基于患者就医行为的眼病智慧医疗服务策略研究  

Study on Smart Medical Service Strategies for Eye Diseases Based on Patients’Health Seeking Behavior

作　　者：李佳欣 杨耀锦 宁玉文 朱刘松 LI Jiaxin;YANG Yaojin;NING Yuwen;ZHU Liusong(Military Preventive Medicine School,Air Force Medical University,Xi’an 710032,China;Information Management Department of Xijing 986 Hospital Department,Air Force Medical University,Xi’an 710054,China;Teaching and Research Support Center,Air Force Medical University,Xi’an 710032,China)

机构地区：[1]空军军医大学军事预防医学系,西安710032 [2]空军军医大学空军第九八六医院信息经管科,西安710054 [3]空军军医大学教研保障中心,西安710032

出　　处：《医学信息学杂志》2024年第11期59-66,共8页Journal of Medical Informatics

基　　金：陕西省科技厅2022年重点研发计划课题(项目编号:2022SF-068)。

摘　　要：目的/意义了解眼病患者就医行为特征,优化眼病智慧医疗服务策略。方法/过程以安德森医疗服务利用模型为指导,调取某医院17 602人次的眼科电子病历数据,采用卡方检验和谱系聚类方法从4个维度挖掘眼病患者的就医行为特征;调查其中702例眼病患者对智慧医疗服务的满意度,通过有序logistic回归分析主要影响因素。结果/结论根据眼病患者人口学特征、挂号方式、眼科常见疾病与发病数据、结算方式等特征,从资源布局、技术兼容、服务模式和优化结算4方面提出眼病智慧医疗服务建议与策略。Purpose/Significance To understand the behavioral characteristics of patients with eye diseases,and to optimize the smart medical service strategies for eye diseases.Method/Process Guided by Anderson’s medical service utilization model,the electronic medical records(EMR)data of 17602 patients in a hospital are collected,and chi-square test and pedigree clustering method are used to explore the behavioral characteristics of patients with eye diseases from four dimensions.The satisfaction of 702 patients with eye diseases on smart medical services is investigated,and the main influencing factors are analyzed by ordinal logistic regression.Result/Conclusion According to the demographic characteristics of patients with eye diseases,registration methods,common ophthalmic diseases and incidence data,settlement methods,etc.,suggestions and strategies for smart medical services for eye diseases are put forward from four aspects:resource layout,technical compatibility,service mode and optimized settlement.

关 键 词：眼病患者 就医行为 电子病历 智慧医疗服务 

分 类 号：R-058[医药卫生]