Saturday, September 14, 2013

Medical informationization: Not only prevent checking repeatedly

Medical informationization: Not only prevent checking repeatedly
Leaderette: " national people go straight and coordinate " ," sick on last 301 " ,This is vivid portrayal that people believe in high-quality medical resources. The intersection of PLA and general hospital Take the lead in exploring " The mode of Xiamen " Solve the information sharing problem, has liberated the busy medical personnel, the regional community is capable and laboring in medical treatment, have done a very good thing in order to create the condition to implement the new medical reform scheme .
The Xiamen patient saves 21 million yuan in one year
In the first hospital in Xiamen, reporters saw such scene a few days ago: Before the registering machine by oneself of the clinic hall, patient Zhang FeiWen planned to hang the number of expert of department of general surgery of next Tuesday morning, have demonstrated expert's name, already hung information such as the number of people on the registering machine screen by oneself, demonstrate available time slot that go to a doctor still, Zhang Fei selected works select a.m. to 9:20 go to see doctor, the whole course has only cost 9 seconds, can be precise as to to register to make an appointment minute.
This is " health information system of the citizens in Xiamen " Operation one of effect,last time costs saved to see the doctor greatly of patient.
This system takes citizen's health control as the thread, in order to set up resident's electronic health file as the core, regard computer and network management as technical support, contain the information system of the public health, digitized hospital, hygiene of community serve the comprehensive informationization of regional health care of the information system, hygiene decision information system and serve the platform. The statistics show, this system will put one year into test run in 36 medical organizations of Xiamen in 2008, set up 930,000 personal digital health files for the patient, the result shares one to save the expenses of 21 million yuan of checking, making film, developing, printing repeatedly etc. for the patient to only make a diagnosis.
Community's medical treatment intensifies
71 -year-old aunt Xue lives in Xiamen and thinks in the bright community, since the medical service centre of strand community will realize digitized medical care in February of 2008, aunt Xue becomes medical service centre of strand community " The patron " .
The reporter sees in the medical service centre of the community, it was Ye MingHai, doctor of community that handled aunt Xue's disease. Doctor Ye takes over the health of citizen that aunt Xue passed over to block, insert on the media reader linking with computer gently, through the electronic file revealing on the computer screen, doctor Ye knew the rheumatism medical history of aunt Xue and treated the situation in the past. In view of the above, doctor Ye opens the electronic prescription and affixes one's own electronic stamped signature quickly. Aunt Xue says, went to a doctor in the first hospital of Xiamen in the past, it must take half a day too to see a small disease. Walk less than 10 now, go to the intersection of community and station easily, pay by credit card while being simple, the problem is solved soon, not only save effort but also save money, the doctor of the community is my " health care doctor " .
The chief of Xiamen Municipal Health Bureau is yellow like the happy introduction, " health information system of the citizens in Xiamen " Apply to the community, can realize filing and following automatically of the chronic disease patient. By the end of January this year, Xiamen sets up nearly 40,000 files of chronic disease, passes " health information system of the citizens in Xiamen " ,Can understand the visit information of all hospitals in the whole city of chronic disease patient.
" health information system of the citizens in Xiamen " Operation,also create conditions for the large hospital doctor went to the medical service centre of the community to go to a doctor. The community medical director of service centre Liu Hong of strand says, after the doctor of the first hospital in Xiamen will go to the community to go to a doctor February of 2008, the clinic amount of the community rises from person original each the 3000th of month to the person present each the 6000th of month. In this medical service centre, the reporter sees, the big gentleman of the community does the liver work inspection, community the intersection of blood drawing and room go on, draw blood, spread, send trusteeship hospital of in the center to through the intersection of third party and thing to him their blood sample - -Xiamen the intersection of city and first blood screening test lab of hospital check, test, later, big survey report of gentleman pass " the health information system, citizen of Xiamen, " Spread and get back to the medical service centre of the community. In this way, the big gentleman's foot can get the laboratory test report without publishing the Residential Area.
And from the strand patient that medical service centre of community changes the place of examination to the first hospital in Xiamen dedicated lady, " citizen's health card " Insert, the computer display screen demonstrates her name, changes the place of examination in the department immediately. Only 3 seconds later, she is divided automatically to examine to to wait on the consulting room. The dedicated lady says: "Change the place of examination to the large hospital to needn't register from the medical service centre of the community, needn't line up to wait either, do not charge the registration fee. " The such one " The system of changing the place of examination " Can realize, make a lot of residents like to choose to go to a doctor in the medical service centre of community at first.
