关键词: 结核, 疾病管理, 集成高级信息管理系统, 结果评价(卫生保健)

Abstract:

Linking up the hospital information system (HIS) in the Infectious Disease Hospital of Changchun with the data from the local network of designated hospitals at the county and district levels under its jurisdiction, and forming the Integrated Medical Service “Changchun Tuberculosis Designated Hospital Information Management Platform”, so as to realize the information digitalization of tuberculosis patients’discovery, management, treatment and prognosis in Changchun area, and to improve the speed of tuberculosis prevention and control mode. In 2018, we started to design and set up the data center of the municipal management platform in the city-level designated hospitals (Changchun Infectious Disease Hospital), set up the application service and the database service, and get the basic information of patients directly from the hospital’s HIS system, at the same time, through the application (APP)+WeChat client, we can receive the data of 11 local area networks of the drug-resistant outpatient clinic and each county/district anti-drug clinic in real time. Establish VPN channel, link up with provincial system platform to verify real-time national data and grasp the statistical changes of epidemic situation in our city. Through this platform, 11 departments, including county-level TB clinics and drug-resistant outpatient clinics, can obtain the complete diagnosis and treatment data of patients in designated hospitals at the municipal level in their jurisdiction in real-time, and complete the management of follow-up precise treatment. In December 2018, the Changchun Tuberculosis Designated Hospital Information Management Platform was established, and in April 2019, it was connected with the hospital area network through HIS system port and PC port, automatic storage of basic information, diagnosis and treatment of tuberculosis patients (common and drug-resistant patients) found in inpatient and out-patient departments of infectious diseases hospitals in Changchun. In September 2019, the VPN channel was successfully connected with the lower-level drug-resistant outpatient clinic, and the doctors of the drug-resistant outpatient clinic could grasp the basic and clinical information of the new drug-resistant patients and the patients with drug-resistant in the follow-up visit in real time by using the database, reducing the time and cost of inclusion and improving the accuracy of treatment.

Key words: Tuberculosis, Disease management, Integrated advanced information management systems, Outcome assessment (health care)