医院员工的病案相比非本院员工的病案更具有临床和科研价值。良好的完整的保管此类病案非常重要,但是由于对其重要性认识不足,致使目前此类病案的保管存在一些缺陷,保管质量参差不齐。保管主体有的是院医室,有的是病案科,保管方法也有不同,各种方法各有优缺点。院医室保管病案,使用方便快捷,但是对病案保存的完整性和安全性方面存在不足。病案科保管病案与院医室保管病案正好相反,完整性和安全性有保障,但是便捷性差。据此分析建议,门诊病案由院医室保管,方便就医,住院病案由病案科管理,保障重要资料的完整性和安全性。无论是由院医室保管还是由病案科保管,均要加强管理,尤其是借阅的管理。只要给予足够的重视,方法只是手段,良好的保管才是目的。? The hospital staff’s medical record is more clinical and scientific value than the non-hospital staff’s medical record. It is very important to keep such cases well and completely, but due to the lack of understanding of their importance, there are some defects in the storage of such cases at present, and the quality of their storage is uneven. Some custody is the hospital room, some cases of illness, custody methods are different, each method has its own advantages and disadvantages. Hospital medical records, the use of convenient, but the integrity of the medical records and the safety of the existence of inadequate. Case-keeping Medical records and hospital medical records on the contrary, completeness and safety are guaranteed, but the convenience is poor. Based on this analysis, outpatient medical records are kept by the hospital and are convenient for medical treatment. Inpatient medical records are managed by the medical records department to ensure the integrity and safety of important information. Whether it is kept by the hospital or by the record-keeping department, management should be strengthened, especially for borrowing. As long as adequate attention is given to the method is only a means of good custody is the purpose. ?