宁波市区域医疗信息平台建设及医疗服务协同推进策略研究
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摘要
医疗卫生信息化是我国信息化社会发展的一项重要内容,也是新医改的重要支撑。本文以宁波市为例,调研宁波市区域医疗信息平台建设的现状,通过分析,认为平台存在信息集成度低、各卫生机构之间协调性差、信息安全和法律保护问题有待解决、基层信息化程度弱、经费投入结构不合理、还未形成可持续的商业模式、社保卡功能单一等问题,提出应由政府主导做好顶层设计与项目控制、加快数字化医院建设和完善标准、从技术层面和法律层面提升平台的安全与可靠性、建立可持续的商业模式、逐步改变医疗服务管理体制、统一身份识别并完善社保卡功能等建议。通过以上研究,促进宁波市区域医疗信息平台的完善及医疗服务协同体系的推进,并为我国其他地区提供参考。
Medical information is an important part of the development of China's information society, but also an important support for the new medical reform. This article takes Ningbo City as an example, investigates the current construction situation of Ningbo regional medical information platform, after analysis, it is considered that the platform has low information integration, poor coordination between health institutions, information security and legal protection issues remain to be resolved, low level of informatization of primary institutions, irrational investment structure, has not yet formed a sustainable business model, social security card function single and other issues, proposes that the platform construction should be led by the government and the government to do top-level design and project control,speed up the construction of digital hospitals and improve the standard, from the technical and legal aspects to enhance the safety and reliability of the platform, establish a sustainable business model, change the medical service management system, unify identity and improve social security card function and other recommendations. Through the above research, to promote the improvement of the Ningbo regional medical information platform and the advancement of medical service coordination system, and provide reference for other regions in China.
Medical information is an important part of the development of China's information society, but also an important support for the new medical reform. This article takes Ningbo City as an example, investigates the current construction situation of Ningbo regional medical information platform, after analysis, it is considered that the platform has low information integration, poor coordination between health institutions, information security and legal protection issues remain to be resolved, low level of informatization of primary institutions, irrational investment structure, has not yet formed a sustainable business model, social security card function single and other issues, proposes that the platform construction should be led by the government and the government to do top-level design and project control,speed up the construction of digital hospitals and improve the standard, from the technical and legal aspects to enhance the safety and reliability of the platform, establish a sustainable business model, change the medical service management system, unify identity and improve social security card function and other recommendations. Through the above research, to promote the improvement of the Ningbo regional medical information platform and the advancement of medical service coordination system, and provide reference for other regions in China.
引文
[1]蒋璐,赵强,王竞,等.区域医疗信息化协同服务链建设模式的设计与实践[J].中国医学教育技术,2014,28(2):183-186.
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[8]王飞,陆国咪,陈川.宁波市鄞州区区域卫生信息化建设实践与成效[J].中国数字医学,2016(7):94-96.
[9]相悦丽,赵玥,赵玮,等.医疗信息化现状论析[J].中国科技信息,2008(7):158-159.
[10]王帅,苏维.我国区域医疗信息化发展现状存在问题及对策研究[J].现代预防医学,2010,37(22):4241-4243.
[11]李包罗,何鱼生,Ball Robert.中国医院信息化发展研究报告[R].北京:中国医院协会信息管理专业委员会,2008.
[12]侯峰忠.我国卫生监督信息化建设面临问题及对策[J].中国卫生监督杂志,2007,14(3):217-219.
[13]吴皓达.深化医药卫生体制改革形势下我国卫生信息化建设相关问题与对策研究[D].哈尔滨:黑龙江中医药大学,2011.
[14]湘海泉.区域医疗信息化是必经之途[J].当代医学,2007(5):28-36.
[15]李剑敏.绍兴市区域卫生信息化平台建设研究[D].南京:南京农业大学,2014.
[16]严魁,高晓波.基于信息化平台的协同医疗服务体系建设探讨[J].移动通信,2014(10):85-89.
[2]宁波市卫生局.宁波市构建智慧健康保障体系[J].中国信息界:e医疗,2014(2):31.
[3]郭强.宁波市智慧医疗发展现状调查与建议[J].宁波职业技术学院学报,2015,19(4):53-55.
[4]佚名.关于我市医药卫生体制改革工作情况的汇报[Z].宁波:宁波市卫生计生委,2015.
[5]宁波市卫生局.智慧健康——宁波智慧城市建设的突破口[J].宁波通讯,2014(19):25-26.
[6]佚名.宁波医疗卫生事业建设与发展情况介绍[Z].宁波:宁波市卫生局,2014.
[7]王莎,周银环.鄞州“互联网+医疗”模式在全国崭露头角[N].鄞州日报,2017-04-06(2).
[8]王飞,陆国咪,陈川.宁波市鄞州区区域卫生信息化建设实践与成效[J].中国数字医学,2016(7):94-96.
[9]相悦丽,赵玥,赵玮,等.医疗信息化现状论析[J].中国科技信息,2008(7):158-159.
[10]王帅,苏维.我国区域医疗信息化发展现状存在问题及对策研究[J].现代预防医学,2010,37(22):4241-4243.
[11]李包罗,何鱼生,Ball Robert.中国医院信息化发展研究报告[R].北京:中国医院协会信息管理专业委员会,2008.
[12]侯峰忠.我国卫生监督信息化建设面临问题及对策[J].中国卫生监督杂志,2007,14(3):217-219.
[13]吴皓达.深化医药卫生体制改革形势下我国卫生信息化建设相关问题与对策研究[D].哈尔滨:黑龙江中医药大学,2011.
[14]湘海泉.区域医疗信息化是必经之途[J].当代医学,2007(5):28-36.
[15]李剑敏.绍兴市区域卫生信息化平台建设研究[D].南京:南京农业大学,2014.
[16]严魁,高晓波.基于信息化平台的协同医疗服务体系建设探讨[J].移动通信,2014(10):85-89.