| 摘要: |
| 目的 探讨病历作为医疗服务收费记录依据的办法及实施措施。方法 现场调研与统计分析相结合。结果 统计分析发现，医疗服务收费纳入病历印证管理工作对出院患者满意度有显著影响，通过实施医疗服务收费纳入病历印证工作，完善了医院收费内控制度，遏制了因收费不合理而导致的国度医疗现象，提高了出院患者的满意度。结论 病历可以作为医疗收费的最终记录依据，应加强病历印证医疗服务收费管理。 |
| 关键词: 医疗服务收费 病历 印证 |
| DOI： |
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| 基金项目: |
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| Research on Improving the Medical Records to Confirm the Management of the Medical Service Charges |
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| Abstract: |
| Objective Discussing the methods and measures of medical records which are regarded as the record of medical service charges.Methods Combining the site survey with statistical analysis.Results Statistical analysis showed that charges for medical services into the management of medical evidence of satisfaction of patients discharged from hospital has a significant influence.Through the implementation of medical records confirmation management，we perfected the internal controlling system，restrained the excessive medical treatment leaded by unreasonable charge，and improved patients’ satisfaction.Conclusion Medical records can be taken as the final entry of medical charge and the management of medical records confirmation medical service should be strengthened. |
| Key words: medical service charges,medical record ,confirm |
