中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2011年
12期
924-926
,共3页
乡村医生%书写%门诊病历%问题
鄉村醫生%書寫%門診病歷%問題
향촌의생%서사%문진병력%문제
Rural doctors%Writing%Outpatient medical records%Problem
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.
提齣瞭目前鄉村醫生在書寫門診病歷方麵存在的管理問題:若不寫門診病歷,則醫療事故技術鑒定無法進行;若書寫門診病歷,則可能涉及非法行醫或者超範圍執業.建議從法律角度規範鄉村醫生書寫門診病歷的行為,明確鄉村醫生暫不適用《病歷書寫基本規範》,鄉村醫生病歷書寫規範另行製定,併且有適噹的普及期;或者明確《醫療事故處理條例》第二十八條的規定不適用于鄉村醫生.
제출료목전향촌의생재서사문진병력방면존재적관리문제:약불사문진병력,칙의료사고기술감정무법진행;약서사문진병력,칙가능섭급비법행의혹자초범위집업.건의종법률각도규범향촌의생서사문진병력적행위,명학향촌의생잠불괄용《병역서사기본규범》,향촌의생병역서사규범령행제정,병차유괄당적보급기;혹자명학《의료사고처리조례》제이십팔조적규정불괄용우향촌의생.
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.