CN110232956A - A kind of fracture contact service management evaluation system - Google Patents
A kind of fracture contact service management evaluation system Download PDFInfo
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- CN110232956A CN110232956A CN201910351567.6A CN201910351567A CN110232956A CN 110232956 A CN110232956 A CN 110232956A CN 201910351567 A CN201910351567 A CN 201910351567A CN 110232956 A CN110232956 A CN 110232956A
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- 206010017076 Fracture Diseases 0.000 claims abstract description 102
- 238000011282 treatment Methods 0.000 claims abstract description 59
- 208000001132 Osteoporosis Diseases 0.000 claims abstract description 28
- 238000003745 diagnosis Methods 0.000 claims abstract description 21
- 230000002265 prevention Effects 0.000 claims abstract description 17
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Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Abstract
The present invention relates to medical treatment & health administrative skill fields, more particularly to a kind of fracture gets in touch with service management evaluation system, including the medical services platform for acquiring typing patient data, for to patient transmission's diagnostic data, treatment data and rehabilitation data, and the wechat service platform of prevention of the fractures treatment, rehabilitation propaganda and education is carried out to patient, and connect with the medical services platform and wechat service platform by internet, for share patient data and prevention of the fractures, treatment, rehabilitation propaganda and education information cloud service platform.Fracture contact is served by diagnosis, treatment, prevention, the supervision of the osteoporosis of patient after osteoporosis, fragility fractures by fracture contact service management evaluation system of the invention, the blank of patients with osteoporosis management serious loss after fragility fractures is filled up, the multidisciplinary supervision for combining the diagnosis to fragility fractures patient, treatment, prevention, follow-up is improved, the incidence of fragility fractures is reduced.
Description
Technical field
The present invention relates to medical treatment & health administrative skill fields more particularly to a kind of fracture to get in touch with service management evaluation system.
Background technique
Osteoporosis is to be increased with bone amount reduction, bone tissue Microstructure Fracture, skeletal fragility and fracture occurs easily as spy
The systemic disease of sign, caused fragility fractures have become the disease for seriously endangering middle-aged and the old's health.According to statistics, 50 years old with
Fragility fractures can occur for about 50% women and 20% male in upper crowd, and fracture patient is generally required in face of very long health
Multiple, various potential complication and quite high disability rate and the death rate, it is heavy that this brings for patient, family or even society
Heavy burden.
Quickly, China's Mainland in 2010 occurs fragility fractures 2,330,000 times to China's aging process, resulting medical treatment
Up to 94.5 hundred million dollars of expenditure.To be risen to by expecting the year two thousand twenty by 20,000,000,000 dollars, and the year two thousand fifty is up to 265,000,000,000 dollars.Fragility fractures
Fashion trend of the osteoporosis in China grows in intensity afterwards, but lacks to the prevention and treatment of osteoporosis after fragility fractures there is also very big
Mouthful.Current data shows that fragility fractures patient occurs, receives effective anti-osteoporosis to treat to be only 24%.It is more startling
, one shows that only 28% patient does to the diagnosis and treatment status investigation of osteoporosis after the Hip Fracture of Asia 1122
Bone density inspection is crossed, 51.5% patient is apprised of with osteoporosis, and only 33.0% patient prescription's anti-osteoporosis disease
Drug.The above ratio China's Mainland is minimum, and is significantly lower than Hong Kong, Taiwan, Singapore, Malaysia
With South Korea etc..There are major defects for diagnosis of osteoporosis and treatment after the generally existing fragility fractures in China.
For the feature that fragility fractures disease incidence is high, diagnosis is low, treatment rate is low, Edinburg orthopedic injury service observation
22000 patients that 1988-1999 fractures send out fracture person 2900 (13.2%) again between 12 years, while discovery gives
The diagnosing and treating of osteoporosis can significantly reduce the generation of fracture, prompt to carry out disease control to patient after fracture
Importance.Currently, most of fragility fractures patient does not receive the bone health assessment of specification and is resisted while fractures
Osteoporosis therapy, this causes the risk for sending out fracture again to obviously increase.In order to which the current treatment status, the reduction that improve fragility fractures are secondary
The incidence of fracture, 2012, international osteoporosis foundation, which is advocated to start in the world, captured fracture action, it is intended to
Recall rate, treatment rate and the compliance of fragility fractures patients with osteoporosis are improved by carrying out fracture contact service, and is dropped
The incidence of low secondary fracture.
