我国远程医疗发展瓶颈及突破策略  

Development bottlenecks and breakthrough strategies of telemedicine in China

作　　者：任桂英 胡婷婷[1] 孙妙 李红霞[1] REN Guiying;HU Tingting;SUN Miao;LI Hongxia(Department of Medicine,the First Affiliated Hospital of Xian Jiaotong University,Xian Shaanxi 710061,China)

机构地区：[1]西安交通大学第一附属医院医务部,陕西西安710061

出　　处：《卫生软科学》2024年第3期21-24,共4页Soft Science of Health

基　　金：陕西省创新能力支撑计划(2022KRM159)。

摘　　要：经过30多年的发展,我国远程医疗取得了一些成效,但仍存在数据不能互联互通,平台重复建设、使用率不高,收费及医保报销机制不健全,各方参与的积极性不高,法律关系不清晰、法律不健全,服务范围较窄、无法满足需要等问题。结合相关文献及工作实践,在既往研究的基础上,提出要加快远程医疗与先进网络通信的结合,以“互联网+”医疗为抓手,助推检查检验结果互认,完善相关法律法规建设,促进远程医疗与分级诊疗、养老、家庭康复结合,服务向慢病管理、护理、家庭医生签约等方面延伸,拓宽远程医疗服务范围和内涵。After more than 30 years of development,China’s telemedicine has achieved results,but there are still some problems,such as the non-interconnected data,the repeated construction of platforms and low utilization rate,imperfect charging and medical insurance reimbursement mechanism,undermotivated parties involved,unclear legal relationship,unsound law,narrow services and unsatisfied needs.Combined with relevant literature,practices and previous research,a breakthrough strategy is proposed.For example,it is necessary to accelerate the combination of telemedicine and advanced network communication to promote the mutual recognition of checkup and laboratory examination results through Internet plus healthcare;the construction of relevant laws and regulations should be improved to promote the integration of telemedicine with hierarchical diagnosis and treatment,elderly care and family care;services are extended to chronic disease management,nursing,contracted family doctor services to broaden the scope and connotation of telemedicine services.

关 键 词：远程医疗 发展瓶颈 拓宽服务范围 突破策略 

分 类 号：R197[医药卫生—卫生事业管理]