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目的通过对福建省7个市46家综合医院病案室进行调查,了解其管理现状及其主要影响因素,提出相应的对策建议。方法采用问卷法调查福建省7个市46家的综合医院病案室的基本情况、病案人员配置、学历及职称情况、领导的重视程度、人员培训和病案室未来的发展,用Epidata3.0建立数据库,SPSS13.0进行统计处理与分析。结果调查的综合医院病案室归属不明确,病案室工作人员学历偏低,职称与专业构成不合理,专业病案管理人员严重缺乏。结论明确行政归属,提高重视程度;增强专业建设,紧抓人才培养;加大培训力度,鼓励在职教育;规范职称评定,增加晋升机会等有助于综合医院病案室的管理改进。
Objective To investigate the management status and its main influencing factors of 46 general hospital cases in 7 cities of Fujian Province, and propose corresponding countermeasures and suggestions. Methods Questionnaire survey was used to investigate the basic situation of the 46 general hospital medical record rooms in 7 cities of Fujian Province, the distribution of medical record personnel, academic qualifications and job titles, the importance of leadership, personnel training, and the future development of the medical record room. A database was established using Epidata 3.0. SPSS13.0 performs statistical processing and analysis. The results of the investigation of the general hospital medical record room attribution is not clear, the staff of the record room education is low, professional titles and professional composition is unreasonable, professional medical record management personnel are seriously lacking. Conclusion Clear administrative ownership, increase the importance of attention; strengthen professional construction, pay close attention to personnel training; increase training, encourage on-the-job education; standard job title assessment, increase the promotion opportunities, etc., contribute to the management improvement of the general hospital medical record room.