医疗联合体内基于云计算系统的脑卒中分级诊疗模式研究  

Hierarchical Medical Service Model of Stroke Based on Cloud Computing System in Regional Medical Consortium

作　　者：杨晓光[1] 马力[2] 李娜[1] 王韬[3] 白波[3] 王晨[2] YANG Xiao-guang;MA Li;LI Na;WANG Tao;BAI Bo;WANG Chen(President's Office,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100050,China;Department of General Practice,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100050,China;Information Centre,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院院办公室,北京市100050 [2]首都医科大学附属北京天坛医院全科医学科,北京市100050 [3]首都医科大学附属北京天坛医院信息中心,北京市100050

出　　处：《中国全科医学》2018年第4期462-464,470,共4页Chinese General Practice

基　　金：北京市科技计划项目(Z131100005613017;Z161100001116109)

摘　　要：建立和完善医疗联合体(医联体)内各医疗机构间信息共享平台,有助于加强医联体内各级医疗机构之间的协作,形成分级医疗、双向转诊、有序就医的新格局。本研究以慢性病中单病种致死、致残率较高的脑卒中为切入点,以北京天坛医院-丰台区医疗联合体为载体,整合疾病诊疗规范、质量管理及信息化管理的关键技术,开发脑卒中系统化干预医疗协同云计算系统,具有插件化和随选即用特点,实现信息共享、区域监测、协同会诊、远程预约等功能,由综合医院优势学科牵头,社区卫生服务中心、急救中心共同参与,构建脑卒中协同防治医联体模式。借此促进医联体内部医疗资源的纵向整合,形成有序衔接的分级诊疗服务体系和基于信息化手段的脑卒中分级诊疗模式,提高区域化的脑卒中诊治水平和基层诊疗能力,具有一定的社会效益和经济效益。The establishment and improvement of information sharing platform in regional medical consortium(RMC)will help to strengthen the collaboration among medical institutions at all levels,and form a new pattern of hierarchical medical services,two-way referral and orderly medical diagnosis and treatment.Stroke has not only a high mortality rate but also a high disability rate in chronic non-communicable diseases.Therefore,based on Beijing Tian Tan Hospital Medical Consortium in Fengtai District,we integrated the key technology of diagnosis and treatment standards,quality management,and information management to develop the collaborative medical cloud computing system for the systematic intervention of stroke with plugin and click-to-run features,which achieves the information sharing,regional monitoring,cooperative consultation,and remote reservation,trying to establish a medical consortium of stroke with synergistic prevention and treatment led by general hospitals as well as community health service centers and emergency centers.To promote vertical integration of medical resources within medical consortium,this paper tries to develop an orderly hierarchical medical system and a hierarchical medical service model of stroke based on information technology in order to improve the professional level of the diagnosis and treatment of stroke in the region,which may achieve a certain social and economic benefits.

关 键 词：医疗联合体 云计算系统 卒中 分级诊疗 

分 类 号：R743[医药卫生—神经病学与精神病学] R197[医药卫生—临床医学]