Information-based helping hand: Let the doctor save worry Residents rest assured

Information-based helping hand: Let the doctor save worry Residents rest assured
Happy the intersection of reporter and Chen Yin lustrous and transparent the intersection of precious jade and monarch Wu Yu, special correspondent of this newspaper, " before the 10 year, I and communication between the patient to depend on patient and two mouths of me, and patient's constantly changeable case record in the hand. Nowadays, pass the electronic file, the patient's personal history, history, family's history, physical examination history, chronic medical history previously are very clear, make the visit more convenient. " A community doctor says with deep feeling. In recent years, regard making the complete information system as the goal in Zhejiang Province, make great efforts to dispel " detached island " in information construction . A lot of community doctors and residents are all enjoying the facility that the informationization is bringing. The health file is recited to go " the uncle, aunt, how is these days? " The morning of April 30, Ningbo the intersection of city and the intersection of Beilun and large the intersection of �\ and the intersection of street and the intersection of stone and the intersection of Qiu and HongYuan Zhang, doctor of community health station, give a piggyback equip with notebook computer, the paying by credit card device of the card and community doctor of the blood pressure measuring apparatus serve the bag, come into the 85 -year-old Chen Ming's good fortune elder person to go to a doctor. He chat with the old man while turning on the notebook computer, accessing the old man's health status materials from the computer, and record the situation of following up a case by regular visits to this time in detail " The regional community's doctor's comprehensive workbench " Have. Zhang HongYuan tells reporters: "Follow up a case by regular visits to and only need carry the notebook computer to the doorstep now, residents' health information is inside. Check, we can turn on electronic prescription directly, resident Carlos go to the community health Center of street to get it filled by going to a doctor. The solitary old man or disabled person having difficulty getting about, we finish going to a doctor while following up a case by regular visits to the card pay by credit card, then send someone to send medicines and call. " The regional community's doctor's comprehensive workbench regards resident's health file as the core, serve the whole business to shed sending from community's hygiene, design and set up the normal hygiene of community to serve work pattern and workflow, offer a platform that really suits community's hygiene service daily business and management reality of work to complete doctor. According to the introduction of large �\ street community health Center director Hu QunXiong, the centre implemented community's doctor's comprehensive workbench one year ago, have exactly amalgamated and upgraded original clinic doctor, community's health management software, have realized resident's health file correctly on the regional community's doctor's workbench, make a diagnosis while being complete, the intersection of disease and control, immune management, the intersection of physical examination and management, health education, recover management to integrate managing integratively function, have realized residents gather, store, manage and authorize and share from born ining to the health information of the whole lifespan of the death. The medical image realizes the remote medical consultation with specialists in the central commune hospital of ginger and mountain of Yinzhou district of market of Ningbo, president Zhu Sui meets aunt Li who examined fracture, recovered just now. President Zhu holds protecting and blocking rowing on the media reader gently agriculturally of aunt Li, her electronic health file appears on the computer display screen, include in X-ray scene that the institute of Yinzhou district two shot before her, treat the situation. Through looking over the health file, no matter doctor of general hospital or community's doctor, can all transfer and read the X-ray slice on the computer at any time, and clearly find out about patient's each therapeutic situation. "I needn't worry forgetting to take the film, laboratory test report again, there is everything inside the electronic file. " Aunt Li says. Yinzhou district utilizes Internet and long-range image technology to build up the online regional image and diagnose the centre, regard dept. of radiology of institute of Yinzhou district two as the end of centre, every community health Center carries on the long-range transmission of the image data through the network. The patient each time taking the X-ray blocks, if the picture report networks, every hospital can transfer and read. The patient goes to a doctor in the community health Center, radiate and check the picture and transmit the institute of Yinzhou district two carried to the centre in real time, picture quality authorized doctor's verification, supervision of professional title from the intermediate, to diagnosing the report checks on two times. At present, already hospitals of 22 communities have linked with institute of Yinzhou district two in the whole district, nearly there are 1000 CTs, X-ray transmitting when the image materials have been real through the network, consolidated storage every day, diagnose the report verifies in unison. The similar such remote medical consultation with specialists is being launched in the other areas of Zhejiang Province progressively too, pass the conveyance remotely of data, characters, language and picture materials, realize doctor and patient, doctor and strange land among the doctor " Face-to-face " Hold a consultation, extend long-range service to by the sick bed, realize, gather in real time to sick bed medical the intersection of apparatus and data, the patient does not need to leave the sick bed to enjoy the consultation service of long-range expert in 24 hours. After getting back to the community, patient's relevant visit information in the hospital can link its file information of electronic health too, community's doctor can carry on the overall assessment to their health status, and offer relevant medical treatment, recovery and prevention and health care,etc. service. Residents surf the Net and manage the health " the log-in health administrative system, I can consult one's own basic information, go to a doctor at any time recording, information of using medicine,etc., needn't ransack and look over the case history