慢性病实时监测系统在军队医院慢性病管理中的实践与应用
|
摘要
目的:通过在军队医院进行慢性病实时监测系统研发和应用,以解决军队医院慢性病管理中临床医生工作繁忙、上报依从性差、漏报率高等问题,从而实现军队医院对慢性病就诊住院患者的自动筛查、统计与上报功能。方法:我院于2015年以军队医院信息系统为基础,采用Client/Server体系结构,基于Oracle数据库,与现有的医院信息系统(hospital information system,HIS)、实验室信息系统(laboratory information system,LIS)以及检查系统实现无缝连接,研发了慢性病实时监测系统,并于2015～2018年将该系统运用于本院慢性病监测。通过比较该系统运用前后我院慢性病上报情况,评价其临床应用效果。该系统以疾病诊断为核心信息采集"触发点",以实时运行为采集方式,根据医生相关诊断,就能无遗漏地自动采集住院、门诊慢性病患者相关信息,及时上报至各级疾病预防控制中心(center for disease control and prevention,CDC),从而实现对慢性病的统一监测和管理。结果:通过采用慢性病实时监测系统,对我院慢性病患者就诊信息实现自动采集、自动检索,提高了慢性病患者信息采集的准确性和及时性。结论:通过慢性病实时监测系统的应用,实现了门诊、住院慢性病患者信息的准确、全面、无遗漏、全覆盖及时上报,可为地方和国家提供可靠数据,便于开展随访和健康指导。
Objective:To investigate the development and application of real-time chronic disease surveillance system in military hospital,in order to solves many problems in chronic disease management,such as clinician′s busy work,low compliance and high missing rate of report,and thus realizes the functions including automatic screening,counting and reporting of patient with chronic disease in military hospital.Methods:The system was based on the military hospital information system,set up in a Client/Server architecture,based on Oracle database,and interface with the existing hospital information system(HIS),laboratory information system(LIS) was researched and developted real-time chronic diseaes,and it was applied to chronic disease monitoring in our hospital from 2015 to 2018.clinical application effect was evaluated by comparison of the report of chronic disease before and after application. It taked the disease diagnosis as the core information collection "trigger point",and the real-time operation as collection method. According to the doctor′s relevant diagnosis,the relevant information of patients with chronic diseases in inpatients and outpatients can be automatically collected and reported to center for disease control and prevention(CDC) in time to achieve unified surveillance and management of chronic diseases.Results:After the real-time chronic disease surveillance system was applied in our hospital,the automatic collection and retrieval of chronic disease patients′ medical information improved the accuracy and timeliness of information collection.Conclusion:The application of real-time chronic disease surveillance system in military hospital guarantees the information of patients with chronic diseases in inpatients and outpatients can be reported to CDC accurately,comprehensively,without missing and full coverage,provides reliable data and facilitates follow-up and health guidance.
Objective:To investigate the development and application of real-time chronic disease surveillance system in military hospital,in order to solves many problems in chronic disease management,such as clinician′s busy work,low compliance and high missing rate of report,and thus realizes the functions including automatic screening,counting and reporting of patient with chronic disease in military hospital.Methods:The system was based on the military hospital information system,set up in a Client/Server architecture,based on Oracle database,and interface with the existing hospital information system(HIS),laboratory information system(LIS) was researched and developted real-time chronic diseaes,and it was applied to chronic disease monitoring in our hospital from 2015 to 2018.clinical application effect was evaluated by comparison of the report of chronic disease before and after application. It taked the disease diagnosis as the core information collection "trigger point",and the real-time operation as collection method. According to the doctor′s relevant diagnosis,the relevant information of patients with chronic diseases in inpatients and outpatients can be automatically collected and reported to center for disease control and prevention(CDC) in time to achieve unified surveillance and management of chronic diseases.Results:After the real-time chronic disease surveillance system was applied in our hospital,the automatic collection and retrieval of chronic disease patients′ medical information improved the accuracy and timeliness of information collection.Conclusion:The application of real-time chronic disease surveillance system in military hospital guarantees the information of patients with chronic diseases in inpatients and outpatients can be reported to CDC accurately,comprehensively,without missing and full coverage,provides reliable data and facilitates follow-up and health guidance.
引文
[1]姚远.军队医院慢性病诊疗信息系统的设计与应用研究[D].中国人民解放军军事医学科学院,2014.
[2]吕淑荣,苏健,向全永,等.关于中国慢性病及其危险因素检测技术的若干思考[J].疾病监测,2014,29(3):247-249.
