从新医改的角度解析区域医疗服务信息平台建设内容的定性研究

目的为解决目前我国区域医疗服务信息平台建设中存在的认识不一、系统分割、投资浪费等问题,为各地规划和设计后续建设提供建议。方法采用系统分析、专题讨论、面对面访谈的方法分析新医改的总目标:解决"看病难、看病贵"的内涵,从其对立面"看得起病,看得上病、看得好病、减少患病以及加强管理"着手,对其所包含的内容、对区域医疗信息化提出的要求、下一步应该在区域医疗信息化建设中完善的重点、以及其中的难点进行分析、总结归纳,共讨论、修改3轮。结果完善基础信息化建设、有效的总体规划与顶层设计、标准的统一与规范化、基础信息的采集与数据库建设、软件开发与系统的集成、完善个人身份识别卡是当前区域医疗信息化建设的基础内容,在基础内容上构建区域医疗服务信息平台,开展远程医疗、双向转诊是当前区域医疗信息化建设中的解决"看病难、看病贵"问题的最佳途径。结论区域医疗信息化建设在很多方面可以解决老百姓"看病难、看病贵"的问题,目前统一认识,各地根据自身情况规范后续建设内容,可以减少浪费,少走弯路。

A qualitative study on platform construction for regional medical information services from a perspective of newly-launched medical health system reform

Objective To provide a solution to platform construction for regional medical information services which so far remain variably recognized,separately systemized and over-invested,and to provide evidence for the planning and post-installation construction in other place in China.Methods Systemic analyses,panel discussion and face-to-face interview were conducted to understand the ultimate goal of the newly-launched medical health system reform in China,i.e.to eliminate poor accessibility and high costs of me...