有的作用至关重要。
The medical record that records important hospital information is an important source of information for medical work. It not only provides the basis for decision making for clinical, scientific research, teaching, and medical management departments, but also medical insurance claims, identification of diseases and traffic accidents, and treatment of medical accidents. The important legal basis. Therefore, how to correctly understand the value of medical records, how to do a good job in hospital medical records management, improve the quality of medical record management, and how to make better use of medical record resources to play a proper role in the medical record are of utmost importance.