西藏自治区远程医学系统建设和应用现状分析

Analysis on the construction and application of telemedicine system in Tibet Autonomous Region

目的对西藏自治区远程医学系统的建设应用情况展开调查研究。方法于2020年6—7月,对西藏自治区拉萨、山南、日喀则、林芝、昌都、那曲和阿里地区的各级医疗机构进行走访,通过座谈、发放收集调查问卷和实地走访的形式采集相关信息,对有效的调查问卷进行数据统计分析。结果共走访125家医疗机构,覆盖西藏自治区7个地区,其中74家医疗机构能够与解放军总医院的远程医学平台实现音视频双向通信对接。收集有效调查问卷73份,64家(88%)医疗机构拥有软件或硬件音视频终端。有25家医疗机构从未开展过远程会诊业务,占34%;35家医院的年会诊量不到10例;11家的年会诊量11~100例;只有2家由于开展了远程心电和远程超声诊断,年会诊量超过100例。结论此次调研发现,西藏自治区县级及以上医院已经建立了远程医学系统,但远程业务开展很少,系统闲置率高,远程教育资源不匹配。

Objective To investigate the construction and application of telemedicine system in Tibet Autonomous Region.Methods From June to July 2020,medical institutions at all levels in Tibet Autonomous Region were visited.Relevant information was collected through discussion,questionnaires and field visits,and the data of effective questionnaires were statistically analyzed.Results A total of 125 medical institutions were visited,covering 7 regions of Tibet Autonomous Region,of which 74 medical institutions were able to realize audio-video two-way communication with the telemedicine platform of the PLA General Hospital.Seventy-three valid questionnaires were collected,and 64(88%)hospitals had software or hardware audio and video terminals.Twenty-five hospitals had never carried out remote consultation,accounting for 34%.The annual remote consultation amount of 35 hospitals was less than 10 cases,and that of 11 hospitals was 11-100 cases.Only 2 hospitals had carried out remote ECG and remote ultrasound diagnosis,with an annual consultation volume of more than 100 cases.Conclusions The hospitals at or above the county level in Tibet Autonomous Region have established telemedicine system,but there are few remote services,the system idle rate is high,and the distance education resources are not matched.