The whole world has more than the fracture contact service item of 10 kinds of different modes at present, and some of them lays particular emphasis on osteoporosis
Publicity and education, to improve the attention of patient and doctor to fragility fractures patients with osteoporosis diagnosing and treating, and another
It is a little then contain complete diagnosis of osteoporosis, treatment, follow-up and prevention of the fractures system.2015, from south China/West China
Orthopaedics 40 multidigit expert in area's obtains participant expert's to fracture liaison man's mode expansion further investigated, fracture contact service mode
It is consistent to approve, it is not put to clinical implementation regrettably.In January, 2017, Beijing Jishuitan Hospital Therapy of Elder Hip Fracture ward,
The country takes the lead in implementing " fracture contact service treatment mode ", it was demonstrated that " fracture contact service treatment mode " suffers from Therapy of Elder Hip Fracture
The diagnosing osteoporosis and treatment aspect of person has apparent advantage, but long-term clinical effectiveness is still wait further look at.Except this
Except, no relevant fracture contact service domestic literature report.Therefore, how application fracture gets in touch with service mode for patient and doctor
It treats service linkage to get up, the serious loss for making up patients with osteoporosis management after fragility fractures is asking for current urgent need to resolve
Topic.
Summary of the invention
In view of this, the object of the present invention is to provide a kind of fracture to get in touch with service management evaluation system, medical clothes are established
Business platform, wechat service platform and cloud service platform, realization fracture patient and medical staff's interconnects, and solves existing fracture
The missing of patient health management measure reduces the incidence of fragility fractures.
The present invention solves above-mentioned technical problem by following technological means:
A kind of fracture contact service management evaluation system, comprising:
Medical services platform, for acquiring typing patient data, patient data includes diagnostic data, treatment data and rehabilitation
Data；
Wechat service platform, for being carried out to patient transmission's diagnostic data, treatment data and rehabilitation data, and to patient
Prevention of the fractures treatment, rehabilitation propaganda and education；
Cloud service platform is connect by internet with the medical services platform and wechat service platform, is suffered from for shared
Person's data and prevention of the fractures, treatment, rehabilitation propaganda and education information.
Further, the medical services platform includes:
Medical station terminal is made of multiple medical websites, and each medical treatment website includes multiple healthcare givers's service terminals, doctor
It treats personnel service's terminal and checks information for analyzing assessment diagnosis patient, obtain patient's diagnostic result；
Acquisition unit connects medical station terminal, for acquiring patient's diagnostic result information；
Medical data base connects medical station terminal and acquisition unit, for storing patient's diagnostic result information of acquisition；
Feedback unit, between leader healthcare givers and inpatient be directed to patient the state of an illness diagnosis and treatment situation and after
Continuous patient's check, follow-up, rehabilitation situation carry out phase mutual feedback and leader healthcare givers and remind it fixed to non-inpatient feedback
Phase receives bone health evaluation to outpatient service or community hospital；
Statistic unit counts the diagnosis and treatment situation of doctor for recalling physician feedback information from the medical data base；
Transmission end, for by the fracture of information and healthcare givers's service terminal in medical data base and statistic unit
Prophylactic treatment, rehabilitation propaganda and education information are transmitted to cloud service platform.
Further, the medical services terminal includes portable medical website, Community Township medical treatment website, the medical treatment of district second level
Website and Grade A hospital consultation of doctors website.
Further, the leader healthcare givers includes expeditor and navigator nurse, and the expeditor is by orthopedist, interior point
Doctor, emergency department doctor, nephrosis Rheumatism Dept. doctor, Department of Aged doctor, radiologist and community hospital doctor composition are secreted, it is described
Navigator nurse is made of orthopaedics nurse, division of endocrinology nurse, nephrosis Rheumatism Dept. nurse and community hospital nurse.
Further, the cloud service platform includes:
Information collection unit, for collecting the letter in the medical data base and statistic unit that medical services platform transmits
Breath and prevention of the fractures treatment, rehabilitation propaganda and education information and patient feedback；
Platform database, link information acquisition unit, for storing the information of information acquisition unit acquisition；
Information transmitting unit, connecting platform database, for taking the corresponding wechat that is sent to of the information in platform database
Business platform and medical services platform.
