The patient goes to a doctor needn't hold " book from heaven " in hands again

The patient goes to a doctor, needn't hold " book from heaven " in hands again
The patient goes to a doctor, needn't hold " book from heaven " in hands again
Staff reporter Gu Yong " book from heaven " The general doctor writes, often make numerous patients see case history in the cloud in the fog. Recently, the reporter learns from the subsidiary tumour hospital of Fudan University: All departments of this institute all implement the electronic case history, the clinic doctor writes the medical history without using pens only with the keyboard. Change of information technology, not only make patient to condition and treat very clear, leave the valuable data more clinically " The wealth " ,Will prepare against and will be used as the scientific research material in the future. It is reported, the tumour hospital is that first in Shanghai uses the tertiary hospital of the electronic case history of the clinic extensively too. The high clinic amount " Force " Resolution happens in recent years, the medical organization of Shanghai advances the informationization continuously, the electronic case history becomes the construction object for a time. Up until now, most electronic case histories of hospital are still confined to the in-patient dept.. The clinic informationization only stays on the electronic prescription, namely the doctor inputs the prescription with the computer, and will write out a prescription and pass long-rangely to the dispensary. As for the electronic case history of the clinic, besides several smaller hospitals, I person nearly fail to start. The insider says frankly, the electronic case history " easier said than done " . First of all, some old experts, old professors get used to the handwritten medical history, transfer to the computer and input quickly, very inconvenient. Secondly, how to print the electronic case history, let people have a headache too. Use the unified medical insurance to go to a doctor and record the volume because of the patient of medical insurance of Shanghai, if want the computer to input the medical history, record to print initial the intersection of number of lines and one, print form, differ volume, operate difficulty to be very much loud, improper such as employing, add the working pressure of the clinic instead. As the national famous section hospital, the average daily clinic quantity in the tumour hospital is up to 4000 until the 5000th. In the face of huge clinic quantity, the hospital reaches a decision, want " electronic case history " This " unyielding person " Gnaw. Vice President Professor Chen HaiQuan says: "The treatment of the tumour patient has stronger continuity, let the patient clear that know one's own condition, beneficial to the treatment. In addition, it is a great reason to keep the precious clinical material. Our country have the intersection of enormous patient and crowd, but our visit is recorded and run off in the inquiries test day by day, this can not bring littly losses for clinical scientific research. " Difficult point which the patient can know and rush about in the face of the electronic case history and meet while popularizing few, the leader of institute of tumour hospital considers the discussion repeatedly, capture progressively. After training to all doctors for half a year continuously, the hospital lists " hard rule " : Such as not needing the computer to input, will cancel the qualification of paying a home visit of the clinic; Can't know the professor of old expert of the computer technology skillfully as to a few, the hospital specially provides with, assist to input the electronic case history. As to thorny printing the question, open up the path separately, will print the work and isolate doctor's consulting room in the hospital, set up and print the area specially in 8 the whole institutes examine the district, after the patient only needs inquiries test, pass the case history to the nurse to print and can be finished at the gate. Mr. Fang on the occasion of sixty years old is a lung cancer patient, it lasts half a year to have enough and to spare to do chemotherapy in the tumour hospital. Last Thursday, Mr. Fang went for clinic subsequent visit of internal medicine - oncology as usual, doctor inquiries test, he goes to the stamp pad to print the case history habitually. Leaf through patient's case history and record, all diagnosis, the small changes of scheme even condition of using medicine within half a year, print carefully and neatly. Mr. Fang tells reporters, " catch the great trouble, always hope to one's own condition and use medicine clearly. The doctor wrote hasty and carelessly in the past, the computer printed, even if went to other hospital to look for expert's consultation now, not afraid either others can not understand. " In addition, " the network comes the network will go " because of the information of going to a doctor ,The patient needn't hold one and seek medical advice and record the volume again, many departments rush about back and forth. "Even if the patient forgets to take the case history, so long as take a medical insurance card, the doctor can make sure clear to the condition. " Information head of the department Wang Yi in the tumour hospital says. That change is not merely inquiries test mode as a new kind of carriers, the meaning of the electronic case history is prominent in practical operation. Wang Yi introduces, nowadays, the doctors of all departments of hospital only possess the authority, can obtain the patient's medical history and treat information from the computer. This change, will supervise clinicians to synthesize the medical history previously, will judge the condition and change, make scientific diagnosis more perfectly. In addition, because has lacked and frequently written, the doctor's working efficiency is promoted by a wide margin. Taking integrated TCM western medicine department as examples, an attending physician can see the patient on the 150th in one day now, nearly one time more than in the past. In fact as far back as the end of last year, Ministry of Public Health has already sent the documents and required every medical organization to popularize the application of the electronic case history. Now, although the clinic of hospital of Shen ChengDuo's family has already allocated hardware apparatuses such as computer, printer,etc., but touch upon software development, procedure design, staff training,etc., still seem to prepare insufficiently. Professor Chen HaiQuan says, compares and is in hospital a patient, clinic patient's condition is with high uncertainty, involve wide kinds of Diseases. Popularize the electronic case history in the clinic as soon as possible, patients benefiting will more, the patient will make a diagnosis information no longer becomes " detached island " too . Take tumour patient as examples, with electronic popularization of case history, patient first-hand material intact to keep, get off, until the intersection of scientific research and field look for the intersection of tumour and law of having illness coming on, promote the therapeutic effect of tumour to offer reference in the future this, benefit more patients finally.


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