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Legal Aspect of Patient's Medical Record

机译:病人病历的法律方面

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Activities related to health services between patients/patients or their families and doctors as individuals or in hospitals will be recorded in the medical service record folder called the Medical Record. In various cases of health service disputes, medical record have a very important role in the aspect as evidence in court. The better the medical record, the more legal protection will be given to patients, doctors and hospitals. Medical record are often used as a basis for defense/legal protection for doctors. Medical record are files containing record and documents about patients identities, examination result, treatment program and other medical measures in health care facilities. Legal problems often arise that are directly related to the management/treatment of their Medical Record. The value of Medical Record are called as "ALFRED VALUES" which is interpreted: Adrministrative value, Legal value, Financial value. Reseach value, Eduvation value and Documentation value. Medical record can function as a legal document, namely as a valuable evidence as an expert witness but its depend on judge decision. Sometimes, Medical Record can be use as a key witness to dispute resolution in health services both in hospitals and in individual clinics. Medical record can be used as a basic data to prove the presence or absence of errors As evidence at the trial. The position of the medical record is very dependent on the judge's judgment. The judge greatly determines the relevance and position of the medical record at the trial. Medical record are also very important for evaluating health services and evaluating staff performance in order to reduce morbidity and prevent mortality.
机译:患者/患者或其家属与医生之间或医院内的医疗服务相关活动将记录在名为“医疗记录”的医疗服务记录文件夹中。在各类医疗纠纷案件中,病历作为法庭证据具有非常重要的作用。医疗记录越好,患者、医生和医院将得到更多的法律保护。医疗记录通常被用作医生辩护/法律保护的依据。病历是包含患者身份、检查结果、治疗方案和医疗设施中其他医疗措施的记录和文件的文件。经常出现与病历管理/治疗直接相关的法律问题。病历的价值被称为“阿尔弗雷德价值”,它被解释为:行政价值、法律价值、财务价值。研究价值、教育价值和文献价值。病历可以作为法律文件,即作为专家证人作为有价值的证据,但其效力取决于法官的判决。有时,医疗记录可以作为医院和个人诊所医疗服务纠纷解决的关键证人。医疗记录可以作为基本数据,证明试验中是否存在错误,作为证据。病历的位置在很大程度上取决于法官的判断。法官在审判中极大地决定了病历的相关性和位置。医疗记录对于评估卫生服务和评估工作人员绩效,以降低发病率和预防死亡率也非常重要。

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