区域临床辅助支持系统的构建与设计研究
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摘要
目的:基于统一的临床知识库体系,为社区家庭医生的医疗服务行为提供同质化的临床信息辅助支持。方法:根据社区卫生服务中心客户端提供的患者相关临床数据,经过分析、判断后返回相应的提醒或临床建议。结果:通过建立对家庭医生医疗服务事件的监测机制,以主动方式提出决策建议,警示性地阻止一些严重后果的发生。结论:系统的应用起到弥补社区家庭医生经验不足、加强诊疗辅助、提升基层卫生服务的管理效率和服务水平等作用。
Objective: Based on the unified clinical knowledge base, system provides homogeneity information support for medical services that community family doctors carry out. Methods: according to the patient related clinical data provided by the community client, after analysis and judgement, the corresponding reminders or clinical recommendations are returned. Results: through the event monitoring mechanism, the system makes decisions for doctors, and forces to prevent some serious consequences. Conclusion: the application of the system can make up for the insufficiency of the experience of community family doctors, strengthen the assistance of diagnosis and treatment, improve the management efficiency and service level of the basic health service.
Objective: Based on the unified clinical knowledge base, system provides homogeneity information support for medical services that community family doctors carry out. Methods: according to the patient related clinical data provided by the community client, after analysis and judgement, the corresponding reminders or clinical recommendations are returned. Results: through the event monitoring mechanism, the system makes decisions for doctors, and forces to prevent some serious consequences. Conclusion: the application of the system can make up for the insufficiency of the experience of community family doctors, strengthen the assistance of diagnosis and treatment, improve the management efficiency and service level of the basic health service.
引文
[1]何春黎.临床决策支持系统:用于提高临床工作和医疗治疗[J].美国医学会杂志:中文版,1999:324-325.
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[4]葛小玲,孙利,薛颜,等.基于CDR的临床决策支持系统设计及应用初探[J].中国数字医学,2014,9(8):2-4.
[5]鞠伟卿,符鸣,赵蓉,等.基于医联平台的临床用药智能提醒系统的设计与实现[J].中国数字医学,2015,10(6):66-68.
[6]唐晓东,李顺飞,罗娟.决策支持系统在医院应用中存在的问题分析[J].解放军医院管理杂志,2011,18(6):533-534.
[7]金蕾,杨耀芳,汤春红,等.社区医院用不同分级管理抗菌药物知识库智能化管理系统开发[J].中国全科医学(优先出版),2018,21(11):1382-1386.
[8]井立强,王艳萍,焦敬义,等.基于CDSS临床知识库应用与实践[J].中国卫生信息管理,2015,12(2):176-182.
[2]吴海燕,许强,王丽峰,等.基于商业智能的区域卫生综合辅助决策支持系统建设与应用[J].医学信息学杂志,2015,36(7):2-6.
[3]张越,闫昕,高星,等.基层卫生决策支持系统的需求分析[J].中国全科医学,2016,19(22):2636-2639.
[4]葛小玲,孙利,薛颜,等.基于CDR的临床决策支持系统设计及应用初探[J].中国数字医学,2014,9(8):2-4.
[5]鞠伟卿,符鸣,赵蓉,等.基于医联平台的临床用药智能提醒系统的设计与实现[J].中国数字医学,2015,10(6):66-68.
[6]唐晓东,李顺飞,罗娟.决策支持系统在医院应用中存在的问题分析[J].解放军医院管理杂志,2011,18(6):533-534.
[7]金蕾,杨耀芳,汤春红,等.社区医院用不同分级管理抗菌药物知识库智能化管理系统开发[J].中国全科医学(优先出版),2018,21(11):1382-1386.
[8]井立强,王艳萍,焦敬义,等.基于CDSS临床知识库应用与实践[J].中国卫生信息管理,2015,12(2):176-182.