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家庭醫生簽約健康管理服務系統要注意哪些內容?

2022-04-27
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原創
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摘要: 分級診療信息化建設要充分考慮患者的預約、就診、上轉、下轉等診療康復的需求,設計無縫銜接的信息化模塊。舉例來說,簽約模塊是全科簽約、
分級診療信息化建設要充分考慮患者的預約、就診、上轉、下轉等診療康復的需求,設計無縫銜接的信息化模塊。舉例來說,簽約模塊是全科簽約、分級診療工作的前提和基礎,包括簽約、續約、解約(中止)、變更、轉介等幾個操作項。預約模塊有兩層含義,一是簽約對象與簽約醫生之間的預約診療,稱之為首診預約;二是簽約醫生或簽約機構替代患者進行上級醫療機構預約診療,稱之為轉診預約。轉診模塊則包括上轉(門診轉診、急診轉診、檢查轉診、住院轉診)、下轉、康復轉診、出院轉診。
The information construction of graded diagnosis and treatment should fully consider the needs of diagnosis, treatment and rehabilitation such as patient appointment, treatment, up transfer and down transfer, and design a seamless information module. For example, the signing module is the premise and foundation of general practice signing and graded diagnosis and treatment, including signing, renewal, termination (suspension), change, referral and other operations. The appointment module has two meanings. One is the appointment between the signing object and the signing doctor, which is called the first appointment; Second, the contracted doctor or contracted institution makes an appointment for diagnosis and treatment in the superior medical institution instead of the patient, which is called referral appointment. The referral module includes up referral (outpatient referral, emergency referral, examination referral, inpatient referral), down referral, rehabilitation referral and discharge referral.
通過分級診療信息化系統的模塊設計,將區域內的醫療資源統籌管理起來,便于資源的集中發布、分配、調劑。在此區域范圍內的各級醫療衛生機構可以實時查詢、申請各類資源,管理和安排簽約對象的就醫行為,在各級醫療衛生機構間形成一個疾病診療的閉環,提高疾病診療的精準度。
Through the module design of hierarchical diagnosis and treatment information system, the medical resources in the region are managed as a whole, which is convenient for the centralized release, distribution and adjustment of resources. Medical and health institutions at all levels in this region can query and apply for various resources in real time, manage and arrange the medical treatment behavior of the contracted objects, form a closed loop of disease diagnosis and treatment among medical and health institutions at all levels, and improve the accuracy of disease diagnosis and treatment.
信息化系統也是一個與公眾互動的平臺。以網站、移動客戶端(APP)形式面向居民提供就診、用藥、檢驗檢查報告、健康檔案等信息的查詢;提供分時段預約掛號服務,簽約居民可以與全科醫生互動溝通,并提供健康教育、調查問卷等服務;居民可實時查閱個人首診預約和轉診預約情況,網上變更、取消預約信息。
家庭醫生簽約系統
Information system is also a platform for interaction with the public. Provide residents with queries on medical treatment, medication, inspection reports, health files and other information in the form of website and mobile client (APP); Provide appointment and registration services at different times, and the contracted residents can interact with the general practitioner, and provide health education, questionnaire and other services; Residents can check the personal first visit appointment and referral appointment in real time, and change and cancel the appointment information online.
充分利用已有的綜合管理平臺,避免重復建設;要充分考慮分級診療工作考核指標的設計,根據考核指標明確需要收集的量化數據。浙江省省級層面設計的指導性考核指標有簽約率、簽約知曉率、簽約醫生知曉率、簽約醫生就診率、預約門診率、預約到診率、預約轉診率等,各地再根據階段性工作重點,有選擇性地設置考核指標。
Make full use of the existing comprehensive management platform to avoid repeated construction; We should fully consider the design of assessment indicators for graded diagnosis and treatment, and clarify the quantitative data to be collected according to the assessment indicators. The guiding assessment indicators designed at the provincial level of Zhejiang province include signing rate, signing awareness rate, signing doctor awareness rate, signing doctor treatment rate, appointment outpatient rate, appointment arrival rate, appointment referral rate, etc. all localities will set assessment indicators selectively according to the phased work priorities.
有了這些指標,醫療衛生機構內部可以對簽約、首診、轉診進行分析監管,衛生行政部門也可以對下屬醫療衛生機構進行有效監督管理,并為機構、科室和個人的績效考核提供科學、翔實、連續的電子數據。構建F-B-D(家庭-機構-醫生) 三者連通的診療醫療服務平臺
With these indicators, the medical and health institutions can analyze and supervise the signing, first diagnosis and referral, and the health administrative department can also effectively supervise and manage the subordinate medical and health institutions, and provide scientific, detailed and continuous electronic data for the performance evaluation of institutions, departments and individuals. Build a diagnosis, treatment and medical service platform connected by f-b-d (family, institution and doctor)
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