癫痫中心规范化多模态远程会诊模式探讨  

Discussion on standardized multimodal remote consultation model of epilepsy center

作　　者：刘文华 刘一鸥[1] 王丹 王杰 阮静[1] 徐晓芳 袁英 杨静 LIU Wenhua;LIU Yi’ou;WANG Dan;WANG Jie;Ruan Jing;XU Xiaofang;YUAN Ying;YANG Jing(Epilepsy Center,Yuquan Hospital,Tsinghua University,Beijing 100040,China)

机构地区：[1]清华大学玉泉医院癫痫中心,北京100040

出　　处：《癫痫杂志》2024年第2期123-126,共4页Journal of Epilepsy

摘　　要：目的提高癫痫中心规范化远程会诊在难治性癫痫患者中的满意度,并初步建立三级综合癫痫中心规范化远程会诊的模式。方法通过我癫痫中心自身特点,设计一套规范化三级医院癫痫中心远程会诊流程,包括会诊前患者资料整理、完善检查、会诊时多模态技术的应用、会诊后结果告知及确定手术时间和方式。最后选取2022年1月—2023年6月在我癫痫中心行远程会诊的患者209例作为观察组,随机选取同期癫痫中心线下会诊的患者150例作为对照组,比较两组患者对会诊的医生、护士的服务及会诊结果的满意度。结果通过应用新的多模态远程会诊模式,会诊人数总体呈上升趋势,患者对远程会诊的医生,护士的服务及会诊结果的满意度均同线下会诊无显著性差异(P<0.05)。结论癫痫中心规范化远程会诊模式的建立,有效的减轻了患者的经济负担,简化了就医流程,提高了服务质量,而会诊质量并未受到影响。Objective To improve the satisfaction of standardized remote consultation of epilepsy center in patients with refractory epilepsy,and initially establish a standardized remote consultation model of three-level comprehensive epilepsy center.Methods Based on the characteristics of our epilepsy center,we designed a set of standardized remote consultation process of epilepsy center in tertiary hospitals,including sorting out patient data before consultation,improving examination,application of multi-modal technology during consultation,notification of results after consultation,and decision of operation time and method.A total of 209 patients who received remote consultation in our epilepsy center from January 2022 to June 2023 were selected as the observation group,and 150 patients who received offline consultation in our epilepsy center during the same period were randomly selected as the control group.The satisfaction of patients in the two groups on the service of doctors and nurses in consultation and the consultation results were compared.Results Through the application of the new multi-modal remote consultation mode,the number of consultations gradually increased,Compared with the offline consultation mode,there was no significant difference in patients'satisfaction with the service of doctors and nurses in remote consultation mode(P<0.05).Conclusion The establishment of standardized remote consultation mode in epilepsy center has effectively reduced the economic burden of patients,simplified the medical treatment process and improved the service quality,but the consultation quality has not been affected.

关 键 词：远程会诊 癫痫中心 规范化 服务满意度 

分 类 号：R742.1[医药卫生—神经病学与精神病学]