我国医疗机构远程医疗信息化建设现状调查与分析

doi:10.3969/j.issn.1006-5253.2023.05.004

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摘要目的了解我国医疗机构远程医疗信息化建设现状，为改善远程医疗服务提供建议。方法于2019年10—11月，通过在线问卷调查的方式，对223家医疗机构远程医疗负责人进行调查，调查内容包括医院基本情况、远程医疗网络建设、硬件配备、软件部署与对接情况；数据分析以描述性统计为主。结果三级医院和二级医院远程医疗网络均以专用网络为主，占比分别为53.2%和78.2%。采用远程医疗专网接入医疗机构年会诊量高于公用互联网接入方式，两者之间差异具有统计学意义（Z=-2.273，P=0.023）。设备配置率最高的设备三级医院为远程教育录播，占54.6%，二级医院为远程心电采集终端，占46.4%。分别有38.7%三级医院和40.2%二级医院信息系统与远程医疗系统进行了对接。结论远程医疗是优化医疗资源配置的重要手段，应进一步扩大远程医疗专网覆盖范围，推广便携式智能终端配备，完善远程医疗信息系统建设，推进信息系统互联互通，保障远程医疗服务优质高效。

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	何贤英
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	赵杰

关键词 ：远程医疗, 医疗机构, 信息化建设, 调查

Abstract：Objective To understand the current situation of telemedicine informatization construction in medical institutions in China, and provide suggestions for improving telemedicine services.Methods From October to November 2019, an online questionnaire survey was used to investigate the principals of telemedicine in 223 medical institutions. The survey contents included the basic information of the hospitals, telemedicine network construction, hardware equipment, software deployment and docking. Descriptive statistics were used for data analysis.Results The telemedicine networks of tertiary hospitals and secondary hospitals were dominated by private networks, accounting for 53.2% and 78.2%, respectively. The annual consultation volume of medical institutions using telemedicine network was higher than that of public Internet, and the difference between the two was statistically significant (Z=-2.273, P=0.023). The equipment of remote education recording and broadcasting were with the highest allocation rate in tertiary hospitals, accountig for 54.6%, and the remote ECG collection terminals were with the highest allocation rate in secondary hospitals, accounting for 46.4%. In addition, 38.7% of tertiary hospitals and 40.2% of secondary hospitals had connected their information systems with telemedicine systems. Conclusion Telemedicine is an important means to optimize the allocation of medical resources. It is necessary to further expand the coverage of telemedicine private network, promote the deployment of portable intelligent terminals, improve the construction of telemedicine information system, promote the interconnection of information systems, and ensure the quality and efficiency of telemedicine services.

Key words： telemedicine medical institution informatization construction investigation

收稿日期: 2023-03-06

基金资助:河南省高等学校重点科研项目（22A330004、23B330004）；
河南省医学科技攻关计划联合共建项目（LHGJ20210360）；
国家超级计算郑州中心创新生态系统建设科技专项（201400210400）

通讯作者: 赵杰，Email：zhaojie@zzu.edu.cn

引用本文:

何贤英，李陈晨，孙东旭,初云天，崔芳芳，赵杰. 我国医疗机构远程医疗信息化建设现状调查与分析[J]. 中国医院统计, 2023, 30(5): 339-344.
He Xianying, Li Chenchen, Sun Dongxu, Chu Yuntian, Cui Fangfang, Zhao Jie. Investigation and analysis on the status of telemedicine informatization construction in medical institutions in China. journal1, 2023, 30(5): 339-344.

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