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随着近年来我国医疗卫生事业和信息管理技术的发展,病案管理学已成为一门新兴的学科,并在实践中有了长足的发展,病案管理工作也受到了重视。对医院管理工作来说,病案管理是一个极其重要的组成部分。病案工作的标准化是病案工作现代化的前提和基础;建立病案工作标准体系,明确病案工作标准化的发展方向;建立、健全病案工作标准化的管理系统;病案工作标准化管理是近年来提出的,是做好病案工作的内容之一,如何制定出病案工作的标准及具体措施,是病案工作标准化研究面临的新问题,还有待深入研究。
With the development of medical and health undertaking and information management technology in our country in recent years, medical record management has become a new discipline and has made great progress in practice. The management of medical records has also been taken seriously. For hospital management, case management is an extremely important part. The standardization of medical record work is the prerequisite and basis for the modernization of medical record work. The standard system of medical record work is established, the development direction of standardization of medical record work is clarified, the standardized management system of medical record work is established and perfected, the standardized management of medical record work is put forward in recent years, One of the contents of medical record work and how to formulate the standard and concrete measures for medical record work are new problems that the medical record and standardization research faces, which needs to be further studied.