The current health care sector parties generally agreed that community hospitals to address "medical treatment is difficult and expensive," the issues. The use of information technology to strengthen community health care management, promote large-scale hospitals and community hospitals between the "two-way referral" is an effective way to improve service levels and useful exploration. Now emerged around the country are many large hospitals and community hospitals between the "two-way referral" model which "restoration mode" is especially noteworthy. Rehabilitation hospitals also received from so many countries to visit the medical profession and the exchange of experience. So, rehabilitation hospitals, "two-way referral" model in the end how? How is the management? IT tools in which what role play? With these questions, head of China's Information Network reporter recently visited the Renaissance Hospital Information Centre Song Yan.
"Renaissance mode" to benefit the 13 million people
Beijing Fuxing Hospital and community health centers on the altar of service constitute the 130,000 residents of the community health service network. Currently, the community has basically realized the "minor illness in the community, serious illness to hospitals, rehabilitation back to the community" for residents to provide medical treatment and health management convenience.
Yuetan Community Health Center is a subsidiary body of Beijing Fuxing Hospital, consists of 10 community health service centers, covering an area of 4.14 square kilometers. 10 community health service stations are small, some large with three general practitioners and three general nurses, while a small two doctors and two nurses with.
Each service station are equipped with doctors and community health management system workstations, the current health service stations of different data-sharing also can not be achieved, but the station has achieved health records and electronic prescriptions. Under a doctor's prescription after the charge office and the pharmacy can check the patient's medical record number to the prescription of the content. Technically, patient payments, obtaining medicine are paperless.
In fact, doctors still have to be equipped with a printer to print out prescriptions, and paid even after the seal. "This is mainly because there is no legal validity of electronic signatures." Yan Song explained: "The patients need a prescription as a medication guide."
Many years behind the success of
Song Yan believes that hospital information must serve the business needs of the hospital to better serve patients, clinicians provide better service and technical support, such as patient data collection for medical research, clinical services provided technical support.
Rehabilitation hospital information construction also experienced a long period of development, according to Yan Song presentation of information from the rehabilitation hospital to start planning for information technology by the end of 1994 - Construction of HIS system. Prior to this, more decentralized management of rehabilitation hospitals, and insufficient use of information technology for clinical and research services.
The end of 1994, started the whole hospital information system demonstration, and made an overall design scheme, building an information platform. After six months of system development, in the July 1, 1995, including hospitalization Department official running, nurses stations, drug stores and charges in the number of subsystems, or the DOS system was used. After two years of debugging, running, in 1997, the system has been recognized by experts in various fields.
From the time point of view, the cost of patient information to achieve the network management. Directly to the network received a single ward, and an access is 26 wards of view, Beijing Fuxing Hospital is the first.
In 2000, the Hospital of the DOS system was upgraded, and the system has further expanded its capabilities, from development to management of patients on the outpatient management. In 2001, the system from DOS to upgrade to the Windows operating platforms. At this point, considering the hospital's internal accounting (all aspects of income), statistical functions have gradually entered the system, and includes the Health Bureau and other higher authorities asked the network reported also connected to the system.
In addition, the health insurance management at this time also gradually embedded in the system. Medicare's "Sharu" HIS system to increase the number of workload. Because they do not simply see a doctor, also includes paid health insurance, hospital information center staff to actively consider the adoption of information systems to meet the medical insurance management system, including increased monitoring, statistics, tips and other functions, greatly facilitates the accuracy of medical advice nurse input .
As the rehabilitation hospital medical insurance management use of information technology work, Bao Zheng the management of timely and accurate, Medicare Zhongxin Beijing 2005 Zuzhi 16 hospitals to rehabilitation hospitals Shen Guan, Chongfenxuexi reference information Jitongruhe Peigeyiliao Bao Xian Jin Xing management of work experience. The management and monitoring rehabilitation hospital information system is more distinctive construction of a module is developed independently by the hospital, the cost of real-time monitor the occurrence of subjects, including the ratio of the current drugs, the average hospitalization costs and other information.
In addition, another more unique hospital infection control module can monitor the situation of hospital infection, including infection, infection and drug susceptibility testing and infection information. Doctors through information technology can directly access the patient from the system information, observing the patient's drug sensitivity, and then under the control of the target, using computers to analyze the data, thus solving the original record of the inconvenience of manual greatly increase the work efficiency.
"Minor illness into the community, serious illness to hospitals, serious illness out of the hospital to return to community" planning ideas, the following main advantages: on the one hand to take advantage of modern network technology, communication technology, control technology and some medical equipment terminal , will extend services into medical and family, personal, maximum expression of these services in a timely manner, at any time, interactive, so that the inhabitants from the time, geographical constraints, can fully enjoy the medical and health services; second, convenient and standard method of collecting patient data, and through higher hospital electronic medical records and interoperability, to share patient data for the next clinic to provide help; Third, support and other remote systems such as transmission between electronic library, preventive use of data for research, and timely detection of cases.
Digital hospital is the most advanced IT technology fully used in the healthcare industry, the core is around access to health services for each person, the whole community health resources and a variety of medical services, such as hospitals, specialists, community health care so connected, integrated into a complete system, to improve the community health service efficiency, reduce operating costs, better serve the community. Rehabilitation hospitals, community-based medical services building, making every community residents really enjoy the digital hospital convenient to them.
Further improve the policy support needed
Song Yan believes that the construction of hospital information services in promoting health care quality and level of enhanced policies and legal systems need to support levels. For example, the promotion of electronic medical records issue is not only to electronic medical records electronic medical records, but also to monitor the quality of medical services, but also from the perspective of the patient, but that patients can learn from the electronic medical records in a number of relevant information in order to better serve patients.
However, the existing legal and institutional lags far behind the application of new technologies, such as electronic patient medical records in the event of a dispute do not have the force of law, hospitals have to secure, in the electronic process must also be parallel with the paper records. To some extent, restricted the application of electronic medical records in depth.
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