The case history writes it is prohibited that the new rule is difficult " The book from heaven " The family property wife explodes the material and defends buying medicines without permission

The case history writes it is prohibited that the new rule is difficult " The book from heaven " The family property wife explodes the material and defends buying medicines without permission
The case history writes it is prohibited that the new rule is difficult " The book from heaven " The family property wife explodes the material and defends buying medicines without permission
The writing is hasty and careless, like " book from heaven " ,This is the public's general impression on the case history. " the case history writes the basic norm " that Ministry of Public Health issues is implemented formally since March 1, doctor's script while writing the case history in the future must be normal as requested, and require the writing to be apt to understand carefully and neatly. Over investigations find that and the reporter lasts half a month in the new rule, " book from heaven " The case history originally still exists, it is changed to practise old that it is still difficult for most hospital doctors, the case opened can not be " understood " as before . Citizens: " book from heaven " The case history can not be seen in the afternoon of March 9, body of Mr. Yang of citizens is a little uncomfortable, get Sanshui some hospital, go to a doctor, doctor exert oneself the intersection of pen and the intersection of disease and book at the intersection of case history and copy, hasty and careless script make confused Mr. Yang. Mr. Yang says, except that date and few words can be seen clearly, most contents are seen not clear on the case history. What made Mr. Yang angry even more is, handing over to the time-consuming fee-collector wants Mr. Yang to take the medicine name that the case history originally looked for the doctor to inquire she can not understand one of them, that is to say, even people inside the hospital are unable to understand the so hasty and careless writing sometimes. "How many words can you recognize on case history? " Mr. Yang originally took out the case history for reporter to read, in paper of page half, really only date and few simple and easy word reporters could recognize, other words are all hasty and careless and unclear, unrecognizable. "Do not have regulations to say that does not allow to write such a case history of ' the book from heaven '? " What let Mr. Yang feel uncertain is, why new rule has so elusive a " book from heaven " after implementing The case history exists. Insider: Go to the dispensary to buy medicine " the case history wrote the basic norm " which Ministry of Public Health issued to implement since March 1 in order to stop a patient, require the doctor's case history to write the necessary norm and use the medical terminology, the characters are careful and neat, the writing is clear, it is accurate to state, the sentence is clear and coherent, the punctuation mark is correct. Reporter know,at case history that be used hospital at present,doctor will contents such as medicines,etc. used while writing patient's disease, treating inside, but because the writing is difficult to distinguish, make the patient going to a doctor difficult to find out about one's own condition. How about on earth after new rule is implemented? Reporter come more than of Sanshui successively in the capacity of patient a multiplicity of days while being continuous hospital and southwest the intersection of urban area and some clinic carry on investigation. In the unit investigation of 3 medical treatment, the reporter's " disease " The appearance in accordance with expectation is here " The book from heaven " At the case history, in inquire regarding it is basically normal to write in the case new the intersection of rule and performance chat, with among them some the intersection of clinic and doctor reporter, the doctor claims " knew, the many people very much, wrote like this in the past, it is understood that you can not understand me, where to have so much time to write the case history carefully and neatly! " In the other hospitals that are visited, situations meeting are mostly unanimous. And insider in the know reveals to the reporter, the doctor writes " book from heaven " Case history, mainly prevent a patient to go to the dispensary to buy medicines without permission. "You think about it, once the patient goes to the social dispensary to buy medicines, medicines of the hospital raise the price and can not earn, to turn on single fee just doctor, who also wants to let the patient see the medicines name at the case history clearly? " Department: Favorable doctors and patients' both sides, while standardizing the case history and writing, Ministry of Public Health announces the electronic case history recently <>,Confirm " new norm " Begin to implement since April 1. It is reported, the electronic case history is a set of information systems, do not need doctor to be handwritten, only need standardizing the mode to input of relevant system according to the computer. However, reporters have visited the discovery of every hospital in Sanshui, such electronic case history has not been popularized yet, but the relevant persons in charge of district the People's Hospital say, they are doing the work of introducing the electronic case history, the doctor will say good-bye to pen and case history one if the doctor writes the case history, make into and strike the keyboard to input the content of the case history into the computer. This person in charge still reveals, the electronic case history will be tried in the in-patient dept. first. The relevant person of Ministry of Health of Sanshui district says, pursues the electronic case history and is originally beneficial to doctors and patients both sides. If Sanshui districts or the whole city medical organizations implement the electronic case history, no matter which hospital the resident reach goes to a doctor, the doctor can know all files of the patient's directly according to the electronic case history, the ones that can prevent patients from while transferring from one hospital to another check repeatedly. From the viewpoint of patient, electronic case history can reduce to diagnose the illness cost patient effectively, and connect, examine hospital, can also reduce work load greatly, raise working efficiency, hygiene administrative department too can go on supervising to the medical behavior in view of the above, standardize the doctor's course of practising medicine. (Yang Bo)


|