1, a complete and systematic health record can help medical staff to comprehensively and systematically understand patients' health problems and related background information, and help to improve communication between medical staff and residents, so that medical staff can correctly understand personal and family health problems and make correct clinical decisions. Through the long-term management and nursing of patients, we can find out the health risk factors and diseases of patients, which is conducive to providing scientific and standardized preventive health care services for patients and their families in time.
2. A complete and systematic health record helps to promote the standardization of primary health services. Standardized resident health records are also valuable scientific research materials. Accurate, complete, standardized and continuous residents' health records provide ideal data for the prospective study of residents' health status and the discussion of risk factors, which can help medical staff to continuously review and accumulate patients' clinical management experience, understand the natural history of diseases, and evaluate the correctness and effect of medical staff's diagnosis and treatment.
3. A complete and systematic health record is helpful to comprehensively evaluate residents' health problems, and can also be used as a basic tool to comprehensively grasp residents' health status. To provide residents with sustained, comprehensive, coordinated and high-quality medical care services and correctly understand and identify the problems raised by residents or patients, we must fully understand the background information of residents and families. By mastering and understanding the situation of residents, we can actively explore personal and family problems and make a comprehensive evaluation of health problems.
4. A complete and systematic health record is helpful to make an accurate and practical health care plan, make rational use of health resources and improve the management level of primary health services. As the data source of primary health planning, complete health records not only record the health status of residents and related health information, but also record the information of primary health institutions and health manpower, thus providing basic data for disease diagnosis and making primary health service plans, and also providing necessary conditions for making full use of health resources.
5. Health records can be used to evaluate the service quality and technical level of medical staff, and sometimes can be used as a legal basis for handling medical disputes. Whether the diagnosis, treatment, medication and clinical treatment of medical staff in the process of providing services to residents are correct can be found in health records.
6. The information in health records can be used as an important channel for the government and health management institutions to collect primary medical information. It can also provide timely and accurate residents' health information for emergency treatment of public health emergencies.
7. Residents' health records are important reference materials for medical teaching and scientific research. Problem-oriented health records attach importance to the role of background information, reflect residents' physiological, psychological and social problems, are continuous and logical, and are conducive to cultivating students' clinical thinking and ability to deal with patients. Residents' health records can also be used for case teaching and scientific research of primary health services.
Standardized and complete health records can meet the needs of stakeholders at different levels;
1. Serve the public: get better medical care services at lower cost, meet health needs and promote health care.
2. Medical and health institutions: Residents' health records provide technical services and basic information for medical and health institutions to carry out medical treatment, rehabilitation, prevention, health care and health promotion.
3. Grassroots health service institutions: collect residents' health information through health files, provide convenient and effective health services for residents, and improve work efficiency and resource utilization efficiency.
4. Decision-making management department: through medical care, health promotion and other services, timely obtain information and evaluate it, and provide basis for decision-making management department to improve decision-making.