基于区块链的医疗联合体转诊系统构建及实践  

Construction and practice of medical alliance referral system based on blockchain

作　　者：张继东[1] 骆华杰[1] 江燕[1] 梁晨[1] 费辛[1] 朱长清[1] Zhang Jidong;Luo Huajie;Jiang Yan;Liang Chen;Fei Xin;Zhu Changqing(Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中华医院管理杂志》2022年第6期456-458,共3页Chinese Journal of Hospital Administration

基　　金：上海申康医院发展中心临床管理优化项目(2018SKMR-10)。

摘　　要：分级诊疗制度是合理配置医疗资源,促进基本医疗服务均质化的重要举措。医疗联合体(以下简称医联体)是分级诊疗的重要服务模式和服务体系,其作用是实现上下联动,满足患者的就诊需求。信息化建设是推动医联体服务的重要抓手。为了解决"联不通"的问题,医联体需要一套完整的、互联互通的医院信息化平台作为支撑,建立区域性的转诊平台,实现医联体内各医疗机构一体化服务。上海交通大学医学院附属仁济医院针对分级诊疗的"十六字方针",构建了基于区块链的转诊系统,纳入S2B2C模式理念,利用区块链技术的可溯源、不可篡改和分布式记账的特性,实现了与下级医院的数据独立存储,形成信息实时共享和互联互通,为医联体管理提供了可行性方案。Hierarchical diagnosis and treatment system is an important measure to rationally allocate medical resources and promote the homogenization of basic medical services.The medical alliance is an important service mode and service system of hierarchical diagnosis and treatment,whose role is to perfect the up-down linkage and meet the patient′s medical needs.Informatization construction is an important starting point to promote the services of the medical alliance.In order to solve the problem of connectivity,the medical alliance needs to establish a regional referral platform and realize the integrated service of all medical institutions.Renji Hospital,Shanghai Jiaotong University School of Medicine,has built a blockchain based referral system for hierarchical diagnosis and treatment,incorporating the S2B2C mode concept,and using the traceability,tamper proof and distributed accounting features of blockchain technology,realized independent storage of data in hospitals,realized real-time information sharing and interconnection,and provided a feasible solution for medical alliance management.

关 键 词：医疗联合体 分级诊疗 区块链 诊疗模式 转诊系统 

分 类 号：R197.1[医药卫生—卫生事业管理]