The electronic case history encounters realistic resistance Authenticity dependability is queried
Nanjing is set up recently " The file system of electronic health " ,The electronic case history came into the citizens of Nanjing; Foshan of Guangdong plans to begin the pilot project next year; Try the all-purpose card of electronic case history in Anhui Province The reporter learns recently, at present, many large hospitals of Xi'an have already set up electronic case history, some have already begun to try. But the intersection of reporter and investigation find patient understanding, technical bottleneck, a managerial one out of step to wait a moment for, make, pursue work face a lot of realistic difficult problems
The patient still yearns for the paper case history
Many people all have such an experience, go to different hospitals to see the doctor, will all change different case history one each time. Even some case histories used for different departments of hospital are not the same. Case history came in every shape to bring a great deal of inconvenience for the patient to go to a doctor. "Go to see the doctor each time, must buy the case history first, though a lot of hospital case histories are free of charge now, but very troublesome! " Ms. Li of the south suburb says with deep feeling that live: "Forget to take the old case history, not saying, must do the inspection repeatedly of renewal sometimes. Kill time as well as waste the money! " "This of mine is a chronic disease, go to reexamine and must take thick case history one each time, trouble! " Uncle Li's condition is relatively complicated, basically must go to the hospital to check every week.
While visiting in the reporter's investigation, a lot of people say, have taken medicines after seeing the disease, the case history has been basically neglected, either throw away conveniently, or lay aside and neglect, few people keep it properly. A lot of patients reflect, the doctor writes the word on the case history that it is very difficult to recognize. The reporter brings a case history, see picture and name printed with hospital on the envelope, in with hospital in page for brief introduction and introduce some department,informations such as contact detail,etc.. Most case histories of hospital are basically all this kind of mode.
But recent, the reporter receives enthusiastic reader Ms Zhang's telephone to " went to the hospital to see the doctor few days ago, I find a gratifying change, the hospital all begin to use the electronic case history now, just ever listened to the other places pursue in the past, understood a bit by oneself, thought the electronic case history was still very convenient, have never expected spending too in Xi'an now! " Refer to the electronic case history, some ones that went to the large hospital to see the doctor can all understand some, but most people are not qcquainted with. "Hear of it often just, why it is but specifically matter know, write case history at computer, safe? Will our personal secrets be revealed? " Also someone queries to authenticity and dependability of the electronic case history.
The authenticity is ensured indubitably
Hospital of some the first, second and third is at the beginning of pursuing the electronic case history near North Street of our city, once patients complained to the media because of understanding, it is reported, set up electronic case history, need patient's filling in the request slip, including the name, gender, born in date, telephone number, ID card number, home address, patient's identity (medical insurance) And departments registered and situations such as the doctor,etc. selected, some patients will reveal one's own personal information while worrying about this, it is unwilling to fill in, so still produce the dispute with the hospital Implement electronic case history to be beset with difficulties, among them, patient understanding most great difficult problem.
Province the People's Hospital offers dragon's Vice President to tell reporters, in the view of a lot of people high, record the information of the case history with the computer in so-called electronic case history, the simple one is interpreted as the electronization of case history. In fact, the electronic case history not merely realizes the electronization of case history, it go to a doctor all basic situation and relevant medical information of patient and medical history previously, various check materials, set up one electronic the intersection of case history and system, while changing procedure of going to a doctor of the tradition, have improved medical service level and service quality too. As to paper case history, it is easier for the electronic case history to write, and the storing amount is great, information is intact, it is more convenient to read; Also it is handwritten to avoid " The case history of book from heaven " Phenomenon,to patient,easy recognition, grasp and understanding; To medical worker, have saved the time of going to a doctor, has reduced their work load, the case history must go on according to the procedure while writing, has standardized the doctor's behavior of making a diagnosis to a certain extent, also help to strengthen communication and exchange among doctors and patients; To medical administrative department, the electronic case history is to there is very great help function on the management of the medical document, treatment of examination and medical disputing.
To having patients to query authenticity and dependability of the electronic case history, relevant experts think, the patient can well rest assured, the electronic case history system has strict procedures to ensure information security. The doctor should look over the patient's case history, could be entered if there must be password and password, the patient's personal secrets will not be revealed. The electronic case history needs signing and confirming step by step while entering the shelf, so the patient can rest assured, its authenticity can well be ensured.
Break through information " The detached island " Become the key
Gao JingLong claims, as more advanced as some technology, the southern city with more developed information, for instance Shanghai, Guangzhou, Sichuan,etc., had already using the electronic case history long ago. Because the content of the electronic case history is more complicated, need complicated technical support, it is still more difficult to set up and popularize, need moving forward progressively. The provincial hospital finished the implementation of the electronic case history in the geriatrics department last year, is preparing in other departments application this year. In conformity with requiring clearly, some hospitals in Xi'an have already put into the electronization of case history and construction of informationization actively of information construction of Ministry of Public Health, enclose institute, hand over to sophomore period enclose institute, west the intersection of Beijing and hospital, Tang like the intersection of city and central hospital, one Shanghai Communications University many hospitals such as the hospital both already established and begun to pursue the electronic case history.
However, the present electronic case history system is not very complete yet, also there are much technology and managerial difficult problem, reality has much resistance while pursuing too. The electronic case history contributes, need to realize the overall information sharing, but reality, each hospital have their own information system and all become systems, form information in this way " The detached island " ,Because every the intersection of hospital and standard differ, integration and share very difficult to realize of information, in addition, most hospitals are not qualified to set up the electronic case history, informationalized infrastructure construction and disparate development make the electronic case history popularized and encountered resistance.
Xi'an the intersection of city and the intersection of railway and the intersection of Chinese and president, Gao Ning of central hospital, say, sets up electronic case history, the instruction of Ministry of Health, must unify, this institute has not received the relevant notice yet at present, but the large urban hospital has basically already set up and popularized in unison.
The Shaanxi Province hard minister of propaganda department of Traditional Chinese hospital claims, the hospital has just realized the case history electronization of the unit at present, like the electronic case history, need networking, very complicated, the hospital is upgrading the system, plan to try.
At present, the discussion about the electronic case history of the industry, mainly concentrate on correctly
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