基于西部儿科发展联盟的儿科药学服务云平台构建

Construction of pediatric pharmaceutical care cloud platform based on Western Pediatric Development Union

目的探索构建基于西部儿科发展联盟的儿科药学服务云平台,以期为缩小西部地区间、医疗机构间儿科药学服务的差异提供参考。方法以西部儿科发展联盟为基础,依托联盟远程医疗服务网络构建“1+3+3”儿科药学服务云平台,即以重庆医科大学附属儿童医院为1个中心,通过对资源信息、服务流程及组件接口3个方面进行标准化管理,在联盟内开展处方调剂、药学指导、健康宣教3个药学核心服务。结果与结论基于西部儿科发展联盟远程服务网络构建的“1+3+3”儿科药学服务云平台自运营以来,注册人数共计120.8万人,完成在线处方11.2万张、流转处方4.4万张,用药咨询总计10694例次,在线培训人数超1.5万人次。但在运行过程中,该平台存在临床用药数据量少、覆盖区域范围还不够广等问题。随着平台临床用药数据的累积,本项目组将借助人工智能技术提取患者处方信息、用药行为及用药后身体指标等数据,对区域内不同地理环境、不同年龄段、不同身高体重等条件下的儿童药学数据进行关联分析,获取区域内儿童临床用药特征,为进一步指导儿科临床合理安全用药提供决策支持。

OBJECTIVE To explore the construction of a pediatric pharmaceutical care cloud platform based on Western Pediatric Development Union,to provide a reference for narrowing the difference of pediatric pharmaceutical care in western regions and medical institutions.METHODS Based on the Western Pediatric Development Union,the“1+3+3”pediatric pharmaceutical care cloud platform had been built by relying on the alliance telemedicine service network.That was,with Children’s Hospital of Chongqing Medical University as one center,three core pharmaceutical services,including prescription dispensing,pharmaceutical guidance and health education,were carried out in the union through standardized 3 aspects of management of resource information,service process and component interface.RESULTS&CONCLUSIONS Established“1+3+3”pediatric pharmaceutical care cloud platform based on the remote service network of the Western Pediatric Development Union registered 1208 thousands registrations since its operation,with 112 thousands online prescriptions and 44 thousands circulation prescriptions completed;the total number of medication consultation cases was 10694,and the number of online training people exceeded 15 thousands.However,during the operation,there are also problems such as limited clinical medication data and insufficient coverage of the region.With the accumulation of clinical medication data on the platform,the artificial intelligence technology will be used to extract the data of prescriptions,medication behavior,and physical indicators after medication,the correlation analysis of data will be conducted under the conditions of different geographical environments,different age groups,different heights and weights in the region to obtain clinical medication characteristics for children in the region,providing decision support for further guiding rational and safe medication in pediatric clinical practice.