贵州省基层医院数字化建设调查分析  

Survey and analysis on digital construction of primary hospitals in Guizhou Province

作　　者：刘頔 李韬 刘旭 王迪芬 Liu Di;Li Tao;Liu Xu;Wang Difen(School of Journalism and Communication,Beijing Normal University National Digital Health Research Center,a High-End Think Tank at Beijing Normal University Institute of Internet Development,Beijing Normal University,Beijing 100875,China;Department of Critical Care Medicine,Affiliated Hospital of Guizhou Medical University,Guizhou Critical Care Medical Quality Control Center,Guiyang 550004,Guizhou,China)

机构地区：[1]北京师范大学新闻传播学院,北京师范大学高端智库国家数字健康研究中心,北京师范大学互联网发展研究院,北京100875 [2]贵州医科大学附属医院重症医学科,贵州省重症医学质控中心,贵州贵阳550004

出　　处：《中华危重病急救医学》2022年第8期863-870,共8页Chinese Critical Care Medicine

基　　金：国家重点研发计划(2018YFC2001900);国家临床重点专科建设项目(2011-170);贵州省临床重点学科建设项目(2011-52);贵州省高层次人才特助经费(TZJF-2011-25)。

摘　　要：目的调查基层医院重症医学科医护人员对数字化医院建设的使用状况及知晓度,推进数字化医疗健康的进程。方法2021年4月至7月,选择贵州省9个地州市88个县市区的公立医院重症医学科医生和护士(当日在科)各1~2名作为现场调查访谈对象,现场填写调查问卷表格(2020年全年数据),由专人整理并分析。结果共纳入146家医院重症医学科的医护人员297名,均为实名填报,其中医生152名,护士145名;24家三甲医院,122家二级以上医院;146家医院均已实施数字化信息管理。被调查者对医院数字化信息管理系统知晓度整体较低,其中对医院信息系统(HIS)的知晓度最高(86.5%),其次为检验室信息管理系统(LIS,41.4%)和图像存档与通信系统(PACS,40.7%),对医院经营管理系统(HERP)的知晓度最低(7.7%)。2020年146家医院利用大数据互联网进行远程会诊的总次数为25428次,各家医院平均远程会诊的中位数为24.5(88.0,240.0)次。2018至2020年146家医院重症医学科收治患者总数分别为50473例、57565例和57907例,其中>65岁患者数分别占37.47%、41.26%和43.31%(均P>0.05)。2020年146家医院重症医学科利用大数据互联网进行远程会诊总数量共4242例次,中位数为257.50(96.50,958.25)例次。仅12.12%的科室有独立重症监测系统,8.75%科室的重症监测系统能自动抓取数据形成表格。96.30%的医护人员通过互联网平台参加过系统和专业的"三基"培训,每年在省内或地州开会学习及培训的次数较多,分别为282次和357次。90%以上的科室可以通过互联网平台向上级医院发起过远程会诊,并安排转诊,或接收由上级医院治疗好转的患者。科室外出会诊的医院级别以下级医院较多(69.02%)。2020年146家医院重症医学科外出会诊的总次数为2959次,中位数为296(185,473)次。54.79%的科室有固定服务的村庄,28.08%的科室有固定服务的人数或户数。中位出诊最远距离为52.5Objective To investigate the utilization status and awareness of digital hospital construction among medical staff in critical care department of primary hospitals,so as to promote the process of digital medical health.Methods One to two doctors and nurses(in the department on that day)from public hospitals in 88 counties and urban areas in 9 cities of Guizhou Province were enrolled of field investigation.The questionnaires form were filled in on-site and sorted out and analyzed by special personnel.Results A total of 297 medical staff from the department of critical care medicine of 146 hospitals were included.All the questionnaires were filled in with their real names,including 152 doctors and 145 nurses.There were 24 classⅢGrade A hospitals and 122 classⅡand all the hospitals had implemented digital information management.The awareness of hospital digital information management system was generally low among the surveyed medical staff,and the awareness of hospital information system(HIS)was the highest(86.5%),followed by laboratory information management system(LIS,41.4%)and image archiving and communication system(PACS,40.7%).The awareness of hospital management system(HERP)was the lowest(7.7%).The total number of remote consultations conducted by hospitals using big data Internet was 25428 times in 2020,with a median of 24.5(88.0,240.0)times in each hospital.From 2018 to 2020,the total number of patients admitted to the intensive care unit of the hospital was 50473,57565 and 57907,respectively,of which the number of patients over 65 years old accounted for 37.47%,41.26%and 43.31%,respectively(all P>0.05).There were 4242 cases of remote consultation using big data Internet in the department every year,with a median of 257.50(96.50,958.25)cases.12.12%of the departments had independent critical monitoring systems,and 8.75%of them could capture data automatically to form tables.96.30%of the medical staff participated in systematic and professional training on basic knowledge,basic theory and basic medical ca

关 键 词：数字化医院 数字化信息管理 重症医学 数字远程医疗技术 知晓度 

分 类 号：R197.32[医药卫生—卫生事业管理]