Combined with the characteristics and process of Outpatient(Emergency)Department,a system frame-work for the homepage of medical records in Outpatient(Emergency)Department was established,which included four main contents:general information,medical information,diagnosis and treatment information,and cost information.An automated data collection system was also developed,which extracted data from patient information maintenance,num-ber source management,outpatient doctor workstations,outpatient electronic medical records,and other systems,a-chieving the collection and summary of batch medical data for patients in Outpatient(Emergency)Department,which provided reference for improving the refined management ability of outpatient services,carrying out the comprehensive e-valuation of Outptient(Emergency)Department and exploring the reform of medical inserance payment.The defects of filling in the homepage of medical records,the timeliness and accuracy of data reporting in Outpatient(Emergency)De-partment are the next improvement focus.

目的 了解实际医疗机构法务建设的现状和预期.方法 通过互联网+调查问卷的形式,对湖北省内15个县市医疗机构进行问卷调查.结果 湖北省医疗法制建设正形成"分层推进,分类指导"的管理体制,湖北省卫健委与省内医疗机构融合推进多项政策,现阶段医院独立的法务部门和法律相关人员不足,但医院对法务建设非常重视.结论 应该建设规范的法务管理体系,为依法治院提供法律帮助,协调处理医患纠纷等诉讼案件以及对职工进行法律法规培训.

公立医院互联网医院已经成为医院医疗服务的重要组成部分,健全互联网医院的运营管理,创新互联网医院业务服务模式将是今后公立医院互联网医院服务体系建设的着力点.华中科技大学同济医学院附属同济医院通过总结疫情期间互联网医院建设经验,打通线上线下医疗流程,建立覆盖诊前、诊中、诊后的线上线下一体化医疗服务模式,并形成了覆盖八大业务模块的互联网医疗服务体系,建设面向患者、医联体、区域的全方位互联网+医疗服务平台.

公立医院门诊就医体验差,员工工作负荷重.通过构建新业态下的双满意门诊服务体系,以患者服务、现场服务、线上服务、一体化预约服务等方面构建患者服务体系,以门诊无纸化就医、医护服务、门诊运营等方面构建医务人员服务体系,有效提升了医院患者就医体验和职工满意度,改进了门诊医疗服务质量.