基于医疗机构的突发呼吸道传染病症状监测预警机制研究

Research on the Monitoring and Early Warning Mechanism of Sudden Respiratory Infectious Disease Symptoms Based on Medical Institutions

目的构建基于医疗机构的突发呼吸道传染病症状监测预警机制,实现突发呼吸道传染病目标症状的实时监测、快速预警、迅速鉴别以及闭环管理。方法通过文献查阅和专家咨询确认目标疾病和症状,采用统计学方法建立基于时间序列数学模型的症状预测预警模型,通过大数据等信息技术搭建症状监测预警信息综合管理平台。结果以突发呼吸道传染病为目标,通过科学选取目标疾病和症状,以复旦大学附属华山医院各院区2013—2019年的门急诊患者就诊信息为数据来源,构建了基于医疗机构的突发呼吸道传染病症状监测预警模型和信息综合管理平台,可实现目标症状的实时监测预警、可视化展示和患者核心数据快速获取和异常数据的及时甄别。结论华山医院突发呼吸道传染病症状监测预警系统及闭环管理机制的建立是一次成功的探索和实践,为未来症状监测系统在传染病等突发公共卫生事件早期预警方面的进一步推广应用奠定了一定基础。

Objective To construct the monitoring and early warning mechanism for sudden respiratory infectious diseases symptoms based on medical institutions information to achieve real-time monitoring,rapid early warning,rapid identification and closed-loop management.Methods It confirmed target diseases and symptoms through literature review and expert consultation.Used statistical methods to establish a symptom prediction and early warning model based on time series mathematical models,and built a comprehensive management platform for symptom monitoring and early warning information through information technologies.Results Using the outpatient and emergency patient visit information of Huashan Hospital from 2013 to 2019 as the data source,a medical institution-based emergency respiratory infectious disease symptom monitoring and early warning model and information integrated management platform have been successfully constructed,which can achieve real-time monitoring of target symptoms early warning,visual display,rapid acquisition of patient core data and timely identification of abnormal data.Conclusion The establishment of Huashan Hospital’s emergency respiratory infectious disease symptom monitoring and early warning system and closed-loop management mechanism is a successful exploration and practice,laying a certain foundation for the promotion and application of symptom monitoring in the early warning of infectious diseases and other public health events in the future.