基层医疗单位电子病历系统问题与对策分析

Problems and Countermeasures of Electronic Medical Record System in Primary Medical Units

针对基层医疗单位电子病历整合与共享的问题,探究区块链以及人工智能技术在电子病历系统中的应用,并提出相应对策。以基层医疗单位为研究对象,采用文献检索法、问卷调查法与网络调查法相结合的方法了解当前基层医疗单位的就诊流程及信息化情况,统计分析出基层群众对电子病历共享的顾虑点和关注点。调查结果发现目前存在患者与医院利益协调矛盾、医疗数据安全难以保障以及基层医疗数据科研价值未得到充分挖掘等问题,认为应以实行县域医共体为前提,从系统权限及功能设计等方面在电子病历系统中应用区块链及人工智能相关技术。

Exploring the application of blockchain and artificial intelligence technology in electronic medical record systems for the integration and sharing of electronic medical records in grassroots medical units,and proposing corresponding countermeasures.Taking primary healthcare units as the research object,a combination of literature search,questionnaire survey,and online survey methods was used to understand the current medical treatment process and information technology situation of primary healthcare units.Statistical analysis was conducted to identify the concerns and concerns of grassroots residents regarding the sharing of electronic medical records.The investigation results found that there are currently contradictions in the coordination of interests between patients and hospitals,difficulties in ensuring the security of medical data,and insufficient exploration of the scientific research value of grassroots medical data.It is believed that the implementation of county-level medical communities should be the premise,and blockchain and artificial intelligence related technologies should be applied in the electronic medical record system from the aspects of system permissions and functional design.