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《长春市结核病定点医院信息化管理平台》的设计与应用

Chinese Journal of Antituberculosis(2020)

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Abstract
将长春市传染病医院院内的医院信息系统(HIS系统)及所辖县/区级定点医院区域网数据衔接搭建起来,形成医疗服务一体化的《长春市结核病定点医院信息化管理平台》,以实现长春地区肺结核患者发现、管理、治疗、转归的信息化和数字化,提高结核病防控模式的运行速度.2018年开始设计并在市级定点医院(长春市传染病医院)建立市级管理平台数据中心,搭建应用服务和数据库服务,与院内HIS系统链接直接获取患者的基本信息,通过PC端完善患者的诊疗信息;同时利用并通过应用程序(APP)+微信客户端的方式,实时接收下级耐药门诊、各县/区结核病防治所11个区域网数据信息.建立VPN通道,对接省级系统平台核准国家实时数据、掌握我市疫情统计学变化.县/区级结核病防治所及耐药门诊等11个部门通过此平台可实时获取本辖区内在市级定点医院诊疗患者的完整资料,完成后续精准治疗管理.2018年12月《长春市结核病定点医院信息化管理平台》建立完成,2019年4月通过HIS系统端口及PC端口与院内局域网对接,自动储存长春市传染病医院住院部及门诊发现的肺结核患者(普通及耐药患者)的基本信息与诊疗资料.2019年9月VPN通道成功与下级耐药门诊对接,耐药门诊医生利用数据库可实时掌握新耐药患者及复诊耐药患者的基本及诊疗信息,缩短纳入管理的时间及提高治疗的精准度.
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要点】:论文介绍了长春市结核病定点医院信息化管理平台的设计与应用,实现了肺结核患者信息化的发现、管理、治疗与转归,提高了防控模式的运行速度。

方法】:通过将市级定点医院信息系统(HIS系统)与县/区级定点医院区域网数据衔接,搭建应用服务和数据库服务,并利用APP和微信客户端实时接收下级耐药门诊和区域网数据。

实验】:2018年开始设计并在长春市传染病医院建立市级管理平台数据中心,2019年4月与院内局域网对接,自动储存肺结核患者的基本信息和诊疗资料。2019年9月VPN通道成功与下级耐药门诊对接,实现数据的实时共享。数据集名称未提及,但实验结果显示,平台成功缩短了纳入管理的时间并提高了治疗的精准度。