小康型乡镇卫生院信息化建设及成效

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目的建立小康型乡镇卫生院信息化建设模式并进行应用验证。方法针对信息化建设模式的拟定、运行、应用等,采用文献分析、现场调研、定性访谈、焦点小组讨论和专家咨询的方法收集有关情报和咨询意见,筛选出适宜模式进行应用验证。结果建立了县级区域信息平台、医院管理系统、疾病分析与服务系统和远程医学信息系统推广模式;应用后信息化平台建设日益完善,应用范围扩展,优化了服务流程;慢病患者随访率提高,患者依从性增强,疾病控制率提升;培训医务人员268080人次,推广应用适宜技术47项,积累远程医疗咨询案例13825例,取得显著社会效益。结论政府主导是信息化建设可持续发展的重要保证,优化医院流程是实施医院信息化建设的基础;“三中心”协调合作是提高系统运行效率的必要条件;效益评估是小康型乡镇卫生院信息化建设的推手;通过信息网络开展针对性的健康教育,能有效提高患者对医院的认同感和依从性。 Objective To establish a model of informationization for well-to-do township hospitals and verify the application. Methods According to the drafting, operation and application of informatization construction mode, this paper collected relevant intelligence and advice through document analysis, field investigation, qualitative interview, focus group discussion and expert consultation, and selected appropriate mode for application verification. Results The county-level regional information platform, hospital management system, disease analysis and service system and telemedicine information system promotion mode were established. After the application, the construction of information platform was improved and the application scope was expanded to optimize the service flow. The follow-up rate of patients with chronic diseases was increased , Patient compliance increased, and disease control rate improved. 268080 medical staff were trained, 47 were popularized and applied appropriate technologies, and 13825 cases of telemedicine consultation were accumulated, achieving remarkable social benefits. Conclusion Government-led is an important guarantee for the sustainable development of information technology. Optimizing hospital processes is the basis for the implementation of hospital informatization. Coordination and cooperation of “three centers” is a necessary condition to improve system operation efficiency. Benefit evaluation is well-to-do type of township health Hospital information technology promoter; through the information network to carry out targeted health education, can effectively improve the patient’s sense of identity and compliance with the hospital.
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