Further, the cloud service platform further includes Supervisory Unit, the Supervisory Unit connecting platform database, is used for phase
The authorities answered and the third party to get the Green Light recall statistical data from platform database, understand and count patient data.
Further, the wechat service platform includes patient terminal, hospital's wechat public platform management platform and healthcare givers
Wechat terminal, patient carry out online interaction by the healthcare givers of concern hospital's wechat public platform and hospital.
Further, the interactive information of the online interaction includes text, voice, picture and video.
Further, the patient is fragility fractures patient or patients with osteoporosis.
Fracture contact is served by osteoporosis, brittleness bone by fracture contact service management evaluation system of the invention
Diagnosis, treatment, prevention, the supervision of the osteoporosis of patient after folding, have filled up patients with osteoporosis management after fragility fractures
The blank of serious loss improves the multidisciplinary supervision for combining the diagnosis to fragility fractures patient, treatment, prevention, follow-up, reduces
The incidence of fragility fractures.
Fracture contact service management evaluation system of the invention establishes that have be suitable for the fracture cloud service platform and wechat of contact
Patient information and hospital resources information are carried out integration, have polymerize Grade A hospital advantage medical resource by service platform, excellent
Change resource distribution, realizes interconnecting for fracture patient detection data and diagnostic result data.In each metropolis, each area
During county, each community and each small towns promote and apply, can be improved it is multidisciplinary combine the diagnosis to fragility fractures patient, treatment,
Prevent, the supervision of follow-up, reduce the incidence of fragility fractures, the serious of patients with osteoporosis management lacks after making up fragility fractures
It loses.
Fracture contact service management evaluation system of the invention establishes the patient's diagnostic result information having for storing acquisition
Medical data base, and the platform database with medical data base intercommunication is that government and health administration department formulate sclerotin
Loose chronic diseases management, classification diagnosis and treatment, medical insurance service policy provide technical support.
Detailed description of the invention
Fig. 1 is a kind of development Technology Roadmap of fracture contact service management evaluation system of the present invention.
Specific embodiment
Below with reference to the drawings and specific embodiments, the present invention is described in detail:
As shown in Figure 1, a kind of fracture of the present embodiment gets in touch with service management evaluation system, including medical services platform, micro-
Telecommunications services platform and cloud service platform.Medical services platform for acquiring typing patient data, patient data include diagnostic data,
Treatment data and rehabilitation data；Wechat service platform is used for patient transmission's diagnostic data, treatment data and rehabilitation data, and
Prevention of the fractures treatment, rehabilitation propaganda and education are carried out to patient；Cloud service platform passes through internet and the medical services platform and wechat
Service platform connection, for sharing patient data and prevention of the fractures, treatment, rehabilitation propaganda and education information.
Specifically, medical services platform includes medical station terminal, acquisition unit, medical data base, feedback unit, statistics list
Member, transmission end.Medical station terminal is made of, that is, portable medical website, Community Township medical treatment website, district multiple medical websites
Second level medical treatment website and Grade A hospital consultation of doctors website, each medical treatment website includes multiple healthcare givers's service terminals, medical staff
Bone health state evaluation is carried out to fragility fractures patient or patients with osteoporosis, the basis of evaluation includes laboratory inspection and shadow
It as learning inspection etc., carries out within generally after the fracture 2-6 weeks, imageological examination includes X-ray film and bone density inspection, and laboratory checks packet
Include Basic examination project, Bone turnover marker etc., Basic examination project such as blood urine routine, hepatic and renal function, blood calcium, serium inorganic phosphorus, alkali
Acid phosphatase etc., Bone turnover marker such as I type ossein amino terminal peptide, Type I collagen original carboxy terminal peptide etc. are used to clear
The cause of disease and bone metabolism state of osteoporosis.Healthcare givers's service terminal is commented for analyzing assessment diagnosis patient bone health status
Valence is as a result, obtain patient's diagnostic result；Acquisition unit connects medical station terminal, for acquiring patient's diagnostic result information；Medical treatment
Database connects medical station terminal and acquisition unit, for storing patient's diagnostic result information of acquisition；Feedback unit is used for
For the diagnosis and treatment situation and successive patients' check, follow-up, rehabilitation of the state of an illness of patient between leader healthcare givers and inpatient
Situation carries out phase mutual feedback and leader healthcare givers and reminds it periodically to connect to outpatient service or community hospital to non-inpatient feedback
It is evaluated by bone health, leader healthcare givers includes expeditor and navigator nurse, and expeditor is by orthopedist, endocrine doctor, urgency
Section doctor, nephrosis Rheumatism Dept. doctor, Department of Aged doctor, radiologist and community hospital doctor composition are examined, navigator nurse is by bone
Section nurse, division of endocrinology nurse, nephrosis Rheumatism Dept. nurse and community hospital nurse composition；Statistic unit is used for from the medical treatment
Database recalls physician feedback information, counts the diagnosis and treatment situation of doctor；Transmission end, being used for will be in medical data base and statistic unit
Information and healthcare givers's service terminal prevention of the fractures treatment, rehabilitation propaganda and education information be transmitted to cloud service platform.
