家庭醫(yī)生簽約健康管理服務(wù)系統(tǒng)要注意哪些內(nèi)容？

The information construction of graded diagnosis and treatment should fully consider the needs of diagnosis, treatment and rehabilitation such as patient appointment, treatment, up transfer and down transfer, and design a seamless information module. For example, the signing module is the premise and foundation of general practice signing and graded diagnosis and treatment, including signing, renewal, termination (suspension), change, referral and other operations. The appointment module has two meanings. One is the appointment between the signing object and the signing doctor, which is called the first appointment; Second, the contracted doctor or contracted institution makes an appointment for diagnosis and treatment in the superior medical institution instead of the patient, which is called referral appointment. The referral module includes up referral (outpatient referral, emergency referral, examination referral, inpatient referral), down referral, rehabilitation referral and discharge referral.

通過分級(jí)診療信息化系統(tǒng)的模塊設(shè)計(jì)，將區(qū)域內(nèi)的醫(yī)療資源統(tǒng)籌管理起來，便于資源的集中發(fā)布、分配、調(diào)劑。在此區(qū)域范圍內(nèi)的各級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)可以實(shí)時(shí)查詢、申請(qǐng)各類資源，管理和安排簽約對(duì)象的就醫(yī)行為，在各級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)間形成一個(gè)疾病診療的閉環(huán)，提高疾病診療的精準(zhǔn)度。

Through the module design of hierarchical diagnosis and treatment information system, the medical resources in the region are managed as a whole, which is convenient for the centralized release, distribution and adjustment of resources. Medical and health institutions at all levels in this region can query and apply for various resources in real time, manage and arrange the medical treatment behavior of the contracted objects, form a closed loop of disease diagnosis and treatment among medical and health institutions at all levels, and improve the accuracy of disease diagnosis and treatment.

信息化系統(tǒng)也是一個(gè)與公眾互動(dòng)的平臺(tái)。以網(wǎng)站、移動(dòng)客戶端（APP）形式面向居民提供就診、用藥、檢驗(yàn)檢查報(bào)告、健康檔案等信息的查詢；提供分時(shí)段預(yù)約掛號(hào)服務(wù)，簽約居民可以與全科醫(yī)生互動(dòng)溝通，并提供健康教育、調(diào)查問卷等服務(wù)；居民可實(shí)時(shí)查閱個(gè)人首診預(yù)約和轉(zhuǎn)診預(yù)約情況，網(wǎng)上變更、取消預(yù)約信息。

Information system is also a platform for interaction with the public. Provide residents with queries on medical treatment, medication, inspection reports, health files and other information in the form of website and mobile client (APP); Provide appointment and registration services at different times, and the contracted residents can interact with the general practitioner, and provide health education, questionnaire and other services; Residents can check the personal first visit appointment and referral appointment in real time, and change and cancel the appointment information online.

充分利用已有的綜合管理平臺(tái)，避免重復(fù)建設(shè)；要充分考慮分級(jí)診療工作考核指標(biāo)的設(shè)計(jì)，根據(jù)考核指標(biāo)明確需要收集的量化數(shù)據(jù)。浙江省省級(jí)層面設(shè)計(jì)的指導(dǎo)性考核指標(biāo)有簽約率、簽約知曉率、簽約醫(yī)生知曉率、簽約醫(yī)生就診率、預(yù)約門診率、預(yù)約到診率、預(yù)約轉(zhuǎn)診率等，各地再根據(jù)階段性工作重點(diǎn)，有選擇性地設(shè)置考核指標(biāo)。

Make full use of the existing comprehensive management platform to avoid repeated construction; We should fully consider the design of assessment indicators for graded diagnosis and treatment, and clarify the quantitative data to be collected according to the assessment indicators. The guiding assessment indicators designed at the provincial level of Zhejiang province include signing rate, signing awareness rate, signing doctor awareness rate, signing doctor treatment rate, appointment outpatient rate, appointment arrival rate, appointment referral rate, etc. all localities will set assessment indicators selectively according to the phased work priorities.

有了這些指標(biāo)，醫(yī)療衛(wèi)生機(jī)構(gòu)內(nèi)部可以對(duì)簽約、首診、轉(zhuǎn)診進(jìn)行分析監(jiān)管，衛(wèi)生行政部門也可以對(duì)下屬醫(yī)療衛(wèi)生機(jī)構(gòu)進(jìn)行有效監(jiān)督管理，并為機(jī)構(gòu)、科室和個(gè)人的績(jī)效考核提供科學(xué)、翔實(shí)、連續(xù)的電子數(shù)據(jù)。構(gòu)建F-B-D（家庭-機(jī)構(gòu)-醫(yī)生） 三者連通的診療醫(yī)療服務(wù)平臺(tái)

With these indicators, the medical and health institutions can analyze and supervise the signing, first diagnosis and referral, and the health administrative department can also effectively supervise and manage the subordinate medical and health institutions, and provide scientific, detailed and continuous electronic data for the performance evaluation of institutions, departments and individuals. Build a diagnosis, treatment and medical service platform connected by f-b-d (family, institution and doctor)