Discussion on the Current Situation and Development Countermeasures of Basic Medical Record Information Management
Community health service institutions,as the primary health service institutions in China,analyze and summarize the medical record information generated in the process of their work to form a database,which is of reference significance for relevant departments to understand the health status of residents and analyze their health needs,and for the country to formulate and adjust health policies and community health service development planning.In actual work,the lack of attention to medical record management is the primary factor affecting the development of grassroots medical records.The lack of talents and the lack of systematic training for practitioners have restricted the development of grassroots medical records.The lack of unified implementation standards for medical record quality results in irregular and inconsistent quality of medical records at the grassroots level.Insufficient application of digital technology hinders the informatization process of grassroots medical records.The development of grassroots medical record information should be promoted from five aspects,including raising awareness of the importance of grassroots medical record information management,strengthening talent team training and standardized training,promoting the integration of electronic medical record systems and the construction of quality control systems,improving the popularization and management level of electronic medical records in application,and promoting the realization of electronic medical records within the medical consortium.Sharing and mutual recognition,so as to provide a reference for improving the country's grassroots medical record information management.
Grass-roots communityPublic health serviceMedical recordInformation management