基于互联智慧分级诊疗服务体系远程病理会诊网络构建与实践  

Construction and Practice of Remote Pathology Consultation Network Based on Internet Wisdom Hierarchical Diagnosis Service System

作　　者：毛兵 张连仲 顾建钦 Mao Bin(Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou,P.R.China)

机构地区：[1]河南省人民医院.郑州大学人民医院

出　　处：《中国卫生事业管理》2019年第6期409-411,431,共4页Chinese Health Service Management

基　　金：2018年度河南省软科学研究计划项目“互联智慧分级诊疗体系构建与应用”(182400410172);2013年河南省软科学研究计划项目“基于中原经济区建设双向转诊体系研究”(132400410123)

摘　　要：建立分级诊疗制度,是合理配置医疗资源、促进基本医疗卫生服务均等化的重要举措,是对我国医疗资源格局的重新调整,也是对就医习惯的改变。基层首诊和基层医疗机构诊断水平之间存在着突出矛盾,提高基层医疗机构诊断水平成为实施分级诊疗的重要任务。我院通过构建互联智慧分级诊疗服务体系,利用现代化信息化技术,基层医院将疑难病理切片通过数字切片扫描设备上传至会诊平台,病理会诊专家通过终端设备进行阅片并给出会诊意见,同时根据协作单位具体需求,定期选派专家到基层医院进行现场指导,通过"线上会诊+线下指导"相结合的模式,切实提高基层医疗机构诊治水平和综合服务能力。文章通过分析32882例远程病理会诊平台资料,从病例系统分布、数字切片质量、初诊正确率等方面,系统评价远程病理会诊对提高基层医疗机构病理会诊水平的作用。Establishing hierarchical diagnosis service system is an important measure for rationally allocating medical re sources and promoting the equalization of basic medical and health services,which is a re-adjustment of medical resources pat tern in China and change in medical practices.Contradictions between the primary diagnosis of primary medical institutions and the diagnostic level are prominent,which means that the improvement of diagnostic level has become an important task.By analy zing the data of 32,882 cases of remote pathology consultation platform,the role of remote pathology consultation in improving the pathological consultation level of primary medical institutions was systematically evaluated from case distribution,quality of digital slice and accuracy of first diagnosis.

关 键 词：分级诊疗 互联智慧服务体系 远程病理会诊 

分 类 号：R197.1[医药卫生—卫生事业管理]