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    首頁 - 智慧醫療 - 北京豐臺試點“智慧”社區診療
點擊:158        時間:2019-06-24 09:46:20

  新京報快訊(記者 戴軒)6月15日零時,北京市醫耗聯動綜合改革正式啟動,不到一周,社區醫療機構門診量增加了9%,實現再提速。記者了解到,北京社區醫療機構開始邁向智能化,目前豐臺區正在通過搭建社區“號源池”、暢通綠色轉診通道等方式,打造智慧社區診療服務。

  人工智能輔助醫生接診

  今天上午,記者跟隨北京市衛健委工作人員來到豐臺區馬家堡社區衛生服務中心。在一樓一間全科診室中,患者在診室里就醫完畢后,直接在醫生的工作臺前就完成了所有費用的線上支付。在另一間診室,大夫打開線上轉診系統,為患者掛上了天壇醫院的號。

  豐臺區衛健委負責人告訴記者,為了讓居民在門口就醫更加便利,豐臺正在試點建設智慧型社區診療,從掛號、轉診、上門服務、線上“就醫”等多方面納入更多科技元素。

  舉例來說,一種智能輔助診斷系統已經進入豐臺區不少社區醫療機構。當醫生輸入患者的生命體征與癥狀的同時,智能系統也會給出疾病及診療提示,以輔助醫生開展診斷。

  “它就相當于一個智庫,會提供‘參考答案’。這對于一些較為少見的疑難病,能起到不錯的參考作用,也有利于達到一定程度上的醫療同質化。”馬家堡社區衛生服務中心主任陳應軍介紹。

  社區建起大醫院“號源池”

  在掛號階段,豐臺區和北京天壇醫院打造了社區智慧家醫工作室,實現精準轉診。天壇醫院為豐臺區簽約患者設置“智慧家醫號”,為社區轉診預留專用號源,社區簽約患者可通過工作室的“綠色通道”,轉診享受天壇醫院“三優先”服務,即輔助檢查優先,門診診療優先和全科住院優先。記者了解到,通過線上平臺,大夫可以直接為患者掛到天壇醫院的號,如果號源緊張,也可以通過另行申請的方式,讓患者得到轉診。

  與此同時,豐臺還試點“號源池”建設,與北京市預約掛號統一平臺協商,將平臺的掛號功能植入醫生工作站。同時,二、三級醫院向豐臺區預留一定比例的門診號源,實現社區家庭簽約醫生登錄平臺為簽約患者提供精準預約轉診服務。目前,方莊社區衛生服務中心已實現簽約醫生為居民在平臺預約號源的功能。

  居民血壓實時上傳“健康大腦”

  除了掛號、診斷、上門服務,豐臺區在線上監測方面也開展試點。在馬家堡社區衛生服務中心一層,有一間掛著顯眼大屏幕的房間,上面實時更新數位患者的血壓監測數據、門診血壓水平分級百分比等。這是該院的“健康大腦”智慧監測系統。

  “我們中心和直屬的2個服務站,都實現了信息統一化,居民在這三個地方監測了血壓,會馬上上傳到這個系統里,租用共享血壓計,也能在家中實現數據上傳。”陳應軍說。

  實時監測意義何在?醫務人員將不同的血壓指數進行分級,超過一定的標準,意味著患者面臨健康風險,此時,系統向患者和簽約家庭醫生同時發出預警短信,人工智能也會自動撥通居民的電話進行回訪。

  “人工智能會對患者進行一些指導,語音記錄會自動轉換為文字,保存在系統中,醫生可以隨時看到。如果患者覺得不夠,也能轉接到人工服務。”在回訪小屋,一位工作人員告訴記者。除了關照風險患者,智能+人工回訪也是常規動作。

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