Specifically, cloud service platform includes information collection unit, platform database, information transmitting unit and Supervisory Unit,
Information collection unit, for collecting information and fracture in the medical data base and statistic unit that medical services platform transmits
Prophylactic treatment, rehabilitation propaganda and education information and patient feedback；Platform database, link information acquisition unit, for storing letter
Cease the information of acquisition unit acquisition；Information transmitting unit, connecting platform database, for the information in platform database is corresponding
It is sent to wechat service platform and medical services platform；Supervisory Unit connecting platform database, for corresponding authorities and
The third party to get the Green Light recalls statistical data from platform database, understands and count patient data.
Specifically, wechat service platform includes patient terminal, hospital's wechat public platform management platform and healthcare givers's wechat
Terminal, patient carry out online interaction, the interaction letter of online interaction by the healthcare givers of concern hospital's wechat public platform and hospital
Breath includes text, voice, picture and video.
The fracture contact service management evaluation system approach of the present embodiment is as follows:
Outpatient service to hospital or emergency department are corresponding medical after patient fractures, and carry out laboratory and check and iconography inspection
Look into, inspection obtains bone health state, bone health state is assessed by orthopedist, subsequent hospital arrange orthopaedics be hospitalized or
Other processing, and patient is included in fracture contact service management evaluation system and is managed, in fracture contact service management evaluation
In the management process of system, medical staff carries out bone health state evaluation to patient, and by the diagnostic message and bone health of patient
State evaluation information is transmitted to medical station terminal by healthcare givers's service terminal typing, acquires examining for patient by acquisition unit
Disconnected information and bone health state evaluation information are stored in medical data base, share patient information in medical services platform, are cured by leader
Treatment personnel carry out phase mutual feedback to the diagnosis and treatment situation of the state of an illness of inpatient and successive patients' check, follow-up, rehabilitation situation, or
Person from leader healthcare givers to non-inpatient feedback remind its periodically to outpatient service or community hospital receive bone health evaluation, i.e., by
Leader healthcare givers carries out individuation evaluation and processing, including health education, anti-osteoporosis treatment, refracture risk to patient
Data are improved in rate assessment, long-term treatment follow-up, rehabilitative exercise programme and foundation, and by the diagnostic message of patient and bone health shape
The platform database that state evaluation information is transmitted to cloud service platform is shared, by shared data improve risk of bone fracture early warning with
And fracture contact service mode effect assessment, it supports fracture contact service member's whole process supervision and management, reinforces doctor patient communication, pass through
Internet the part information sharing of wechat service platform and cloud service platform is promoted into answering for fracture contact service mode
With utilizing fracture contact service mode to carry out early intervention osteoporosis, reduce fragility fractures incidence again.
The fracture contact service management evaluation system of the present embodiment establishes that have be suitable for the cloud service platform of contact and micro- of fracturing
Patient information and hospital resources information are carried out integration, have polymerize Grade A hospital advantage medical resource by telecommunications services platform,
Resource distribution is optimized, interconnecting for fracture patient detection data and diagnostic result data is realized.In each metropolis, each area
During county, each community and each small towns promote and apply, can be improved it is multidisciplinary combine the diagnosis to fragility fractures patient, treatment,
Prevent, the supervision of follow-up, reduce the incidence of fragility fractures, the serious of patients with osteoporosis management lacks after making up fragility fractures
It loses.
The above examples are only used to illustrate the technical scheme of the present invention and are not limiting, although referring to preferred embodiment to this hair
It is bright to be described in detail, those skilled in the art should understand that, it can modify to technical solution of the present invention
Or equivalent replacement should all cover without departing from the objective and range of technical solution of the present invention in claim of the invention
In range.Technology not described in detail in the present invention, shape, construction portion are well-known technique.