[3]马家奇.国家水平重点慢性病患病监测信息系统的规划与设计[J].中国卫生信息管理杂志,2015,9(3):32-33.
[4]中华人民共和国卫生行业标准.WS/T449-2014,慢性病监测信息系统基本功能规范[S].北京:国家卫生和计划生育委员会,2014.
[5]王来根,唐爱奇,方杭燕.监测信息系统在社区重点慢病管理工作中的实践和探索[J].中国农村卫生事业管理,2011,31(8):842-843.
[6]周龙甫,呼永和,赵明,等.慢性病监测系后台管理程序的设计与实现[J].医院数字化,2012,33(6):49-51.
[7]梅卫玲,夏红锋.医院慢性病管理信息系统在提升慢性病管理质量中的应用[J].中国疗养医学,2012,21(12):1144-1145.
[8]姚勤红,龚海,张华,等.信息化技术在医院慢性病管理中的应用与评价[J].江苏卫生事业管理,2013,24(134):61-62.
[9]王明时.医院信息系统[M].北京:北京出版社,2008.
[10]陈培昕,李怡勇,郭赤.慢性病监测系统前台查询程序的设计与实现[J].中国医疗设备,2012,27(9):46-71.
[11]沈亚琴,王跃军.军队医院信息安全体系建设[J].西北国防医学杂志,2014,35(3):299-301.
[12]尹强.着眼研究性医院建设需求,加快数字化医院建设步伐[J].西北国防医学杂志,2013,34(5):490-491.
[13]潘劲,胡如英,俞敏,等.浙江省慢性病监测信息管理系统的架构及作用[J].中国预防医学杂志,2010,11(11):1156-1157.
[14]糜跃萍,杨自力,黄建萍,等.慢性非传染性疾病动态监测规范化管理的探讨[J].江苏预防医学,2009,20(1):76-78.
[15]陈霞.慢性病监测信息管理报告质量分析[J].浙江预防医学,2011,23(5):86-87.
[16]刘荣海.当前慢性非传染性疾病防制的困难和对策[J].江苏卫生保健,2003,5(1):28-29.
[17]孔灵芝.慢性非传染性疾病流行现状、发展趋势及防治策略[J].中国慢性病预防与控制,2002,10(1):1-19.
[2]吕淑荣,苏健,向全永,等.关于中国慢性病及其危险因素检测技术的若干思考[J].疾病监测,2014,29(3):247-249.
[3]马家奇.国家水平重点慢性病患病监测信息系统的规划与设计[J].中国卫生信息管理杂志,2015,9(3):32-33.
[4]中华人民共和国卫生行业标准.WS/T449-2014,慢性病监测信息系统基本功能规范[S].北京:国家卫生和计划生育委员会,2014.
[5]王来根,唐爱奇,方杭燕.监测信息系统在社区重点慢病管理工作中的实践和探索[J].中国农村卫生事业管理,2011,31(8):842-843.
[6]周龙甫,呼永和,赵明,等.慢性病监测系后台管理程序的设计与实现[J].医院数字化,2012,33(6):49-51.
[7]梅卫玲,夏红锋.医院慢性病管理信息系统在提升慢性病管理质量中的应用[J].中国疗养医学,2012,21(12):1144-1145.
[8]姚勤红,龚海,张华,等.信息化技术在医院慢性病管理中的应用与评价[J].江苏卫生事业管理,2013,24(134):61-62.
[9]王明时.医院信息系统[M].北京:北京出版社,2008.
[10]陈培昕,李怡勇,郭赤.慢性病监测系统前台查询程序的设计与实现[J].中国医疗设备,2012,27(9):46-71.
[11]沈亚琴,王跃军.军队医院信息安全体系建设[J].西北国防医学杂志,2014,35(3):299-301.
[12]尹强.着眼研究性医院建设需求,加快数字化医院建设步伐[J].西北国防医学杂志,2013,34(5):490-491.
[13]潘劲,胡如英,俞敏,等.浙江省慢性病监测信息管理系统的架构及作用[J].中国预防医学杂志,2010,11(11):1156-1157.
[14]糜跃萍,杨自力,黄建萍,等.慢性非传染性疾病动态监测规范化管理的探讨[J].江苏预防医学,2009,20(1):76-78.
[15]陈霞.慢性病监测信息管理报告质量分析[J].浙江预防医学,2011,23(5):86-87.
[16]刘荣海.当前慢性非传染性疾病防制的困难和对策[J].江苏卫生保健,2003,5(1):28-29.
[17]孔灵芝.慢性非传染性疾病流行现状、发展趋势及防治策略[J].中国慢性病预防与控制,2002,10(1):1-19.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |