新型心脑血管疾病三级诊疗服务装备构建及评估
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摘要
目的分析基于三级诊疗制度的新型心脑血管疾病诊疗服务装备构建方法及效果。方法由北京市上地医院、北京大学首钢医院与北京丰盈环蚀技术有限公司共同构建基于三级诊疗制度的新型心脑血管疾病诊疗服务装备,选择北京大学首钢医院及下属4个社区卫生服务中心进行三级诊疗平台的示范工作,评估新型诊疗服务装备的应用效果及推广价值。结果示范平台应用后,4个社区中心的医疗设备使用率为84.55%(5 591/6 613),数据资源使用率为90.29%(5 971/6 613),诊疗准确率为91.96%(6 081/6 613),均好于示范平台应用前,差异具有统计学意义(χ2=7.826、8.197、13.768,P <0.05)。同时,应用示范平台期间患者满意率为97.05%(6 418/6 613)。结论构建基于三级诊疗制度的新型心脑血管疾病诊疗服务装备可良好提高基层医院医疗设备与数据资源使用率,改善基层医院诊疗水平,从而为心脑血管疾病的诊治提供积极作用。
Objective To discuss the methods and effects of diagnosis and treatment equipment based on the three levels diagnosis and treatment system in cardiovascular and cerebrovascular diseases. Methods The diagnosis and treatment equipment based on the three levels diagnosis and treatment system in cardiovascular and cerebrovascular diseases was constructed by Beijing Shangdi Hospital, Shougang Hospital, Peking University and Beijing Fengying Environmental Erosion Technology Co., Ltd. Shougang Hospital, Peking University and its 4 community health service centers were selected for demonstration work. The application effect and promotion value of new diagnostic and therapeutic equipment were evaluated. Results After the application of the demonstration platform, the utilization rate of medical equipment in the 4 community centers was 84.55%(5 591/6 613), the utilization rate of data resources was 90.29%(5 971/6 613), and the accuracy rate of diagnosis and treatment was 91.96%(6 081/6 613). There were significantly better than the demonstration platform before application, with statistical significance(χ2=7.826, 8.197, 13.768, P < 0.05). Meanwhile, the patient satisfaction rate was 97.05%(6 418/6 613) during the demonstration platform. Conclusion The construction of a new type of cardiovascular and cerebrovascular disease diagnosis and treatmentequipment based on the three level of diagnosis and treatment system can improve the utilization rate of medical equipment and data resources in grass-roots hospitals. Improve the level of diagnosis and treatment in primary hospitals, so as to provide positive effects for the diagnosis and treatment of cardiovascular and cerebrovascular diseases.
Objective To discuss the methods and effects of diagnosis and treatment equipment based on the three levels diagnosis and treatment system in cardiovascular and cerebrovascular diseases. Methods The diagnosis and treatment equipment based on the three levels diagnosis and treatment system in cardiovascular and cerebrovascular diseases was constructed by Beijing Shangdi Hospital, Shougang Hospital, Peking University and Beijing Fengying Environmental Erosion Technology Co., Ltd. Shougang Hospital, Peking University and its 4 community health service centers were selected for demonstration work. The application effect and promotion value of new diagnostic and therapeutic equipment were evaluated. Results After the application of the demonstration platform, the utilization rate of medical equipment in the 4 community centers was 84.55%(5 591/6 613), the utilization rate of data resources was 90.29%(5 971/6 613), and the accuracy rate of diagnosis and treatment was 91.96%(6 081/6 613). There were significantly better than the demonstration platform before application, with statistical significance(χ2=7.826, 8.197, 13.768, P < 0.05). Meanwhile, the patient satisfaction rate was 97.05%(6 418/6 613) during the demonstration platform. Conclusion The construction of a new type of cardiovascular and cerebrovascular disease diagnosis and treatmentequipment based on the three level of diagnosis and treatment system can improve the utilization rate of medical equipment and data resources in grass-roots hospitals. Improve the level of diagnosis and treatment in primary hospitals, so as to provide positive effects for the diagnosis and treatment of cardiovascular and cerebrovascular diseases.
引文
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[12]励丽,姚爱京,俞旭霞,等.三级医院推进分级诊疗的探索与实践[J].中国慢性病预防与控制,2016,24(11):868-870.
[2]郑军华.分级诊疗背景下三级医院发展的思考[J].中国医疗保险,2017(5):24.
[3]潘志刚,杨秉辉.浅议实行分级诊疗对三级医院的影响[J].中华全科医师杂志,2016,15(2):91-93.
[4]薛莲,杜勤,孙振军,等.分级诊疗下三级医院医务社会工作服务功能的探究[J].中国医学伦理学,2018,31(3):290-292.
[5]杨巧,秦琼,陈登菊.从三级医院下转实践看分级诊疗存在问题及改进建议[J].中国卫生质量管理,2016,23(6):81-84.
[6]郑鸿.中国分级诊疗制度实施现状及对策建议[J].中国卫生产业,2017,14(14):197-198.
[7]许德俊,黄以宽,屈晓晖,等.多级医疗卫生机构诊疗协同服务信息集成化研究[J].中国卫生信息管理杂志,2016,13(3):241-246.
[8]沈逸枫,吴炯,郭玮,等.心血管疾病风险评估系统研究进展[J].检验医学,2018,33(2):163-169.
[9]高治宇.心血管疾病治疗新进展及展望[J].世界最新医学信息文摘,2016,16(46):201,205.
[10]李美瑜,甘清鑫,廖生武.心血管疾病远程医疗的研究进展[J].中国医药导报,2015,12(36):144-147.
[11]范仲珍,何辅成,汪昕.某三级综合医院多专科协作诊疗门诊的运作模式分析[J].中国医院管理,2015,35(4):39-40.
[12]励丽,姚爱京,俞旭霞,等.三级医院推进分级诊疗的探索与实践[J].中国慢性病预防与控制,2016,24(11):868-870.