摘要
目的:探讨“互联网+医疗”背景下线上线下一体化多学科协作诊疗(MDT)模式的创新构建与临床实践,为疑难病诊疗提供可推广的数字化解决方案。方法:通过构建“患者端-医护协调端-协诊端-管理端”四端协同架构,整合门诊、住院、互联网医院三大服务场景,采用“先线上预问诊,后线下集中会诊”的服务路径,重构疑难病诊疗数字化闭环全流程。结果:截至2025年6月,已组建55个MDT团队,涵盖442位多学科专家,累计完成线上MDT咨询3200例,其中线上会诊登记1658余例,3~6个科室的协作模式占比达88.6%,实现诊疗质量与效率的双提升。结论:线上线下一体化MDT模式通过数据互通与流程再造,突破了传统诊疗的物理空间限制,显著提升了疑难病诊疗效率与患者满意度。
Objective To explore the innovative construction and clinical effectiveness of an Online-to-Offline(O2O)integrated Multi-disciplinary treatment(MDT)model under the"Internet Plus Healthcare"initiative,providing a scalable digital solution for diagnosing and treating complex and refractory diseases.Methods A four-tier collaborative architecture("Patient Terminal–Healthcare Coordination Terminal–Consultation Terminal–Management Terminal")was established to integrate three major clinical service scenarios(outpatient,inpatient,and internet hospital services).Adopting a"preliminary online consultation followed by centralized offline consultation"workflow,the model restructured the entire digital closed-loop management process for complex disease diagnosis and treatment.Results As of June 2025, 55 MDT teams involving 442 multidisciplinary experts had been formed. The system completed 3,200 online MDT pre-consultations, with over 1,658 cases formally registered for MDT sessions. Collaboration models spanning 3~6 clinical departments accounted for 88.6% of cases, achieving dual enhancements in both diagnostic/therapeutic quality and operational efficiency. Conclusion The O2O integrated MDT model overcomes the physical space limitations inherent in traditional healthcare through data interoperability and process redesign, significantly improving efficiency in managing complex diseases and increasing patient satisfaction rates.
作者
张敦明
潘一夫
张瑞霖
潘宏伟
李礼安
余俊蓉
王禹尧
王毅
ZHANG Dunming;PAN Yifu;ZHANG Ruilin;PAN Hongwei;LI Li'an;YU Junrong;WANG Yuyao;WANG Yi(The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)
出处
《中国数字医学》
2025年第9期37-42,共6页
China Digital Medicine
关键词
多学科协作诊疗
线上线下一体化
互联网医疗
医疗服务创新
Multi-disciplinary treatment
Online-to-offline integration
Internet medical care
Healthcare service innovation
作者简介
通信作者:王毅,Email:wangyi22@mail.sysu.edu.cn。
