基于区域信息化平台的以全科医生团队为基础的分级诊疗模式研究

Regional Informatization Platform-based Hierarchical Diagnosis and Treatment Delivery Model for General Practitioner Team

分级诊疗是我国新一轮医药卫生体制改革的重点,但目前我国的分级诊疗体系建设尚不完善,尚未健全规范有效的分级管理模式。浙江大学医学院附属邵逸夫医院于2014年建立并启动了健康云平台,并基于该平台开展以全科医生团队为基础的分级诊疗。具体流程为:由基层医疗卫生机构全科医生为患者提供首诊,疑难问题征求患方意见后,通过医生端APP与综合医院全科医生联系,由综合医院全科医生给出进一步的治疗和检查建议,并为有需要的患者提供专科会诊/转诊服务。该模式使得各级医疗机构的全科医生合作更紧密,进一步建立了上下联动的分级诊疗模式,在一定程度上实现了各级医疗机构的诊疗服务同质化,有利于分级诊疗的持续推进。本文主要对该模式的工作流程及运行情况进行介绍,以期为我国各地区的分级诊疗信息化建设提供参考。

Hierarchical medical system is a key part of the new round of healthcare system reform.At present,its development is not standardized and very effective,and far from perfect.In 2014,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine established and started to run a healthcare cloud platform,then it has launched hierarchical diagnosis and treatment delivered by the general practitioner team based on this platform.The procedure of this healthcare delivery model is as follows：general practitioners（GPs） in primary care provide first consultation for patients.When encountering difficult and complicated cases,after gaining patient consent,these GPs contact those GPs in higher-level general hospitals via the APP for the doctor side for help,then the latter offer suggestions for further treatment and examinations,as well as consultations from specialist panel or referrals if necessary.Furthermore,the operation of this model was presented.Using this model is beneficial to the closer cooperation between GPs in medical institutions at all levels participating in the platform as well as the cooperation between these institutions,ensuring that the healthcare delivered by these institutions be homogenized to certain extent,and also is contributive to the development of hierarchical medical system,offering a reference for informatization construction concerning hierarchical medical system for other regions of China.