CAJ | 학술논문

目的：根据[2014]51号国家卫生计生委文件“关于推进医疗机构远程医疗服务的意见”和国家卫生计生委“十二五”规划要求：为推进远程医疗服务持续健康发展优化医疗资源配置，实现优质医疗资源下沿，提高医疗服务能力和水平，吉林省卫生统计信息中心近几年分阶段提出建设吉林省面向农村基层医院开展远程协同应用服务平台系统，促进以远程医疗会诊、远程教育、远程慢病管理的事业发展为目的建设平台项目[1]。方法：在108家基层医院试点单位通过该远程协同应用服务平台系统开展远程会诊、继续教育、远程心电会诊、远程慢病管理。结果：面向农村远程协同应用服务平台系统在全国目前还没有应用，中心开展远程协同应用服务平台系统可有效解决农村看病难、看病贵，提高基层卫生人员技术服务能力和水平，缓解大医院专家集中的问题及农村基层慢病管理与防治问题[2-5]。结论：采用远程平台系统的应用使大医院专家不用亲自去农村巡回就可以给农村基层患者远程会诊，同时解决综合会诊、远程影像、远程心电、远程慢病管理、远程继教等问题。既给农村患者看病提供了方便，又提高了基层卫生技术人员的服务能力和水平，真正做到了让农村基层群众看得起、看得好、用得上的以面向农村基层远程协同平台服务应用的新技术和适宜技术。目前采用的是低廉价格，优质服务来为全省合作医疗的各大农村患者服务[6-8]。
목적：근거[2014]51호국가위생계생위문건“관우추진의료궤구원정의료복무적의견”화국가위생계생위“십이오”규화요구：위추진원정의료복무지속건강발전우화의료자원배치，실현우질의료자원하연，제고의료복무능력화수평，길림성위생통계신식중심근궤년분계단제출건설길림성면향농촌기층의원개전원정협동응용복무평태계통，촉진이원정의료회진、원정교육、원정만병관리적사업발전위목적건설평태항목[1]。방법：재108가기층의원시점단위통과해원정협동응용복무평태계통개전원정회진、계속교육、원정심전회진、원정만병관리。결과：면향농촌원정협동응용복무평태계통재전국목전환몰유응용，중심개전원정협동응용복무평태계통가유효해결농촌간병난、간병귀，제고기층위생인원기술복무능력화수평，완해대의원전가집중적문제급농촌기층만병관리여방치문제[2-5]。결론：채용원정평태계통적응용사대의원전가불용친자거농촌순회취가이급농촌기층환자원정회진，동시해결종합회진、원정영상、원정심전、원정만병관리、원정계교등문제。기급농촌환자간병제공료방편，우제고료기층위생기술인원적복무능력화수평，진정주도료양농촌기층군음간득기、간득호、용득상적이면향농촌기층원정협동평태복무응용적신기술화괄의기술。목전채용적시저렴개격，우질복무래위전성합작의료적각대농촌환자복무[6-8]。
Objective: According to [2014] No. 51 National Health and Family Planning Commission document "on advancing telemedicine services medical advice"and the National Health and Family Planning Commission"second five"planning requirements:to promote the sustainable and healthy development of telemedicine services optimize the allocation of medical resources achieve high-quality medical resources, improve the capacity and level of medical services In recent years, our center in phases proposed the building remote collaborative application service platform for rural primary hospital Jilin Province, promote telemedicine consultation, tele-education, career development remote chronic disease management for the purpose of construction platform project. Methods:In 108 primary hospital pilot unit launch remote consultation, continuing education, remote ECG consultation, remote chronic disease management. Through remote collaboration application service platform. Results: For rural remote collaborative application service platform system in the country has not yet applied our center launch remote collaborative application service platform can effective solution to the rural doctor is difficult and expensive, improve primary health personnel and the level of technical service capabilitiesease hospital experts concentration problems and chronic disease management and prevention of grassroots rural. Conclusion:Hospital experts do not personally go to the rural countryside tour can teleconsultation grassroots patients has been solved from using this remote platform, and the same time solved comprehensive consultation, remote imaging, remote ECG, remote chronic disease management, distance continuing education and other issues. Not only offer convenience to rural patients to see a doctor, but also improve the service ability and level of primary health technicians. Truly make people think highly of rural grassroots, see a good doctor, useful for remote rural grassroots-oriented collaboration platform services applications of new technologies and appropriate technology, we are currently using the low prices, quality service to all major patient care for the province's rural cooperative medical care.