| 乡村医生书写门诊病历的管理问题 |
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| 引用本文： | 李树先,范贞. 乡村医生书写门诊病历的管理问题[J]. 中华医院管理杂志, 2011, 27(12). DOI: 10.3760/cma.j.issn.1000-6672.2011.12.015 |
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| 作者姓名： | 李树先 范贞 |
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| 作者单位： | 1. 中华医学会北京分会,北京,100005
2. 北京卫生法学会 |
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| 摘 要： | 提出了目前乡村医生在书写门诊病历方面存在的管理问题:若不写门诊病历,则医疗事故技术鉴定无法进行；若书写门诊病历,则可能涉及非法行医或者超范围执业.建议从法律角度规范乡村医生书写门诊病历的行为,明确乡村医生暂不适用《病历书写基本规范》,乡村医生病历书写规范另行制定,并且有适当的普及期；或者明确《医疗事故处理条例》第二十八条的规定不适用于乡村医生.
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| 关 键 词： | 乡村医生 书写 门诊病历 问题 |
Regulation of outpatient medical records written by rural doctors |
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| LI Shu-xian,FAN Zhen. Regulation of outpatient medical records written by rural doctors[J]. Chinese Journal of Hospital Administration, 2011, 27(12). DOI: 10.3760/cma.j.issn.1000-6672.2011.12.015 |
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| Authors: | LI Shu-xian FAN Zhen |
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| Abstract: | A probe into the management of outpatient medical records written by rural doctors:Such a record is indispensible for technical appraisal of medical accidents; yet writing of such a record might involve illegal medical practice or go beyond the scope of practice.It is recommended to normalize the behavior of rural doctors in their writing of outpatient medical records,stipulating that the Basic Regulations on Medical Records do not apply to rural doctors at present.It is also recommended that separate regulations for rural doctors be formulated,along with a promotional period before these regulations are in practice.An alternative would be clarifying that Article 28 of the Regulations of Medical Malpractice Settlement do not apply to rural doctors. |
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| Keywords: | Rural doctors Writing Outpatient medical records Problem |
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