one again, can see more intact health information. " Uptown of Hangzhou resident of bridge community of American policy Meng Jie says to reporters cheerfully. Can set up, contain personal basic information, the intersection of chronic disease and the intersection of person who manage and health file of message on the basis of the intersection of community and personal electronic the intersection of health and the intersection of file and system that hygiene serve for every resident, urban and rural residents no longer need oneself to keep the paper health file, can inquire about one's own health file through the portal, obtain the relevant service. It is reported, the whole form area that Hangzhou introduces shares the electronic health file, the set patient is in all kinds of informations such as hospital going to a doctor, using medicine, image, physical examination,etc., and realized and exchanged two-wayly synchronously among information of two grades platform of urban area. Through the electronic file, when residents go to the hygiene service organization of the community to go to a doctor, community's doctor can transfer previous test data and every inspection result, after going to a doctor, the system can also upgrade automatically, record the content supplementarily and correspondingly according to the subsequent visit situation. "10 years ago, I and communication between the patients are two mouths which depended on the patient and me, and patient's constantly changeable case record in the hand. Nowadays, pass the electronic file, the patient's personal history, history, family's history, physical examination history, chronic medical history previously are very clear, make the visit more convenient. " The street Zhang Hong, associate professor of treatment of community health Center of Southern Star of uptown of Hangzhou tells reporters. According to the introduction of Zhang Hong, in recent years, with the development of community's hygiene service, the information system has already become the primary condition that the centre has run well. Register, charge, send the medicine, drug storage, medical insurance interface, complete doctor's work station, doctor's order and some statistical report forms and already realize a station type information flow. Through community resident's self- health control, the doctor can participate in the health control in a comprehensive way, community residents can have a clearer understanding on one's own health status, intact health information will provide protection for resident's self- health control. Comment on and break the barrier between different departments to realize president of association for science and technology of Zhejiang Province, Li LanJuan of academician of Chinese Academy of Engineering think the information sharing, most high-quality medicine at present Treat resources in the city, most medical demands are in the countryside, and the hospital and community, and medical insurance, and mutual independence among the rural cooperative medical service in urban and rural areas. There is digitization to manage in the hospitals in all parts of the country now, but because the standard is not unified, make numerous medical data become the detached island of information, it is used that unable UNICOM stands up, cause shortage and waste of medical resources. Set up standardized electronic health file for every resident, and set up standardized electronic case history according to the health status, construct the information platform taking resident's personal health file, electronic case history as the core, realize the community in urban and rural areas and regional integrated service such as changing the place of examination, long-range making a diagnosis and health information bidirectionally of hospital, can relieve some problems that the domain of health care exists at present. Chief of Zhejiang Province department of public health Yang Jing points out, have put forward and " set up the practical medical and health information system that shares " in the new medical reform scheme when being interviewed by reporter As the new medical reform " Column of four roof beams eight " A post of China, outstanding and informationalized important function. But in the course of advancing information construction, prominent most urgent problem: The stick is separated between the departments, the application system is separate, it is not sound enough yet to standardize the system the information-based standard of the hygiene, the standard is unable to implement. New hygiene information construction is based on electronic health files of the whole people in certain circumscription, it is a medical service provider, management organization of the hygiene, patient, organizations such as medical payer and medical products supplier,etc. offer and collect, transmit, store, deal with business and technological platform of the hygiene trade data in digitized form, in order to support the needs of medical care, public health and hygiene administration, offer support for development of hygiene industry. Set up basic medical treatment, preventing, health care, health education, deformity and recover and plan the as an organic whole community hygiene service mode of preparental instruction, it and should be with a unified, improve, high-efficient, practical community hygiene information management system to need developing, the ones that realized to health information of the residents of a large number of communities were managed and used effectively. The regional hygiene informationization is a system engineering with complicated technology, involving a wide range of knowledge, depend on integrated generality and key technology, set up the regional hygiene information and resource-sharing platform, construct in coordination with grade medical system, medical health organ and medical sharing of information resources among the relevant organization under area area, set up the remote medical consultation with specialists and system of changing the place of examination bidirectionally among all types of medical organization, put up medical know-how education and achievement-sharing platform,etc.. Community's hygiene information construction depends on basic condition levels such as the existing manpower, financial resources and material resources,etc., if community's hygiene serves the matching of the medical personnel of coverage rate of the network, community, situation of filing of resident's health file,etc., the level of these basic condition levels will influence the succeeding or not of information construction directly.

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