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目的了解江西省医院信息管理应用现状和发展趋势。方法通过江西省68家创省级“满意医院”评审时实地问卷调查。结果江西省医院信息管理起步较晚,发展缓慢,大部分医院信息管理应用仍处於单机单任务阶段和微机网络/文件服务器部门或垮部门级信息系统阶段,各医院使用不同软件公司设计的信息软件各不相同,医院内部缺乏信息管理软件开发和维修人才,全省仍缺乏正规“电子病案”信息系统等特点。结论目前各医院信息管理系统使用过程中缺乏输入者的身份识别功能,所保存的患者病历文件及内容没有相应的加密措施,电子病案缺乏信息管理系统,尚不能达到保护患者个人隐私的安全性要求,部分医院使用的打印病历缺乏法律效应,直接影响到医疗质量管理和病历质量管理。
Objective To understand the status quo and development trend of hospital information management in Jiangxi Province. Methods A questionnaire survey was conducted during the evaluation of 68 provincial-level “satisfied hospitals” in Jiangxi Province. Results The hospital information management in Jiangxi Province started relatively late and developed slowly. Most of the hospital information management applications were still in the stage of single-plane single-task and computer network / file server or the departmental information system of the collapse department. The hospitals used information designed by different software companies Software varies, the hospital lack of information management software development and maintenance personnel, the province still lacks the formal “electronic medical record” information system and so on. Conclusion At present, the hospital information management system lacks the function of identification of the imported person, the patient records and the contents stored there are no corresponding encryption measures. The electronic medical record lacks the information management system, and the security requirements for protecting the personal privacy of patients are not yet reached , Some hospitals use the print medical records lack of legal effect, a direct impact on the medical quality management and medical records quality management.