常见病互联网首诊的实现逻辑与适宜病种分析  

Implementation logic and suitable disease analysis of Internet first visit of common diseases

作　　者：张新童 姜劲 张研[1] 魏然 Zhang Xintong;Jiang Jin;Zhang Yan;Wei Ran(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;School of Health Management,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030 [2]广州医科大学卫生管理学院,广州511436

出　　处：《中华医院管理杂志》2024年第4期292-297,共6页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金 (72274069)。

摘　　要：当前,医疗资源供给与人民群众健康需求之间还有一定差距,"看病难"仍是困扰居民就诊的重要问题。作为新一代信息技术同医疗服务深度融合的应用模式,互联网首诊为解决上述难题提供了新的途径与可能。本研究以常见病互联网首诊为切入点,剖析基层常见病诊疗需要与主流线上问诊方式服务能力,提出了"病种-首诊方式-满足诊疗最低要求"的远程首诊实现逻辑,并据此分析适宜开展互联网首诊的常见疾病。建议各方联合推进互联网首诊诊疗指南标准化,推动互联网首诊线上线下服务一体化,并从技术和法律途径规避风险,为未来开展互联网首诊提供依据。There is still a certain gap between the supply of medical resources and the health needs of the people,and the difficulty of seeking medical treatment remains an important problem plaguing the residents.As an application mode of the new generation of information technology deeply integrated with medical services,Internet first visit provides a new way and possibility to solve the above problem.This study took the Internet first visit for common diseases as an entry point,analyzed the diagnosis and treatment needs of common diseases at the grassroots level and the service capacity of mainstream online consultation methods,put forward the remote first visit realization logic of"type of disease-first consultation method-meeting the minimum requirements for diagnosis and treatment",and analyzed the common diseases suitable for Internet first visit.It is suggested that all parties should jointly promote the standardization of the Internet first visit guideline,promote the integration of online and offline services of Internet first visit,and avoid the risks from technical and legal ways,so as to provide a theoretical basis for the future Internet first visit.

关 键 词：远程医学 线上诊疗 互联网医院 首诊 常见病 

分 类 号：R-05[医药卫生]