The medical personnel is liberated
Put and set up one in the 174th hospital ward of dept. of orthopedics " The wireless doctors and nurses' work station " --Computer operating system that can be moved over into every ward. The 174th director of hospital information center Wang JiWei tells reporters: "Impatient's materials can all be found here. " The doctor can enter the system, if the doctor input one's own user name and password in the computer page, some make the patient's information system, can see medical history and course of going to a doctor previously of this patient.
Use " wireless doctors and nurses' work station " ,Can transfer and read patient's case history, the newest doctor's order of record to require at any time. The nurse can use PDA (the palmtop computer) Sat and attended to recording the bed, reduced and transferred to the repetitiveness of copying doctor's order and worked and described the tedious work of body temperature form,etc. in the past, make originally each one attend to the time that the unit needs to reduce by nearly 1/3. A head nurse of the 174th hospital says: "We gave patient quantity to finish the body temperature, the curve drawing the body temperature holding rulers in the past, often draw for more than ten minutes and does not return the picture well, after implementing the informationization of the hospital now, produce the body temperature and change the curve automatically, has saved time greatly. "
Move and make the rounds of the wards and move the nursing system, it is " health information system of Xiamen " Great advantage. Xiamen the intersection of city and the intersection of healthcare hospital for women children and splendor Yang, section chief of information center, say: "After the informationization, the doctor casts aside the trouble of the handwritten doctor's order, it is more convenient to make the rounds of the wards, there can be more time to exchange with patient. Move and make the rounds of the wards and change a doctor and push history that the case history car makes the rounds of the wards, efficiency is improved greatly. "
The more important thing is, " health information system of the citizens in Xiamen " It is convenient for doctor to know patient's case history and whole situation of making a diagnosis, help the doctor make a diagnosis, reduce the probability misdiagnosed or managed by mistake, the quality of serving for improving medical treatment has created the condition.
" mode of Xiamen " Meaning
" health information system of the citizens in Xiamen " Setting-up and operation,last facility and material benefit, therefore receive the warm welcome of the citizens of Xiamen. The system by the intersection of PLA and general hospital The country taken the lead in " Eleven five " Science and technology support plan - -" the army and the people build together project Xiamen demonstration area of demonstration of medical care in coordination " Product of the subject. February of 2009, " health information system of the citizens in Xiamen " Launch formally, indicate Xiamen takes the lead in establishing brand-new digitized citizen's health control and area in the whole country in coordination with the medical service mode, have offered the practice original version succeeding for information construction of regional hygiene of our country, this is " The mode of Xiamen " .
" mode of Xiamen " As to citizen: Needn't carry the past visit record (case history, all kinds of check survey report) while going to a doctor ; Can manage one's own health file and utilize, benefit self- health care; Can avoid repetition and check to treat effectively, lighten the financial burden. As to medical organization: Easy to improve the quality of medical care, launching the case study of medical science has information acquisition sources; Because of realizing the information sharing, all doctors can know the measure of making a diagnosis to the patient of other medical organizations, benefit appraisal and supervision inside the trade, can play a role in it is that a doctor it is behavioral to make a diagnosis to standardize ng to a certain extent. As to management organization of the hygiene: Realize the medical information sharing within the range of the whole city, especially information sharing of inspection and examination, waste that have reduced the government while reducing citizen's medical expenditure too and the medical organization causes to the overlapping investment of large-scale monitoring device; Can know the situation that every medical organization of the whole city goes to a doctor in an all-round way, met a certain disease and went to a doctor when the number of people increased suddenly, reply in time; Because the situation that the system can control the great prescription in time, convenient to the verification, treatment similar to the situation.
Sound
Vice President of general hospital of PLA Chen XiaoHong:
" mode of Xiamen " Can summarize as 24 words - -"The networking of the whole city, area work in coordination with; , information sharing that the whole people file; , lifetime health care that the all-purpose card walks. " Its more far-reaching meaning lies in, supported by modern information technology, have broken these decades it according to the pattern of the area where the administrative relation has taken shape and barrier between different departments of department; Have broken it as the business barrier which the centre form with our unit between different kinds of, different grade health care units for a long time; Break because two yuan structure that the unbalanced development of health care resource caused between town and country in the past; It is every citizen that constructs the intact lifetime health control information chain, has realized the real area in coordination with medical treatment, lifetime health control and integrated network medical treatment.
Vice Minister of Ministry of Science and Technology Du ZhanYuan:
" mode of Xiamen " Transform and serve people's livelihood as to the scientific and technical innovation achievement, improve health service levels of the whole people, as to " set up the service system of public health care " ,There are positive push and exemplary role.
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