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目的:探讨现代信息技术下高血压社区规范化管理的效果,评价计算机在高血压社区规范化管理中的辅助功能。方法:在新闸街道社区卫生服务中心辐射范围内的4个社区抽取412名高血压患者,对他们进行1年的周期性观察,分析在现代信息技术辅助前后患者病情的变化以及治疗费用的增减。结果:在现代信息技术辅助前后患者的血压控制以及费用都有了明显的变化,具有显著性意义(P<0.01)。结论:采取现代信息技术可以实现对高血压病人的临床诊断、治疗、护理,提醒过程所产生信息流的实时性处理;实现面对医生和护士的计算机辅助启发式知识系统的建立;在不重复原医疗信息录入的前提下,增加对病人医疗信息深层次的查询与控制;实现对病案进一步主题性检索的基本标引;产生医疗质量控制的基础数据,实现质量的实时性过程化控制,支持医疗管理层的随机性宏观质量调控。
Objective: To explore the effect of standardized management of hypertensive community under modern information technology and to evaluate the auxiliary functions of computer in the standardized management of hypertensive community. Methods: A total of 412 hypertensive patients were selected from 4 communities within the radiation area of Xinzha Street community health service center and were periodically observed for 1 year. The changes of patients’ condition before and after the assistance of modern information technology and the increase of the treatment cost Less. Results: There was a significant change in blood pressure control and cost before and after modern information technology (P <0.01). Conclusion: The modern information technology can realize the real-time treatment of the information flow in the clinical diagnosis, treatment, nursing and reminding process of hypertensive patients; the establishment of computer aided heuristic knowledge system for doctors and nurses; Under the precondition of inputting original medical information, in-depth inquiry and control of patient medical information will be added; basic index of further thematic retrieval of medical record will be realized; basic data of medical quality control will be generated to realize real-time process control and support of quality Medical Management Randomness Macro Quality Control.