【作者】 张翔；

【导师】 王秀坤；

【作者基本信息】 大连理工大学 ， 软件工程（专业学位）， 2013， 硕士

【摘要】 远程医疗是计算机网络技术和医学研究相结合的新兴学科,通过远程咨询建立了医学专家和病人之间的全新服务模式,病人无论在原地、原医院,甚至在家里,均可接受远地专家会诊,从而大大降低医疗费用、缩短救治时间,因此加快农村偏远地区远程医疗系统的建设势在必行。本文针对农村偏远地区医疗资源匮乏、医务人员技术水平较低、缺少大型的医疗检查设备、难以实现疑难杂症的检查诊断等问题,开展了“农村偏远地区远程医疗援助系统”的研究与实施。论文运用远程医疗技术、远程医疗临床路径技术、远程监控技术与诊断方法、建立了农村偏远地区远程医疗信息平台；研制远程流动急救手术监护一体车；建立了农村偏远地区远程医疗体系。系统实现了农村偏远地区远程急救,以提高农村危重病人抢救成功率；远程查房,可获得专家点评指导；远程检验,通过班车和班船将标本送至医院,患者可通过远程医疗信息服务平台查询检验结果；远程预约挂号,农民“足不出户”在网上看病、预约挂号、住院；远程培训,定期对农村医务人员进行远程医学继续教育培训。远程管理,建立农民电子健康档案,针对农民的股骨头预防、妇幼保健、慢性病治疗以及疾病控制等,通过对乡镇卫生院的指导控制,达到管理的目的。系统还建立了农村数字医疗仪器风险评估模型并成功运用；采用远程医疗技术集成技术,实现了城乡优质医疗资源有效管理和共享,保障了会诊病人资料完整性、实时性和可交换性。本系统的应用大大缩短了患者的平均住院日,降低了医疗费用,提高了诊断的效率及实时性。系统创立了医学专家和病人之间的全新服务模式,为新医疗改革实施提供了示范应用。更多还原

【Abstract】 Real-time chiri-cal consmlfation is a kind of discipline combined with computer network technology and medical research. It can establish a new service model through remote consultation between medical specialists and patients. Moreover, it greatly reduce medical costs and shorten treatment time regardless of the places of the patients such as original hospital or at home. Therefore it is imperative to accelerate rural real-time chiri-cal consmlfation systems in remote areas.Remote rural areas lack medical resources such as large-scale medical examination apparatus, medical personnel can not own high level of technology. So it is too difficult to achieve diagnosis of incurable diseases and other issues. In this paper, we discuss the study and implementation for real-time chiri-cal consmlfation system in remote rural areas.In this study, we uses real-time chiri-cal consmlfation technology, real-time chiri-cal consmlfation clinical path technology, remote monitoring technology and diagnostic methods in order to establish rural information platform in remote areas. System enables improve the survival rate of critically ill patients in rural areas through developing long flowing emergency surgery care. Remote clinical rounds can get the expert guidance. Remote testing means the specimens were sent to the hospital by bus or by ships. So the patient via real-time chiri-cal consmlfation information service platform to check the test results.Remote appointment registration makes farmers make an appointment and hospitalization in the internet. Regular medical personnel in rural can have continuing education and training by remote training. We establish electronic health records of farmers by remote management for farmers femoral desease prevention, maternal and child health, chronic care and disease control, etc. Systems achieve management objectives through the guidance and control of township. In the same time, the system also established a rural digital medical equipment risk assessment model and successfully applied. We achieve a high-quality management and sharing of effective medical resources, protect data integrity, timeliness and interchangeability of the consultation patients by using integration technology of real-time chiri-cal consmlfationApplication of this system can greatly reduce the days of patients in hospital and reduce medical costs. Meanwhile it improves the diagnostic efficiency and time. This system created a new service model between medical experts and patients, provides a demonstration application for the new health care reform.更多还原