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卫计委发布会:信息化医疗,基层要做这些事!

2017-12-09 小渔儿 国家卫计委官网

卫计委昨天开新闻发布会,关于“互联网+医疗”,这些事你需要懂!

12月8日,国家卫计委召开例行新闻发布会,会议主题是“全面健康信息化改善医疗服务工作进展”,介绍了信息化技术和手段给当前医疗服务工作所带来的巨大成效,并指出了今后在信息化医疗服务方面的发展方向。

对于基层医疗来说,健康信息化可谓发挥了巨大的推动作用,更是与我们每位基层医生息息相关。下面就让我们来听听卫计委领导对于基层信息化医疗的一些观点和态度。

健康信息化在基层医疗方面的影响大概有以下几点:

一、促进建立电子信息档案提高公卫工作效率

总听乡村医生抱怨建档案工作繁琐重复,一个人的档案好不容易建好,上级说推翻就推翻,还得重新建,而且有的人在外地,根本不能及时了解情况,一纸档案又怎能涵盖患者健康的各种动态指标。

有了电子信息档案,这些问题都会迎刃而解,也避免掉了重复性无意义的劳动。据浙江卫生计生委主任张平介绍,目前浙江省级平台上已经归集了3200多万份标准化健康档案,并且实时归结了老百姓在省级医院的诊疗数据。

“在杭州的医生工作站当中,已经嵌入了电子健康档案的调用模块和影像的共享模块。我们医生开检查单的时候,如果病人此前已经做过类似的检查,系统就会发除提醒。”可见,电子档案最大程度地避免了各级医疗机构的重复性检查,也为患者节省了费用。

二、帮助家庭医生及时提供连续性服务

家庭医生签约服务的“双向转诊”同样离不开信息化技术手段,替患者预约转诊、及时向上级医院沟通等都依托于互联网。

上文提到的电子信息档案建设,除了对公卫有很大帮助以外,对家庭医生签约同样作用很大。

张平介绍,现在绍兴市上虞县的一位病人,如果他到省级医院来看病,他的诊疗信息就会通过省平台及时归集到他的健康档案当中去,他回到当地,我们的下级医院、下级医生,包括他的签约服务医生,都可以根据上级医院的诊疗情况为他提供后续服务,这对老百姓来讲,诊疗过程就变得连续,不是碎片化的了。

同样对于家庭医生来讲,电子信息档案的建立使自己能及时了解病人的最新情况,避免了因表述不清或者信息传达不及时所造成重复性劳动或者误诊。

并且“互联网+社区健康管理”,将家庭医生签约服务延伸至患者身边,无论家庭医生是否在患者身边,都可以通过互联网做进一步沟通和了解。

三、“互联网+分级诊疗”促进优势资源下沉基层

面对我国医疗资源在区域之间、城乡之间分布的不均衡问题,“互联网+分级诊疗”可以解决很多当地群众看病就医中碰到的堵点和难点,各医疗机构之间可以通过远程病理、影像、心电诊断等实现检查结果互认。

其中,远程医疗已经成为国内外公认的调整医疗资源布局,缩小区域间医疗服务差距的有效技术手段。

在今年10月份贵州省政府办公厅印发的《贵州省远程医疗服务管理办法》里,就明文规定:医务人员参与完成远程医疗服务工作,将作为晋升上一级卫生专业技术职务必备条件。

因此,远程医疗这项服务都必然会在全国广泛深入地推行开来,上下级之间的远程医疗协作将伴随在基层医生们的日常工作之中。

四、加强基层医务人员的远程医疗培训

中日友好医院医务处副处长卢清君表示,对于基层医务人员,要不断加强培训,调动他们开展远程医疗服务的积极性,提升基层医务人员运用远程医疗服务的能力,进一步保证医疗质量和医疗安全。

信息化手段再发达,操作掌控的依然是医生,如果基层医生不能熟练地使用,就会大大降低互联网对基层医疗帮助的效果。所以必须“以人为本”,加强基层医务人员远程培训,确保远程医疗能最大程度地发挥价值。

谈到想来健康信息化医疗工作的发展方向,国家卫生计生委医政医管局副局长焦雅辉介绍了即将到来的第二个“三年计划”。

建立五项医院工作制度

“在取得阶段性成果的同时,我们还要持续深入推进改善医疗服务,要对第一个三年行动计划进行系统总结,要在医疗机构建立预约诊疗制度、远程医疗制度、临床路径管理制度、检查检验结果互认制度、医务社工和志愿者制度五项医院工作制度,要求医院继续坚持开展下去,以互联网等信息技术破解看病就医难题,创新推进医疗便民惠民服务,持续增强人民群众获得感。”

十项开创性举措

对未来的三年行动计划,焦雅辉介绍说,目前国家卫计委已初步提出了十项开创性举措,正在广泛征求意见。

第一,以病人为中心,在门诊和住院推广多学科诊疗模式;

第二,以重大疾病为重点,创新急诊急救服务;

第三,以医联体为载体,提供全方位、全周期的服务;

第四,以日间服务为切入点,推进急慢分治;

第五,以互联网+为手段,打造智慧医院;

第六,以一卡通为目标,打破医疗机构信息壁垒;

第七,以社会新需求为导向,延伸提供优质护理服务;

第八,以签约服务为依托,拓展药学服务新领域;

第九,以人文服务为媒介,构建和谐医患关系;

第十,以后勤服务为突破,全面提升患者满意度。

综上了解,互联网将渗透到基层医疗的方方面面,尤其是基层医生每日所做的公卫和家庭医生签约工作。随着信息化医疗的飞速发展,基层医生的工作量会更加科学、合理,通过互联网就避免掉很多重复性的无价值工作,同时替代了很多人力和精力,实现精确化、个性化的管理。

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    2018-12-19 1187878572

    学习下很有用,谢谢

    0

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    2018-01-05 宋威
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    2017-12-10 三生有幸9135

    学习一下谢谢分享

    0

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    2017-12-10 飛歌

    学习了很有用不错

    0

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