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目的了解目前病案的利用情况,分析其原因,探讨病案开发利用的方法、途径及方向;方法查阅2001年至2006年《病案借阅登记》、《病案查阅复印登记》、《住院病人流动报表》,分别统计各种目的查阅病案数量,并以总出院病案数为基数,算出各种目的病案利用率;结果病案目前的应用主要局限在农村合作医疗保险、职工医疗保险及公检法,其次是医疗、科研、教学,病案的利用也只限于浅层次的应用,病案的卫生信息作用并没有很好得到应用与体现;结论病案的利用尚停留在浅层次的利用,作为重要的卫生医疗资源,必须改变原有的档案管理模式向卫生信息管理模式转化,提高病案的质量内涵,加强资源的宣传及共享,使病案信息得到充分的开发利用。
Objective To understand the current use of medical records, analyze the causes, and explore ways, ways and directions for the development and utilization of medical records. Methods To review the “Medical Records Borrow Registration”, “Medical Records Access Copies Registration” and “Inpatient Flow Reporting” from 2001 to 2006, Statistics for various purposes, respectively, the number of medical records, and the total number of hospital discharges as the base, calculate the purpose of utilization of various purposes; Results The current application of medical records is mainly limited to rural cooperative medical insurance, medical insurance and public security law, followed by medical, scientific research , The use of teaching and medical records is only limited to shallow application, and the medical information of medical records has not been well applied and reflected. Conclusion The utilization of medical records remains at a shallow level. As an important source of medical and health resources, Change the original file management mode to health information management mode transformation, improve the connotation of the quality of medical records, strengthen the publicity and sharing of resources, so that the medical record information can be fully exploited and utilized.