Claims (9)
1. a kind of fracture gets in touch with service management evaluation system characterized by comprising
Medical services platform, for acquiring typing patient data, patient data includes diagnostic data, treatment data and rehabilitation number
According to；
Wechat service platform, for fracturing to patient transmission's diagnostic data, treatment data and rehabilitation data, and to patient
Prophylactic treatment, rehabilitation propaganda and education；
Cloud service platform is connect, for sharing patient's number with the medical services platform and wechat service platform by internet
According to prevention of the fractures, treatment, rehabilitation propaganda and education information.
2. a kind of fracture according to claim 1 gets in touch with service management evaluation system, which is characterized in that the medical services
Platform includes:
Medical station terminal is made of multiple medical websites, and each medical treatment website includes multiple healthcare givers's service terminals, medical people
Member's service terminal checks information for analyzing assessment diagnosis patient, obtains patient's diagnostic result；
Acquisition unit connects medical station terminal, for acquiring patient's diagnostic result information；
Medical data base connects medical station terminal and acquisition unit, for storing patient's diagnostic result information of acquisition；
Feedback unit, between leader healthcare givers and inpatient be directed to patient the state of an illness diagnosis and treatment situation and subsequent trouble
Person's check, follow-up, rehabilitation situation carry out phase mutual feedback and leader healthcare givers and remind it periodically to arrive to non-inpatient feedback
Outpatient service or community hospital receive bone health evaluation；
Statistic unit counts the diagnosis and treatment situation of doctor for recalling physician feedback information from the medical data base；
Transmission end, for by the prevention of the fractures of information and healthcare givers's service terminal in medical data base and statistic unit
Treatment, rehabilitation propaganda and education information are transmitted to cloud service platform.
3. a kind of fracture according to claim 2 gets in touch with service management evaluation system, which is characterized in that the medical services
Terminal includes portable medical website, Community Township medical treatment website, district second level medical treatment website and Grade A hospital consultation of doctors website.
4. a kind of fracture according to claim 2 gets in touch with service management evaluation system, which is characterized in that leader's medical treatment
Personnel include expeditor and navigator nurse, and the expeditor is by orthopedist, endocrine doctor, emergency department doctor, nephrosis rheumatism
Section doctor, Department of Aged doctor, radiologist and community hospital doctor composition, the navigator nurse is by orthopaedics nurse, endocrine
Section nurse, nephrosis Rheumatism Dept. nurse and community hospital nurse composition.
5. a kind of fracture according to claim 1 gets in touch with service management evaluation system, which is characterized in that the cloud service is flat
Platform includes:
Information collection unit, for collect the information in the medical data base and statistic unit that medical services platform transmits and
Prevention of the fractures treatment, rehabilitation propaganda and education information and patient feedback；
Platform database, link information acquisition unit, for storing the information of information acquisition unit acquisition；
Information transmitting unit, connecting platform database are flat for the information correspondence in platform database to be sent to wechat service
Platform and medical services platform.
6. a kind of fracture according to claim 5 gets in touch with service management evaluation system, which is characterized in that the cloud service is flat
Platform further includes Supervisory Unit, the Supervisory Unit connecting platform database, for corresponding authorities and get the Green Light the
Tripartite recalls statistical data from platform database, understands and count patient data.
7. a kind of fracture according to claim 1 gets in touch with service management evaluation system, which is characterized in that the wechat service
Platform includes that patient terminal, hospital's wechat public platform management platform and healthcare givers's wechat terminal, patient are micro- by concern hospital
Believe that the healthcare givers of public platform and hospital carries out online interaction.
8. a kind of fracture according to claim 7 gets in touch with service management evaluation system, which is characterized in that the online interaction
Interactive information include text, voice, picture and video.
9. a kind of fracture contact service management evaluation system according to any of the above-described claim, which is characterized in that described
Patient is fragility fractures patient or patients with osteoporosis.
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| CN105205766A (en) * | 2015-08-19 | 2015-12-30 | 四川佳缘电子科技有限公司 | Mobile Internet hospital attendance system based on cloud platform |
| CN106230975A (en) * | 2016-08-31 | 2016-12-14 | 山东众阳软件有限公司 | Based on master index cloud platform across institute's data sharing, Real-Time Sharing method and system |
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