摘要
为进一步探索基于区域医联体心房颤动分级诊疗制度,有效地管理社区心房颤动患者,上海市浦东新区花木社区卫生服务中心联合其医联体上海交通大学医学院附属仁济医院,基于全科与专科结合,开设心房颤动专病门诊,并借用互联网及医联体平台,探索社区心房颤动智慧化管理模式。文章重点介绍了团队内三级医院专科医生、药师团队、社区全科医生共同建立同质化的诊疗平台,上下联动,共同临床决策,结合智能化管理软件,开展特色心房颤动管理措施以及初步成效,为心房颤动全程管理提供参考。
In order to provide efficient medical care to atrial fibrillation patients in the community,the Huamu Community Health Service Center in association with its medical consortium,Renji Hospital have developed a novel atrial fibrillation management system.With the collaboration of general practitioners and specialist team from the tertiary hospital,a special clinic for atrial fibrillation has been set up in the community health service center,which is based on the internet technology and the medical consortium platform.This article introduces the development of this novel system and the initial outcome of the measures,to provide a reference for the management of atrial fibrillation patients in the community.
作者
沈慧
李峥
王新华
沈珑
顾智淳
张薇
张弛
潘忙忙
孔令璁
双田
赵倩
杨毅宁
周礼清
卜军
Shen Hui;Li Zheng;Wang Xinhua;Shen Long;Gu Zhichun;Zhang Wei;Zhang Chi;Pan Mangmang;Kong Lingcong;Shuang Tian;Zhao Qian;Yang Yining;Zhou Liqing;Pu Jun(Shanghai Pudong New Area Huamu Community Health Service Center,Shanghai 201204,China;Department of Cardiology,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200126,China;Department of Pharmacy,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200126,China;Department of Cardiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《中华全科医师杂志》
2021年第10期1100-1104,共5页
Chinese Journal of General Practitioners
基金
国家科技部重点研发专项(2018YFC1312800)
浦东新区科技发展基金科研课题(PKJ2019-Y67)。
关键词
心房颤动
疾病管理
医联体
互联网
Atrial fibrillation
Disease management
Medical partnership
Internet technology
