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医疗保险病案书写质量的缺陷与防范
引用本文:边连朵,刘海燕.医疗保险病案书写质量的缺陷与防范[J].中国病案,2010,11(4):21-23.
作者姓名:边连朵  刘海燕
作者单位:首都医科大学附属北京安贞医院,北京市,100029
摘    要:目的了解医保病历书写质量现状,探讨医保病案质量控制的重点。方法检查并分析某三甲医院2006年-2008年医保拒付病案。结果医保拒付病案普遍存在因书写不规范而引起拒付的问题。平均缺陷率为50.5%。结论通过加强病历书写知识和医保制度培训,可以提高医师对医保制度的认识和病历书写的专业水平。

关 键 词:病案  质量控制  医疗保险

Defects in the Quality of Medical Records Writing for Medical Insurance and the Countermeasures
Bian Lianduo,Liu Haiyan.Defects in the Quality of Medical Records Writing for Medical Insurance and the Countermeasures[J].Chinese Medical Record,2010,11(4):21-23.
Authors:Bian Lianduo  Liu Haiyan
Institution:Bian Li,uo,Liu Haiyan Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing 100029
Abstract:Objective To understand the status of the quality of medical records writing for medical insurance and to explore the key points of quality control of it.Methods All of medical records for protest in medical insurance in a third-class A-grade hospital from 2006 to 2008 were studied and analyzed according to the standard of Specification for Medical Records Writing.Results Non-standard medical records writing for medical insurance was found commonly,which resulted in the protest in medical insurance.The mean...
Keywords:medical records  quality control  medical insurance  
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