采用“互联网+医疗”建立中医重症医联体“共生模式”的初步探究  

Preliminary study on the establishment of a"symbiotic model"of the intensive care medicine consortium of traditional Chinese medicine by"internet+medical treatment"

作　　者：张雪梅[1] 龙坤兰 陈骏[1] 周秀娟 高培阳[1] Zhang Xuemei;Long Kunlan;Chen Jun;Zhou Xiujuan;Gao Peiyang(Department of Critical Care Medicine,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan,China)

机构地区：[1]成都中医药大学附属医院重症医学科,四川成都610072

出　　处：《中国中西医结合急救杂志》2023年第1期10-12,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：四川省中央领导地方科技发展专项(19ZYCXSF)。

摘　　要：基于“互联网+医疗”的模式依托四川省中医重症质控中心,于2018年12月成立了四川中医重症专科联盟,建立了四川省中医重症医联体“共生模式”,以提高本省中医重症联盟医院临床医疗水平。该联盟由成都中医药大学附属医院重症医学科牵头,借助四川中医重症联盟远程信息系统,覆盖省内70余家县(区)、市(州)医院重症医学科,主要开展远程会诊、协作查房、教育直播和在线培训,对“互联网+”成员单位实行培养专业人才、请专家开展专业讲座、加强管控医疗先管质量、开展共享科研数据、指导并开展一系列重症专业方面的新业务和新技术,针对不同单位找自身短板集中补缺的等业务,分析中医重症医联体“共生模式”对四川省中医重症医学发展的影响。从2019年1月至2021年12月3年间,四川省已开展各级医院远程会诊、协作查房683例;开展教育直播(继续教育、病案讨论等)218次;发布在线教育视频、文字培训内容98个;开展在线培训中医重症医学科医务人员(医生、护士、医技等)4833人次;实现危重症基层转诊患者56例,积极治疗好转后38例(67.9%)转回当地医院继续治疗;诊断救治危重症患者28例,积极治疗好转后有21例(75.0%)好转出院;协助疑难病例诊断8例(28.6%)。通过在各合作单位推广应用中医重症医联体“共生模式”,协助完成多项分级诊疗体系的建设,提高了合作单位的基本医疗服务能力、共享能力、信息化水平及疑难疾病的诊断能力,降低了转诊率及异地就医率,普遍地惠及了广大人民群众。要进一步实现该体系在全省范围内的跨区域合作推广,以构建较为完善的推广应用体系,提高四川中医重症联盟医院的临床医疗水平。To improve the clinical medical level of Sichuan Traditional Chinese Medicine(TCM)Critical Care Alliance hospital,by establishing a"symbiotic model"of Sichuan TCM critical care alliance based on"internet+medical treatment".Relying on the Sichuan TCM Critical Care Quality Control Center,the Sichuan TCM Critical Care Specialist Alliance was established in December 2018.The Alliance was led by the department of critical care medicine of the Hospital of Chengdu University of TCM.With the help of the remote information system of the Sichuan Critical Care Alliance of TCM,it covered over 70 counties(districts),cities(prefectures),and hospitals in the province.It mainly conducted remote consultation,collaborative ward rounds,educational live streaming,and online training.It actively cultivated professional talents of member units of"internet plus",invited experts to give professional lectures,strengthened the management and control of medical quality,carried out sharing scientific research data,guided and developed a series of new businesses and new technologies in critical care.It also focused on businesses such as finding its own weaknesses to fill gaps based on different units.Through these,we analyzed the impact of the"symbiotic model"of the consortium of TCM and critical care on the development of TCM and critical care in Sichuan Province.From January 2019 to December 2021,it has carried out 683 cases of remote consultation and collaborative ward rounds in hospitals at all levels;218 lived educational broadcasts(continuing education,medical record discussions,etc);98 online educational videos and text training content;4833 medical personnel(doctors,nurses,medical technicians,etc)online training.Fifty-six patients with critical illness were referred to the grassroots level,and 38(67.9%)of them returned to local hospitals for continued treatment after positive treatment.Of the 28 critically ill patients diagnosed and treated,21 cases(75.0%)improved and discharged after active treatment,8 difficult cases(28.6%)were ass

关 键 词：中医重症 医联体 互联网+医疗 共生模式 

分 类 号：R288[医药卫生—中药学]