毕业论文-基于“双向转诊”的社区卫生服务与三级医院卫生信息资源共享研究.pdf

合肥工业大学
硕士学位论文
基于“双向转诊”的社区卫生服务与三级医院卫生信息资源共
享研究
姓名:欧阳婷
申请学位级别:硕士
专业:管理科学与工程
指导教师:刘林
2010-09
基于“双向转诊”的社区卫生服务与三级医院卫生信息资源共享研究

摘要

随着我国卫生事业的发展和体制改革的不断深入,如何优化我国卫生资源
配置,进一步完善和发展社区卫生服务成为新的课题。双向转诊制度被认为是
搞活社区卫生服务的关键。目前,我国部分城市已经制定了一些双向转诊的实
施方案,相关的试点工作并取得了一些的成绩。但是在实施双向转诊的过程中
也陆续发现了不少问题,甚至遭遇推行的“瓶颈”。这些问题的出现,进一步暴
露出我国目前推行的双向转诊制度有待进一步完善。
双向转诊的成效有赖于信息的高度共享,而目前我国社区卫生服务机构的
医疗网络设施不健全,社区卫生服务机构与三级医院间还没有建立起信息共享
平台,这就致使转诊患者的治疗及健康信息不能通过网络进行传递,造成社区
卫生服务的优势无法充分发挥,严重阻碍双向转诊的顺利实施和发展。
本文系统分析了我国社区卫生服务与三级医院卫生资源配置的现状,从优
化卫生资源配置的角度阐述了推行双向转诊的重要性和必要性;分析了医院信
息系统和社区卫生信息系统建设的现状和存在的问题;从信息资源共享的角度
探讨利用虚拟专用网技术建立双向转诊的信息资源共享平台,利用公共网络实
现 HIS 和 CHSIS 的信息快速安全共享,以促进双向转诊的实施和发展;最后分
析目前双向转诊实施过程中存在的问题,并提出相应的对策,促进双向转诊信
息资源共享的发展。

关键词: 双向转诊;社区卫生服务;信息资源;资源共享
Research on the sharing of medical information resource on the
basis of bidirectional referral medical care munity health
service and tertiary hospital

ABSTRACT

With the development of medical service and the reform of the medical system,
how to optimize the medical resource allocation and further munity
health service es a brand new subject. Two-way transfer treatment system is
treated as the key point to munity health service. Presently; some cities
of our country have already drawn up some practical methods of the bidirectional
referral medical care, and they have make achievements in associative works. But
during the process of implementing the treatment, some problems are gradually
found and even it is met with greater difficulties. As long as these problems appear,
it indicates that the two-way transfer treatment system needs to be perfected.
The bidirectional referral medical care rely on the sharing of information. But
presently the work equipment of munity health service is not
adequate, and there is no information sharing platform munity health
service and tertiary hospital. So the treatment and health information of the patients
could not be transferred work, the vanta