基于国际功能、残疾和健康分类信息化管理的临床康复模式探讨  

Discussion of clinical rehabilitation mode based on International Classification of Functioning,Disability and Health information management

作　　者：焦昕 鲁翔 江钟立 JIAO Xin;LU Xiang;JIANG Zhongli(Department of Rehabilitation Medicine,Sir Run Run Hospital,Nanjing Medical University,Nanjing,Jiangsu 211100,P.R.China;Department of Geriatric,Sir Run Run Hospital,Nanjing Medical University,Nanjing,Jiangsu 211100,P.R.China)

机构地区：[1]南京医科大学附属逸夫医院康复医学科,南京211100 [2]南京医科大学附属逸夫医院老年医学科,南京211100

出　　处：《华西医学》2022年第5期743-748,共6页West China Medical Journal

基　　金：国家重点研发计划(2020YFC2008500,子课题:2020YFC2008505)。

摘　　要：该文从当前医疗保险疾病诊断分组制度改革、康复医疗质量控制(质控)以及信息化管理需求入手,利用国际功能、残疾和健康分类(International Classification of Functioning,Disability and Health,ICF)理论框架和核心组合等工具构建了ICF康复信息化管理系统,并将构建的系统嵌入康复医学团队工作中,通过ICF条目评估-确立康复目标-制定团队合作方案-再评估4个流程,形成了基于ICF的康复信息化管理操作流程,全面强化康复诊疗规范,提高了质控管理效率。此平台内的大数据挖掘和多维分析可以为医疗保险支付提供依据支撑,实现不同地区不同层级医院康复医疗质控数据的交流和共享,为三级转诊和远程康复提供帮助,完善康复医疗服务体系,提高康复医疗水平。该文将对构建ICF康复信息化管理系统的应用体会作一总结。According to system reform of the current medical insurance diagnosis related groups,quality control of rehabilitation medicine and requirements of information management,this paper constructs a rehabilitation information system by using the theoretical framework and core sets of International Classification of Functioning,Disability and Health(ICF).Then,the constructed system is embedded into the work of rehabilitation medicine team.By the four processes of ICF items evaluation,rehabilitation goal setting,team cooperation scheme formulation and reevaluation,the operation process of rehabilitation information management based on ICF is formed,which strengthens comprehensively the rehabilitation diagnosis and treatment standards and improves the efficiency of quality control management.The big data mining and multi-dimensional analysis in this platform can provide support of medical insurance payment,achieve exchanging and sharing rehabilitation medical quality control data among hospitals at different levels in different regions,assist tertiary referral and remote rehabilitation,improve the rehabilitation medical service system,and enhance the level of rehabilitation medical care.This paper will summarize the application experience of constructing ICF rehabilitation information management system.

关 键 词：国际功能、残疾和健康分类 康复医疗 信息管理 质量控制 信息平台 

分 类 号：R197.32[医药卫生—卫生事业管理]