基于中台架构的智能化门诊医生站构建与应用研究  

Research on the Construction and Application of Intelligent Outpatient Doctor Station Based on the Middle Platform Construction

作　　者：李桃[1] 颜涛 张汉雄[1] 丁如一 朱贵鲜 LI Tao;YAN Tao;ZHANG Hanxiong;DING Ruyi;ZHU Guixian(Information Office,Sixth People’s Hospital,Shanghai Jiao Tong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院信息处,上海200233

出　　处：《中国医疗设备》2021年第9期104-108,共5页China Medical Devices

基　　金：上海经济和信息化委员会信息化发展专项基金(201701014)。

摘　　要：目的通过实施中台战略推动医院数字化转型,将中台服务体系引入到医疗系统架构中,再造智能化门诊医生站系统,有效提升临床业务服务能力。方法分析传统门诊医生站现状,通过医疗中台体系重构应用交互的方式,对原有的医院信息化进行融合和进阶,为业务系统提供服务。创新功能应用,验证了中台架构对临床业务服务能力的提升。结果门诊医生接诊时长和满意度调查统计分析P值均<0.01,接诊平均时长初诊缩短36.4%,复诊缩短58.9%,效率升高;调查显示满意占比由3.8%升至77.9%,得到临床更高的认可。结构化应用比例和病历规范性程度显著提升。结论基于中台架构的智能化门诊医生站,有效解决门诊临床工作效率难以提高及临床医生知识的局限性问题,其技术先进性和临床服务能力均有明显的优势。Objective To promote the digital transformation of hospitals by implementing the middle platform construction to the medical system,rebuild the intelligent outpatient doctor station system,and improve the clinical business service capabilities effectively.Methods Analyzing the current status of the traditional outpatient doctor station,the application interaction was reconstruct through medical middle platform to integrate and advance the original hospital informatization to provide services for the business system.Results The P-value of both statistical analysis of outpatient doctors’consultation time and satisfaction survey were less than 0.01.The average consultation time was shortened by 36.4%for initial consultation and 58.9%for follow-up consultation,which increased the efficiency.The survey showed that the proportion of satisfaction has risen from 3.8%to 77.9%which was recognized by the clinic.The proportion of structured applications and the standardization of medical records have significantly improved.Conclusion The intelligent outpatient doctor station based on the middle platform can effectively solve the problem of difficulty in improving the efficiency of outpatient clinical work and the limitations of clinicians’knowledge.Its technical advancement and clinical service capabilities have obvious advantages.

关 键 词：智能化门诊医生站 中台服务体系 缩短接诊时长 提升满意度 

分 类 号：R197.39[医药卫生—卫生事业管理] TP311.52[医药卫生—公共卫生与预防医学]