Tianjin promotes the construction of medical informatization 8.8 million people build electronic health archives

When citizens go to the hospital for medical treatment, doctors only need to open their electronic health records on the computer The basic information, medical history, medical status and other information of the patients are clear at a glance The reporter learned from the municipal health and family planning commission that the city has made achievements in promoting the construction of medical informatization By the end of June, 8.8 million electronic health records had been established in the city, with a filing rate of 71.7% The electronic health file of residents is a life-long personal health file which is stored in the computer system, provides services for individuals, and has the performance of security and confidentiality The main contents include basic personal information, family information, physical examination, health management records of key groups, etc The service objects are the permanent residents in the area, including the residents with household registration and non household registration who have lived for more than half a year, with the focus on children aged 0-6, pregnant women, the elderly aged 60 and above, the patients with chronic diseases and severe mental diseases, and the people who enjoy the difficult assistance of the civil affairs department Since this year, the city has further expanded the coverage of residents' electronic health records When building files for community residents, community doctors also check and screen them for chronic diseases If residents are found suffering from hypertension and diabetes during the screening, doctors will give orders and early intervention, and carry out health education and regular follow-up for patients By the end of June, 8.8 million electronic health files had been set up in the city, providing health examination for 730000 old people, 900000 hypertension patients under community management, with a health management rate of 46%, 290000 diabetes patients under community management, with a health management rate of 29.0%, and 160000 people with major mental disorders, stroke patients and disabled people under community management 549 people have completed the training of general practitioners, and the rehabilitation treatment mode of "gatekeeper", "serious illness to hospital, minor illness to community, and rehabilitation back to community" is an effective way to solve the difficulty of medical treatment for the citizens, among which the general practitioners, known as the "gatekeeper" of residents' health, play an important role The reporter learned from the municipal health and family planning commission that at present, the city has completed 10 sessions of general practitioner recertification training, a total of 549 people Once residents have symptoms such as headache and fever, they should first find a general practitioner in the community hospital to make a preliminary diagnosis, determine the type of disease, and then, if necessary, arrange referral treatment by the general practitioner who has rich medical information resources General practitioners are highly comprehensive medical talents, mainly responsible for prevention and health care at the grass-roots level, diagnosis and treatment of common and frequently occurring diseases and referral, patient rehabilitation and chronic disease management, health management and other integrated medical services, known as the "gatekeeper" of residents' health Since December last year, the municipal health and Family Planning Commission has carried out a survey on the training needs of primary medical institutions in the city On this basis, the annual training plan shall be reasonably formulated, and the general practitioner post, recertification training, community nurse post, recertification training, B-ultrasonic professional and technical personnel and medical support combination pilot training shall be carried out by stages Up to now, 10 sessions of general practitioner recertification training have been completed, totaling 549 people; 3 sessions of community nurse recertification training, totaling 196 people; 4 sessions of general practitioner on-the-job training, totaling 169 people; 4 sessions of community nurse on-the-job training, totaling 182 people 443 experts visit the community "at home" and enjoy expert diagnosis and treatment The reporter learned from the municipal health and family planning commission that since this year, the city has carried out counterpart support activities such as "one hundred doctors in the community", "three-level hospitals to help the second level hospitals of shenong district and county" By the end of June, 443 doctors had been sent to the community health service center or the second level hospitals of shenong district and county for consultation, so that the citizens could enjoy expert diagnosis and treatment services at the "door of home" This year, the city continued to implement the "100 senior doctors into community health project" In the first half of the year, two batches of 443 doctors were sent to the urban community health service center or the secondary hospitals of agricultural related districts and counties to carry out diagnosis and treatment, teaching, training and other medical support activities At the same time, in combination with the medical and nursing integration, Medical Association Services and diabetes comprehensive projects, we will focus on sending professional support doctors such as internal medicine, traditional Chinese medicine and endocrinology to the pilot institutions, conduct regular itinerant consultation, guide the pilot institutions to establish a three-level doctor rounds system, effectively improve the service ability and service level of the grass-roots medical staff, and also improve the community residents' service to the grass-roots medical and health services Trust and satisfaction In the year of classified diagnosis and treatment of acute and chronic diseases, 10 medical consortia journalists were established They learned from the municipal health and family planning commission that the city has made progress in exploring the medical consortia mode of "classified diagnosis and treatment of acute and chronic diseases, two-way referral" At present, the general Hospital of Medical University, the First Affiliated Hospital of traditional Chinese medicine and other community hospitals have established medical consortia with remarkable trial operation effect By the end of this year, the city will complete the construction of 10 medical service consortiums, gradually reduce the differences in medical service capacity between large hospitals and grass-roots medical and health institutions within the consortia, and basically form a vertical two-way referral mechanism within the consortia This year, the city launched a pilot project for the establishment of medical consortia by primary medical and health institutions and large hospitals Heping District government signed cooperation agreements with the General Hospital of Heping University and the First Affiliated Hospital of traditional Chinese medicine respectively Hexi District and other counties actively prepared to promote the establishment of medical consortia At present, the Medical Association established by nanyingmen street community health service center and General Hospital of Medical University in Heping District is in good operation During the year, the city will complete the construction of 10 medical service consortiums, encourage and promote different levels and categories of medical institutions to play their roles according to their functions, rationalize and optimize the diagnosis and treatment process of medical service consortiums, relieve the pressure of large hospitals to seek medical treatment, and gradually form a hierarchical diagnosis and treatment mode that is in line with the actual situation of the city.