医学商业智能在慢性病管理与服务中的运用及其效果研究  

Application of Medical Business Intelligence in Management and Service of Chronic Disease and Its Efficacy

作　　者：郑勇 张红 魏功美 杨崟玺 范怀昌 周大为 高军 

机构地区：[1]双流县永安中心卫生院,四川省成都市610219 [2]怡德医疗投资管理集团 [3]成都天健信息科技有限公司

出　　处：《中国全科医学》2013年第7期793-797,共5页Chinese General Practice

基　　金：科技部"十一五"国家科技支撑计划重点项目"小康型乡镇卫生院技术集成综合示范二"(2008BAI65B02)

摘　　要：目的研发慢性病管理与服务软件系统,并观察运行效果,从而建立小康型乡镇卫生院慢性病管理与服务模式。方法通过文献分析、现场调查、小组讨论、专家咨询等多种方法研究目前医院慢性病管理与服务中存在的问题,并进行服务流程再造,研发相关软件系统。结果小康型乡镇卫生院慢性病管理与服务模式初步建立,通过服务流程再造取得了良好效果,其中2012年1—4月与2011年同期相比:(1)高血压依从性良好的患者由20.4%(102/500)提升到36.9%(320/867),Ⅱ型糖尿病依从性良好的患者由30.0%(30/100)提升到41.3%(119/288);(2)高血压病情控制率由65.6%(328/500)提升到74.1%(642/847),Ⅱ型糖尿病控制率由50.0%(50/100)提升到61.1%(176/288)。结论在医院慢性病管理与服务中将医学技术和医学商业智能技术相结合,抓住服务效率和健康教育两个关键点,可以有效解决患者的服务依从性,提高慢性病的控制率。Objective To research and develop a software system of management and service of chronic disease, and further observe its operating effect, so as to set up a model of management and service of chronic disease in hospitals of well - off township. Methods The methods of literature review, field investigation, group discussion, and expert consuhation were taken to study the problems existing in hospital management and service of chronic disease, and then business process reengineer （BPR） was conducted so as to research and develop a related software system. Results A new management and service model of chronic disease in hospitals of well - off township had been set up preliminarily, and good effects were attained through the BPR. Of which in 1 -4 months of 2012 compared with the same period of 2011 ： （ 1 ） The percentage of good compliance increased from 20. 4% （102/500） to 36. 9% （320/867） in hypertension patients, and from 30. 0% （30/100） to 41.3% （119/288） in diabetic patients. （2） The disease control rates went up from 65.6% （328/500） to 74. 1% （642/847） in in hypertension patients, and from 50. 0% （50/100） to 61.1% （176/288） in patients with type Ⅱ diabetes mellitus. Conclusion In management and service of chronic disease a combination of medical technology with medical business intelligence, taking service efficacy and health education as the key, may effectively solve the service compliance of patients and thus raise the control rate of chronic disease.

关 键 词：医学商业智能 慢性病管理 流程再造 

分 类 号：R197[医药卫生—卫生事业管理]