Thompson R E, Thompson D R
J Am Med Rec Assoc. 1988 Jan;59(1):38-41.
Changing times, as evidenced by the Health Care Quality Improvement Act of 1986 and the Joint Commission's "Agenda for Change," have made many committees as well as traditional quality assurance and peer review methods obsolete. The new hospital-wide accountability system consists of accurate and valid clinical data, provided in a timely manner, and used effectively by responsible individuals. As has been true over the last 50 years, continuing change does not diminish the important role of the medical record professional. However, the changes do make it necessary for medical record professionals to avoid making themselves vulnerable through obsolescence, by clinging to methodology no longer of merit.
时代在变，1986年的《医疗保健质量改进法案》以及联合委员会的“变革议程”便是明证，这使得许多委员会以及传统的质量保证和同行评审方法过时了。新的全院问责制由准确有效的临床数据组成，这些数据能及时提供，并由相关人员有效利用。在过去50年一直如此，持续的变革并未削弱病历专业人员的重要作用。然而，这些变革确实使病历专业人员有必要避免因墨守不再有价值的方法而变得过时，从而使自己处于不利地位。
