上海徐汇云医院在分级诊疗实践中的探索与创新
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摘要
借助上海市建立徐汇区-中山医院医联体的契机,上海徐汇云医院创建了"互联网+分级诊疗"的医疗服务模式。云医院提供以"视频看医生"为核心的互联网医疗服务,建立了全-专云平台,实现了云医院与社区卫生服务中心的医疗信息系统的互联互通。社区卫生服务中心的全科医生登录全-专云平台后,可向上级医院的专科专家进行实时咨询或请求其会诊,也可为患者预约到上级医院就诊、检查或住院等。云医院亦向医联体外的医疗或医疗相关机构提供医疗健康服务,如养老院、社会药店等,以协助解决日常的医疗问题。云医院今后将整合终端智能医疗健康监测技术与服务,大力发展可穿戴设备和机器人系统的应用,开创慢性病管理新模式,建立区域性的人工智能辅助诊断中心,促进区域内医疗资源的大融合,为分级诊疗的实施提供物质基础和保证。
A mode of "internet+ hospital hierarchical diagnosis and treatment" was created in Shanghai Xuhui Cloud Hospital(SXCH) by taking advantage of the establishment of a medical union of Xuhui District-Zhongshan Hospital. The internet medical services centered on "seeing a doctor by video" could be provided in SXCH by establishing a general-specialist doctor cloud-work-platform, by which the interconnection of medical information systems between SXCH and community health service centers could be achieved. General practitioners can consult a specialist in a higher level hospital for real-time consultation or request a consultation and can also make an appointments for a patient to go to a higher level hospital for treatment, examination or hospitalization and so on. SXCH can also extend their medical and health services to medical or not-medical institutions outside the medical union, such as nursing homes, social pharmacies, to help solve daily medical problems. SXCH will integrate terminal intelligent medical health monitoring technology and services, develop wearable equipment and intelligent robot systems, innovate a mode of chronic disease management and establish regional artificial intelligence assistant diagnosis center in the future. By these initiatives, SXCH will also promote the integration of medical resources in the region and provide material basis and guarantee for the implementation of hospital hierarchical diagnosis and treatment.
A mode of "internet+ hospital hierarchical diagnosis and treatment" was created in Shanghai Xuhui Cloud Hospital(SXCH) by taking advantage of the establishment of a medical union of Xuhui District-Zhongshan Hospital. The internet medical services centered on "seeing a doctor by video" could be provided in SXCH by establishing a general-specialist doctor cloud-work-platform, by which the interconnection of medical information systems between SXCH and community health service centers could be achieved. General practitioners can consult a specialist in a higher level hospital for real-time consultation or request a consultation and can also make an appointments for a patient to go to a higher level hospital for treatment, examination or hospitalization and so on. SXCH can also extend their medical and health services to medical or not-medical institutions outside the medical union, such as nursing homes, social pharmacies, to help solve daily medical problems. SXCH will integrate terminal intelligent medical health monitoring technology and services, develop wearable equipment and intelligent robot systems, innovate a mode of chronic disease management and establish regional artificial intelligence assistant diagnosis center in the future. By these initiatives, SXCH will also promote the integration of medical resources in the region and provide material basis and guarantee for the implementation of hospital hierarchical diagnosis and treatment.
引文
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[2]把人民健康放在优先发展战略地位努力全方位全周期保障人民健康[N].人民日报,2016-08-21(01).
[3]饶克勤.健康中国战略与分级诊疗制度建设[J].卫生经济研究,2018(1):4-6,9.
[4]张嘉佳,张伟.影响医院分级诊疗进程的医改相关政策分析[J].中国农村卫生事业管理,2018,38(7):890-893.
[5]刘庆,王清亮,费剑春,等.我国医疗联合体主要运行模式及存在的问题[J].中国医院管理,2017,37(9):33-35.
[6]衡敬之,梅达成.“互联网+”分级诊疗的定位及与“医联体”的关系--以《互联网诊疗管理办法(试行)》第十九至第二十一条为视角[J].医学与法学,2018,10(3):40-44.
[7]孙璐.分级诊疗制度下的互联网+医疗模式研究[J].企业改革与管理,2017(17):69-71.
[8]郑杨,王春芳,吴春晓,等.《“健康上海2030”规划纲要》三项主要指标解读[J].上海预防医学,2018,30(1):11-14,20.
[9]舒抒,黄尖尖.徐汇打造具有全球影响力的人工智能高地新地标[N].解放日报,2017-08-31(006).
[10]张南,周言,唐月红,等.互联网+医联体平台助推分级诊疗思考[J].中国医院,2018,22(11):42-43.