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病案无纸化转型的挑战与应对策略

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随着信息技术的迅速发展,病案无纸化成为医疗行业的重要趋势。病案无纸化不仅能够提高医疗服务的效率和质量,还能促进医疗信息的共享与整合。然而在实施过程中,仍存在诸多挑战,包括技术、政策法规、人员培训与适应性等多方面。技术方面,数据安全与隐私保护、系统互操作性与标准化问题以及电子病历系统的技术瓶颈是主要障碍;政策法规方面,现行法律法规对病案无纸化的限制、医疗数据共享与合规性问题以及政策支持的不足都对无纸化进程产生了阻碍;人员培训与适应性方面,医务人员对无纸化系统的接受度、培训需求以及文化变革与组织适应性挑战等也亟待解决。文章旨在通过分析这些挑战,提出可借鉴的经验与建议,并对未来无纸化发展的研究方向进行了展望,以期为医疗机构的无纸化进程提供参考。
Challenges and coping strategies of paperless transformation of medical records
With the rapid development of information technology,paperless medical records have become an important trend in the medical industry.Paperless medical records can not only improve the efficiency and quality of medical services,but also promote the sharing and integration of medical information.However,there are still many challenges in the implementation process,including technology,policies and regulations,personnel training and adaptability,and so on.In terms of technology,data security and privacy protection,system interoperability and standardization issues,as well as technical bottlenecks in elec-tronic medical records(EMR)systems,are the main obstacles;In terms of policies and regulations,current laws and regulations have hindered the paperless process of medical records,restrictions on medical data sharing and compliance issues,as well as in-sufficient policy support;In terms of personnel training and adaptability,the acceptance and training needs of medical personnel towards paperless systems,as well as cultural change and organizational adaptability challenges,also urgently need to be ad-dressed.This article aims to analyze these challenges,propose valuable experiences and suggestions,and provide prospects for future research directions in paperless development,in order to provide reference for the paperless process of medical institutions.

Paperless medical recordsInformation technologyMedical industry

张慧鑫、冯琳、宋轶

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天津市南开医院//天津市中西医结合医院//天津市中西医结合急腹症研究所 天津 300100

天津市南开区中医医院 天津 300102

病案无纸化 信息技术 医疗行业

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(12)