为促进我国民营医院持续、健康、稳步发展,提升民营医院服务质量及整体形象,提高行业的社会公信力,中国医院协会民营医院管理分会拟构建大数据基础上的中国民营医院质量评价体系和质量认证体系,通过数据分析客观公正地评价民营医院综合实力。住院病案首页质量将成为评价体系中的重要组成部分,对民营医院2016年住院病案首页(卫计统4-1表)数据进行逐项、多维度、全方位检测,结果显示民营医院住院病案首页填写质量存在内容不完整、不规范、缺乏逻辑性等诸多问题,无法满足统计需要。因此,为适应新形势下病案质量管理的需求,保障医院切实能够通过数据挖掘来改进医疗质量和医疗服务能力,民营医院应对住院病案首页填写加大管理力度,提高住院病案首页填写质量,以便最大限度地挖掘民营医院住院病案首页数据应用价值。
<<In order to promote the continuous,healthy,steady development,enhance the medical service quality and overall image of private hospitals,improve the social credibility of private hospitals in our country,Chinese hospital association private hospital management branch plans to build a China private hospital quality evaluation and certification system based on large data,and to evaluate the overall strength of private hospitals objectively and impartially through data analysis. The quality of the first page of medical records will be an important part of the evaluation system. It was tested each item multi-dimensionally and thoroughly that the data of the first page of patients’ medical records of the private hospital (health and family planning statistics4-1 statements) in 2016. The results show that there are many problems,such as incomplete content,irregular filling,lack of logic,etc.,which do not meet the statistics needs. The private hospitals should adapt to the needs of the quality management of medical records under the new situation,and can improve the quality and ability of medical service through data mining. The quality of the first page of the medical records should be improved by strengthening management,so as to maximize the value of the data application in the private hospitals.
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