基于区块链的医联体护理协同管理系统的设计与实现  

Design and implementation of medical alliance nursing collaborative management system based on block chain

作　　者：陈美桂[1] 徐旭[2] 朱小平[1] 陈雄[3] 尚巧梅 CHEN Mei-gui;XU Xu;ZHU Xiao-ping;CHEN Xiong;SHANG Qiao-mei(Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Renmin Hospital of Wuhan University,Wuhan 430060,China;Faculty of Electronic and Information Engineering,Xi'an Jiaotong University,Xi'an 710061,China;Zhongxiang TCM Hospital,Zhongxiang 431900,Hubei Province,China)

机构地区：[1]武汉大学中南医院,武汉430071 [2]武汉大学人民医院,武汉430060 [3]西安交通大学电子与信息学部,西安710061 [4]钟祥市中医医院,湖北钟祥431900

出　　处：《医疗卫生装备》2024年第3期47-55,共9页Chinese Medical Equipment Journal

基　　金：国家自然科学基金面上项目(62271240);武汉大学中南医院护理学科培育项目(HLXKPY202124);武汉大学临床护理专项科研培育基金项目(LCHL202317)。

摘　　要：目的:设计一种基于区块链的医联体护理协同管理系统,为实现医联体护理协同管理提供技术支持。方法:该系统基于联盟链的5层技术架构进行设计,通过Linux系统搭建Fabric开发环境及网络配置,采用智能合约和Java语言软件开发工具包实现用户界面操作,使用Bootstrap和Jquery等技术搭建前端Web界面、Spring Boot搭建系统后端,并通过加密算法、哈希运算、智能合约、共识机制等技术实现联盟链成员管理、业务管理、数据存储与共享、患者病历管理及平台监管5个功能模块。结果:该系统完善了优质护理资源下沉与连续性护理机制,重构了积分激励机制,促进了护理共生网络协同进化,并使多节点交互,形成了协同合力。结论:该系统顺应全新模式下医联体整合型护理服务的发展趋势,对提升护理核心竞争力等方面起到重要推动作用,同时为构建适用于医联体场景的区块链方案提供了借鉴。Objective To design a medical alliance nursing collaborative management system based on block chain to provide technical support for nursing collaborative management.Methods A medical alliance system was designed based on the five-layer technical architecture of consortium blockchain,which used Linux system for establishing a Fabric development environment and network configuration,smart contract and Java language software development kit for realizing user interface operation,Bootstrap and Jquery technologies for constructing the front-end Web interface,Spring Boot for constructing the back-end interface.There were five functional modules for consortium blockchain member management,business management,data storage and sharing,patient medical record management and platform supervision involved in the system,which were developed with the technologies of encryption algorithm,hash operation,smart contract,consensus mechanism and etc.Results The system developed contributed to improving the mechanism for quality nursing resource sinking and continuous nursing care,reconfiguring the point incentive mechanism,promoting the collaborative development of nursing symbiotic network and enabling multi-node interactions to form a synergistic synergy.Conclusion The system developed conforms to the development trend of integrated care service of medical alliance,enhances the core competitiveness of nursing care and provides references for formulating blockchain solutions applicable to medical alliance scenarios.

关 键 词：区块链 联盟链 医联体 护理 护理协同管理 

分 类 号：R318[医药卫生—生物医学工程] TP311[医药卫生—基础医学]