摘要
目的:面对中国远程医疗巨大的发展市场,分析新疆医科大学第一附属医院自2009年起6年间5.6万余例远程医疗咨询资料,指明远程医疗未来发展方向,为中国新医改提供理论佐据和实践经验。方法:回顾分析该院近6年远程医疗咨询的56665份病例,采用分层次定性分析法,从会诊量变化、会诊地域分布、会诊疾病谱特征、会诊急危重症率与上转率等方面行统计分析。结果:远程医疗会诊需求逐年增加,平均发展速度109.12%;远程医疗会诊在全疆常态化开展,是实现区域优质医疗资源广辐射齐联动的有效手段;远程医疗会诊病例专科分布与新疆地区住院病人疾病谱、疑难危重疾病谱的顺位排序基本一致;远程医疗会诊病例中急危重症率逐年缓增,而上转率逐年递减,提示远程医疗成为急危重症多学科会诊的绿色通道,提升了各层级医疗机构危急重症病人的救治能力。结论:中国远程医疗已成为现代医学"低碳化"交流发展的主渠道,奠定了国家新医改分级诊疗新秩序,其大发展应走向联网互动整合医学体系之路,且值得深入研究探讨。
Objective： Facing with Chinese telemedicine considerable market and analyzing the diagnosis record from more than 56,000 cases by telemedicine, we put our effort to find out the prospective direction of telemedicine for picking a new thinking, new way and new measure to reform Chinese telemedicine. Methods： By using hierarchical qualitative analysis, the consultation quantity change, regional distribution of consultation and the consultation rate of critical were retrospectively analyzed in 56,665 patients who underwent telemedicine. Results： The request for telemedicine was dramatically increased year by year and average growth speed was 109.12%. Also becoming widespread in Xinjiang, telemedicine seemed to be an ideal method to develop high effective medical treatment and of economizing medical materials .In Xinjiang, specialty distribution of telemedicine was in accorded with sequence of both regular disease and severe disease spectrum. The proportion of critical patients among telemedicine system stadily increased and tertiary center transferring rate decreased, which reflected telemedicine becomes as a green channel to diagnose emergent patients and it enhances the abilities of curing people with critical disease. Conclusion： As an energy saving technology, telemedicine becomes Chinese main path way of modem medical communicating which firms the new orders of medical reforming to improve the line of medical system which still needs us to put effort.
出处
《中国数字医学》
2015年第6期19-21,28,共4页
China Digital Medicine
关键词
远程医疗
远程会诊
新常态
telemedicine, teleconsultation, new normal
作者简介
通讯作者：新疆医科大学第一附属医院院长，830011，新疆乌鲁木齐市鲤鱼山南路137号
