基层医院远程会诊网络系统的构建与在基层医院产科管理中的初步应用  

The establishment and preliminary application of network in remote consultation system in primary hospital

作　　者：马常兰[1] 王欣[2] 王燕[3] 查穹[1] 

机构地区：[1]江苏建康职业学院临床护理系、信息中心,江苏省南京211800 [2]南京市妇幼保健院产科,江苏省南京210029 [3]南京市浦口区中医院妇产科,江苏省南京211800

出　　处：《中国基层医药》2017年第4期503-507,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：江苏省南京市浦口区社会事业科技项目（S2014-15）;江苏省卫生职业技术教育研究课题（JZ201419）

摘　　要：目的：探讨远程会诊网络系统在基层医院产科管理中的初步应用。方法针对江苏省内54所医院的远程会诊情况和基层医院孕产妇对远程会诊的认知情况等进行问卷调查，建立一套独立网络的远程会诊系统。结果各级别医院对远程会诊的需求巨大（占79．63％），差异无统计学意义（P ＞0．05）。三级医院已普遍开展了远程医疗会诊服务，二级医院约85．37％尚未开展，其中不具备条件者占68．29％，差异有统计学意义（P ＜0．01）。基层医院孕产妇对远程会诊的需求和认可度相比差异有统计学意义（P ＜0．01），其中高中以上、技术人员和城市孕妇需求最迫切，认可度较高。结论基层医院医护人员专业素质是影响开展网络远程会诊的重要因素，实施远程会诊要以点带面、独立建网、面诊与远程会诊相结合。基层医院产科成功开通远程会诊系统，提升了诊疗质量，促进了区域间学术交流，有利于高危妊娠的管理，应积极推广应用。Objective To explore initial application of network in remote consultation system in the manage-ment of obstetrics in primary hospital.Methods Data were collected in questionnaire survey,a total of 54 hospitals in Jiangsu province were involved.The situation of remote consultation and perceive of pregnant and puerpera in primary hospital were investigated to establish an independent cyber in remote consultation system.Results The demand for remote consultation at all levels of hospital was huge（79.63%）,there was no significant difference （P 〉0.05）.Third class hospital has been widely carried out the remote medical consultation service,about 85.37% of the level II hospi-tals had not yet been carried out,which did not have the conditions accounted for 68.29%,the difference was statisti-cally significant（P 〈0.01）.There was a significant difference between the demand and the approval degree of the pri-mary hospital in the remote consultation（P 〈0.01）,high school or above,technical staff and urban pregnant women needed the most pressing,high degree of recognition.Conclusion The primary hospital medical personnel profession-al quality was the important factor that affected the use of remote consultation.The corresponding point,independent network creation and combined with face to face diagnosis were needed in the performance of remote consultation.Suc-cessful opening of the remote consultation system,improved the quality of the diagnosis and treatment,promoted the＆nbsp;academic exchange between regions.It was conducive to the management of the high -risk pregnancy and should be actively promoted and applied.

关 键 词：基层医院 远程会诊系统 构建 应用 

分 类 号：R197.323[医药卫生—卫生事业管理]