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县级医院的实体即县人民医院,是一县医疗、保健、培训和科研的中心,在省、地(市)、县、乡、村五级医疗卫生网中处于城乡医疗卫生的枢纽地位。而病案档案则是县医院实行全面科学管理,遵循医学规律和经济规律办院,调动全员职工积极性、提高工作效率和医疗效果,衔接各个科室和各项医疗工作的一个重要环节。本文拟就病案档案的功能、收集整理及其管理方法谈点看法。 一、病案档案的功能和基本任务 病案档案作为一项专门档案有其自身的特点和形成规律。从医疗工作、医学教育和医疗科研对档案资料使用的实际价值和病案档案管理的角度来讲,病案档案的特殊性,在医疗实践和医学科研中集中体现在三点上:(一)它是以一个患者的治疗过程所形成的全部文字、数据及图像材料构成一个立卷单位。而非
The County County Hospital’s entity, the County People’s Hospital, is a county center for medical care, health care, training, and scientific research. It is located at the hub of urban and rural health care in provincial, prefecture (city), county, township and village medical and health networks. The medical record file is the county hospital to implement a comprehensive scientific management, follow the medical laws and economic laws to run the hospital, mobilize the enthusiasm of all employees, improve work efficiency and medical effectiveness, and link an important link in various departments and various medical work. This article intends to discuss the function of the medical records, collection and arrangement and management methods. First, the function and basic tasks of the medical record file As a special file, the medical record file has its own characteristics and formation rules. From the perspective of medical work, medical education and medical scientific research on the actual value of the use of archives and the management of medical record files, the special nature of medical records is reflected in three points in medical practice and medical research: (1) It is All the text, data, and image materials formed by a patient’s treatment process constitute a single unit. Not