基于“互联网+医疗”的慢病随访管理平台的设计与应用

Design and Application of the Follow-up Management Platform for Chronic Diseases Based on "Internet+Medical Treatment"

慢病随访管理平台利用互联网、物联网技术实现慢性病患者与医院医生之间的远程院外就医。一方面,医生通过平台能够快速查阅签约患者住院时期的360视图(含病案、医嘱、检查检验报告、电子病历、护理数据等)以及院外患者通过可穿戴设备或人工录入方式上传的患者生命体征和健康测量数据,实时评估患者的健康状态,及时调整随访计划和随访任务。同时,医生通过大量的慢病随访患者出院后的数据,利用数据分析和数据挖掘技术,掌握慢性病发展趋势,利用数据辅助医生临床决策。患者方面,签约患者可以运用物联网可穿戴设备实时上传健康指征数据,及时有效地和签约医生沟通,根据医生的饮食指导和运动指导,完成线上就医。慢病管理平台在未来可以实现互联网医院,医生根据患者的院内外健康数据,开具线上处方,通过药品配送直接配送给慢病患者。

Chronic disease follow-up management platform uses Internet, Internet of things technology to realize the long-distance medical treatment between chronic disease patients and hospital doctors. On the one hand, doctors can quickly access 360 views (including medical records, doctorundefineds orders, examination reports, electronic medical records, nursing data, etc.) of contracted patients during hospitalization through the platform and patient vital signs and health measurements uploaded by wearable devices or manual input, real-time assessment of patientsundefined health status, timely adjustment of follow-up planning and follow-up tasks. On the othere hand, sign-up patients can use the Internet of things wearable devices to upload real-time health indicators data, timely and effective communication with the signed doctor, according to the doctorundefineds diet guidance and exercise guidance, complete online medical treatment.