引入“互联网+”探索构建门诊慢性病管理服务新模式  

Introducing“Internet plus”to Explore and Build up New Management Model of Chronic Disease in Clinic

作　　者：徐康[1] 陈侃侃[1,2] 胡明礼[3] 花晓莉[3] 陈玉焕[3] 叶春晖 Xu Kang;Chen Kankan;Hu Mingli;Hua Xiaoli;Chen Yuhuan;Ye Chunhui(Center for Chronic Disease Control,Huai＇an First People＇s Hospital of Nanjing Medical University;Outpatient Department;Information Statistics Center;Office of Huai ＇ an Chinese Medicine Hospital,Huai ＇ an Jiangsu 223300)

机构地区：[1]南京医科大学附属淮安第一医院慢性病管理中心 [2]南京医科大学附属淮安第一医院信息统计中心 [3]南京医科大学附属淮安第一医院门诊部 [4]淮安市中医院院办,江苏淮安223300

出　　处：《江苏卫生事业管理》2018年第8期927-930,共4页Jiangsu Health System Management

基　　金：江苏现代医院管理研究中心课题(JSY32016082)

摘　　要：慢性病已成为威胁中国居民致残和致死的头号杀手。多年来以基层医疗卫生机构为重心的防治模式,并没有有效降低慢性病的患病率和死亡率,而移动互联网技术的实时性、针对性、互动性和经济性等诸多特点,为开展慢性病线上管理带来可能。作者研究苏北某三甲医院将"互联网+"用于慢性病管理的尝试。通过借鉴国家大力推行的临床路径做法,依据慢性病防治权威性指南,设计符合医疗规范的慢性病病种管理路径,采取以时间轴为核心,以事件为驱动的病种管理路径,指导合作公司开展"网络平台"建设,为慢性病管理搭建规范性、可控性、直观性的管理工具,为新医改下探索分级诊疗提供新思路。Chronic diseases have become the biggest killer of people in China. The pattern of preventive and control based on primary health care, which did not achieve the purpose of reducing morbidity and mortality rate. The characteristics of mobile Interact are as follows：real-time, pertinence, interactive, economical , and so on, which made the management of chronic diseases online possible. The emphasis was introduction to the practice of management in chronic diseases using ‘Interact plus＇ in this paper. On the basis of clinical pathway which were vigorously implemented in China, time-centered, event-driven, the hospital cooperated with the company to develop the ＂network platform＂, to set up normative, controllable and intuitive management tool. The practice would provide new ideas for exploring the system of tiered diagnosis and treatment service on the background of the new healthcare reform.

关 键 词：慢性病管理 “互联网+” 移动医疗 分级诊疗 

分 类 号：R197.32[医药卫生—卫生事业管理]