| Objective:To explore the role of the Internet+medical as far as possible, and increase the quality of medical services in remote areas at the grass-roots level to extension accessibility + medical services. Through the Internet platform, developing new Internet + medical service function, eventually forming in longitudinal and transverse to the edge of the end, the upper and lower linkage Internet + medical service pattern.Methods:1. Constructing all levels of hospital remote medical network in the entire province, the provincial county hospital to carry out remote project, using the name of wiring and equipment research, finding out the province telemedicine existing situation in order to facilitate planning and construct of "Internet + medical", reducing the repetition and waste of resources.2. According to the provincial, city and county level 3 network design, following the principle of simple, continuous and extensible, flexible, and security for network planning, network center at all levels for continuous distribution. It can be independent maintenance of IP address range.3. The construction of telemedicine information system needs to follow the relevant health information technology norms and standards, formulate relevant standards and guide norms around the remote medical treatment information system construction.Results:1.Based on two main business, remote diagnosis and remote education, constantly improve the function of the secondary and tertiary hospitals remote medical service platform, setting up in Shandong province health data center, and building the municipal remote medical center and the remote service network at the county level. According to the layered design principles, Regional collaborative Internet+medical information system network divided into the provincial, city and county, township and village system of five, all levels of hospital and emergency system connected to the provincial center of cloud platform to realize the remote medical treatment and grassroots medical institutions information system and regional health information platform of the docking.2. Constructing the network systemAccording to the layered design principles, regional collaborative Internet + medical information system network divided into two layers architecture, provincial center, access at all levels of hospitals, township hospitals, community health service center, the ambulance access at the provincial level cloud platform, coordinated the long-distant medical business, and realize the basic function of telemedicine and the province of remote medical service supervision and service with remote medical service center at the provincial level, provincial health information platform of connectivity. Access mechanism is the basic composition unit to remote medical information system. Through the health private network, regional coordination,3G/ 4G a variety of means such as satellite access center at the provincial level. Identification on the impact of the network platform can provide business management including resource application monitoring, and provide the management of the graphical interface.3. Constructing Internet + medical resource databaseAt External connection item through each other respect, Shandong regional collaborative remote medical supervision and service center connectivity with other provincial platform, realize the province hospital for medical institutions to provide medical services to the province. At the same time, the remote medical treatment information system in Shandong province and regional health information platform for docking, realize the sharing of data interaction. There are expert database construction, remote medical education resource database construction, information resource construction, cloud computing resources pool architecture.The province-level remote medical expert database. Using modern information technology, overall quality of medical information,expert, beds, facilities such as resources, building the experts reservoir, which makes the Internet hospital.4.Developing new Internet + medical service functionThere are regional cooperation Internet + medical management integrated platform, intensive care (eICU), remote imaging, remote fault diagnosis system pathological diagnosis system and remote ecg system, remote operation guidance and viewing system, remote electronic medical record system, remote operation system, healthy endowment cloud services platform, the entire province make an appointment and follow-up service platform and the pre-hospital emergency remote platform, which will promote to build the province for the future of knotty diagnosis and service platform and the health management platform to lay a solid foundation.Conclusions:The development of Shandong regional synergy "Internet + medical" make full use of existing resources in accordance with the unified design, which should start from the global according to business needs, priorities, gradual, adopts advanced technology of the mature and reliable. Openning architecture design, connectivity, easy to expand, paying attention to ensure the security of information system; it will establish a unified data standards and information platform, the realization of a network multi-purpose resource sharing. Research on regional medical cooperation mechanism based on two-way referral, building a new model of medical service, two-way referral, hierarchical diagnostic Internet + green channel. Using remote medical service team and high-quality medical services, remote areas at the grass-roots level to extension around with "one-stop" work style, coherence and thoroughly as the characteristic, implementation of health services coveres the whole life cycle. |
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