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With the continuous development of China's social economy, the reform of medical and health system is also going deep. Under the background of the new medical reform, the society and people have also put forward new requirements for hospital file management. The file management of the hospital must be adjusted in time according to the actual situation, strengthen management and use modern information means to improve the file management level of the whole hospital and promote the development of the hospital. In this paper, the problems existing in hospital archives management under the background of the new medical reform at this stage are deeply discussed and analyzed, and the corresponding solutions are put forward for reference.

Keywords: new medical reform; Hospital archives management; Problems; Countermeasures;

The focus of file management is the effective integration of resources and information, which is a record of past behaviors and information, and has high reference value. As an important preservation content of hospital management, archives record the development process and major events of the hospital, provide corresponding reference for hospital leaders to make scientific and reasonable decisions, and are very valuable assets of the hospital. This paper will discuss and study the problems existing in hospital file management.

First, the importance of hospital archives management

(A) the basis of hospital management

The management's attention to hospital file management is the basic guarantee of hospital management. If you want to do a good job in hospital management, you must first obtain the support of relevant leaders. The archives management department is an auxiliary department of the overall management of the hospital, which has not received due attention for a long time in the past, mainly because the management of the hospital did not realize the importance of archives management [1]. At present, the state has established relevant laws and regulations, and there are corresponding systems for the management of all kinds of files. But once put into practice, without the attention of leaders, all management work can not be carried out smoothly.

(B) the basis for improving the quality of medical services

Hospital file management is the basis of other management work and the development of the whole hospital. In the process of hospital development, we should not only strengthen our professional ability, but also integrate the file management system into the management of various departments. Among them, file management is the basis of improving the quality of medical service, which is subordinate to the core of medical service, so in order to ensure the quality of medical service in hospitals, we must pay more attention to file management [2].

(3) hospital work quality certificate

The focus of hospital work is to heal the wounded and rescue the dying. The contents of hospital files contain the specific information of treating the wounded and sick in the hospital, which is the most important proof of the quality of hospital work. The file management of the hospital involves all departments and business links of the hospital, among which the medical record is the core of the file management of the hospital. The medical record is the detailed data of a patient from admission registration to discharge. These files completely record the diagnosis, medication and treatment of patients in the hospital, which is a powerful proof of the hospital's treatment level and advanced equipment.

(4) The historical proof of hospital development.

Hospital archives record the whole process from the establishment to the development of the hospital, and the types and quantities of archives are rich and varied. Therefore, relevant managers are required to base themselves on serving the hospital, focus on hospital work and pay more attention to hospital file management. The most important thing in file management is the compilation and research of file content. It is necessary to compile simple and convenient retrieval tools based on archives and modern information technology to facilitate the query and utilization within the hospital and even the whole society [3].

Second, the problems existing in hospital archives management under the new medical reform

(A) the importance of file management is not high.

In the actual management of hospitals, there are essential differences between file management and clinical management. Unlike front-line management, it directly brings economic and social benefits to hospitals. In contrast, file management is often auxiliary. Because of this, neither the hospital management nor the clinical front-line departments fully realize the importance of file management. With the deepening of medical system reform, the archives management of hospitals has changed from the inside, but the archives management has not yet formed a perfect management system, which has led to the marginalization of hospital archives management [4].

(B) the file management system is not perfect

At present, China has not established a perfect management system for hospital archives management, and there are also many management problems in hospitals. Although every hospital has set up a special file management department to collect and classify all the files in the hospital on a daily basis, and relevant staff also combine work with performance, the existing file management system still needs to be improved and perfected. Hospital archives management is a very complicated and difficult work, and the relevant assessment policies that have been issued are not operable, and the hospital management effect is not ideal.

(C) the lack of professional file management personnel

The file management of hospitals also has very high requirements for managers. In addition to professional knowledge and file management ability, it is necessary to have a certain understanding and mastery of clinical medicine. However, at present, the management of most hospitals in China does not pay enough attention to file management. Personnel engaged in archives management positions are generally temporarily transferred from other departments or related medical workers who cannot engage in clinical work. Such people often do not have professional knowledge, and their educational level and theoretical level are not high. Therefore, they are not only unable to use the relevant professional knowledge of archives management, but also lack of understanding of modern information technology, which leads to their low work efficiency and lack of awareness of filing according to law, leading to the lack of innovation and deduction in management.

(D) Archives management methods are relatively backward.

The file management of large hospitals needs more funds, personnel and site support. However, under the background of the new medical reform, many hospitals are in the stage of rapid expansion, which leads to the fact that all kinds of human and material resources of hospitals can not be applied to file management too much. However, after years of development, the number of files accumulated by large hospitals is certainly not small, and these limited resources can not meet the actual needs of file management.

Third, the solutions to the problems existing in hospital file management under the new medical reform

(1) Improve the file management system.

It is very necessary to improve the relevant system of hospital archives management, and establishing a scientific and reasonable hospital archives management mechanism can effectively promote the rapid development of archives management. The specific requirement is that the hospital must carry out the responsibility of file management, formulate perfect rules and regulations to strengthen file management and specific file classification outline in combination with relevant laws and regulations and the actual management situation of the hospital, systematically unify all aspects of file management, provide guarantee for the development of hospital file management, and make each work link have special rules and regulations to follow.

(B) to strengthen the awareness of file management

In order to further promote the process of file management, it is necessary to update the concept of all hospital staff to a certain extent, improve their understanding of the importance of file management, integrate file management planning into the workflow of the whole hospital, and ensure the development of all hospital work. Among them, the main means to strengthen the awareness of archives management is to carry out relevant publicity and training, so as to effectively improve the staff's attention to archives management and thus achieve the purpose of strengthening archives management. At the same time, strengthening the publicity of the importance of file management can also effectively improve the leadership's attention to file management. The improvement of the working efficiency of the archives management department also plays an important role in the overall development of the hospital, which can improve the status of archives management, change people's attitude towards archives management, better cooperate with the work of archives management department, and thus promote the development of the whole hospital management.

(C) improve the overall quality of employees

Managers are the concrete executors of file management, and their comprehensive quality will directly affect the process and effect of file management, and will also have a decisive impact on the development of file management. Therefore, it is very necessary to improve the comprehensive quality, professional level and working ability of managers. Only when the comprehensive quality of file managers is improved can the file management work really develop. To effectively improve the quality of archivists, we must first strictly control the selection of talents. When selecting archivists, we must pay strict attention to the professional quality of talents and improve the relevant entry threshold. Only in this way can high-quality and responsible talents be selected into the archives management department. In addition, it is necessary to strengthen the professional quality training for the file managers who have been on the job, carry out regular publicity and training of professional knowledge, and effectively improve the professional knowledge and ability of managers. Through the above measures, we can improve the talent quality of hospital archives management department and complete the archives management work more efficiently.

To sum up, under the new medical reform, hospital file management must be innovated and reformed in time, and relevant departments and employees should be more aware of the importance of file management. In the development process of the new era, hospital archives management should use information and digital means to improve management methods and strengthen the effectiveness of management, so as to improve the comprehensive management ability of hospitals.

Four. refer to

[1] Zhang Xu, problems and countermeasures of hospital archives management under the new medical reform [J], file, 2019,009 (001):121.

[2] Ling Renhai, Problems and Solutions of Hospital Archives Management under the Background of New Medical Reform [J], Heilongjiang Archives, 20 15000(004):92.

[3] Li Guolin, hospital archives management countermeasures under the background of new medical reform [J], office industry, 2019000 (017):11.

[4] Chen Cheng, improvement of hospital file management under the background of new medical reform [J], Impression of China, 20 18000(004):472.

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