基于“双向转诊”的社区卫生服务与三级医院卫生信息资源共享分析-管理科学与工程专业论文.docxVIP

基于“双向转诊”的社区卫生服务与三级医院卫生信息资源共享研究 摘 要 随着我国卫生事业的发展和体制改革的不断深入，如何优化我国卫生资源 配置，进一步完善和发展社区卫生服务成为新的课题。双向转诊制度被认为是 搞活社区卫生服务的关键。目前，我国部分城市已经制定了一些双向转诊的实 施方案，相关的试点工作并取得了一些的成绩。但是在实施双向转诊的过程中 也陆续发现了不少问题，甚至遭遇推行的“瓶颈”。这些问题的出现，进一步暴 露出我国目前推行的双向转诊制度有待进一步完善。 双向转诊的成效有赖于信息的高度共享，而目前我国社区卫生服务机构的 医疗网络设施不健全，社区卫生服务机构与三级医院间还没有建立起信息共享 平台，这就致使转诊患者的治疗及健康信息不能通过网络进行传递，造成社区 卫生服务的优势无法充分发挥，严重阻碍双向转诊的顺利实施和发展。 本文系统分析了我国社区卫生服务与三级医院卫生资源配置的现状，从优 化卫生资源配置的角度阐述了推行双向转诊的重要性和必要性；分析了医院信 息系统和社区卫生信息系统建设的现状和存在的问题；从信息资源共享的角度 探讨利用虚拟专用网技术建立双向转诊的信息资源共享平台，利用公共网络实 现 HIS 和 CHSIS 的信息快速安全共享，以促进双向转诊的实施和发展；最后分 析目前双向转诊实施过程中存在的问题，并提出相应的对策，促进双向转诊信 息资源共享的发展。 关键词： 双向转诊；社区卫生服务；信息资源；资源共享 Research on the sharing of medical information resource on the basis of bidirectional referral medical care in community health service and tertiary hospital ABSTRACT With the development of medical service and the reform of the medical system, how to optimize the medical resource allocation and further develop community health service becomes a brand new subject. Two-way transfer treatment system is treated as the key point to vitalize community health service. Presently; some cities of our country have already drawn up some practical methods of the bidirectional referral medical care, and they have make achievements in associative works. But during the process of implementing the treatment, some problems are gradually found and even it is met with greater difficulties. As long as these problems appear, it indicates that the two-way transfer treatment system needs to be perfected. The bidirectional referral medical care rely on the sharing of information. But presently the medical network equipment of the community health service is not adequate, and there is no information sharing platform between community health service and tertiary hospital. So the treatment and health information of the patients could not be transferred through network, the vantage of community health service could not be fully utilized and it also greatly hind