Volume 19 Issue 2
Feb.  2021
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WANG Hai-li, CHEN Jing-jing, PENG Ying-chun. Application of comprehensive remote diagnosis and treatment mode in community health service in mountainous area of northern Beijing[J]. Chinese Journal of General Practice, 2021, 19(2): 263-265, 315. doi: 10.16766/j.cnki.issn.1674-4152.001783
Citation: WANG Hai-li, CHEN Jing-jing, PENG Ying-chun. Application of comprehensive remote diagnosis and treatment mode in community health service in mountainous area of northern Beijing[J]. Chinese Journal of General Practice, 2021, 19(2): 263-265, 315. doi: 10.16766/j.cnki.issn.1674-4152.001783

Application of comprehensive remote diagnosis and treatment mode in community health service in mountainous area of northern Beijing

doi: 10.16766/j.cnki.issn.1674-4152.001783
Funds:

 首发2018-3P-7141

 2019-A-002

 SM202010025006

  • Received Date: 2020-09-27
    Available Online: 2022-02-19
  •   Objective  To understand the effect of comprehensive remote diagnosis and treatment mode on alleviating the waste of medical resources, inadequate implementation of family doctor contract services, the role of poor equity in medical services and the problems existing in the existing practice in the mountainous area of northern Beijing, and to analyze the existing problems and put forward suggestions for improvement.  Methods  Relying on the information system, remote diagnosis and treatment, charging and data transmission are completed. The completion of work quantity, expenditure, work quality and residents' satisfaction of Bamudi village community health service center in LIULIMIAO Town, Huairou District, Beijing from 2014 to 2019 were collected. The differences before and after the comprehensive diagnosis and treatment mode were comparative analyzed.  Results  After the application of comprehensive remote diagnosis and treatment mode, the number of health records, the number of family doctors signing contracts, the number of elderly people, hypertension and diabetes patients health management increased by 100.28%, 180.09%, 229.88%, 150.00% and 190.00%, personnel expenditure and office expenditure decreased by 71.40% and 72.14%, respectively. Compared with 2014, the growth rates in 2019 of the medical ethics, diagnosis and treatment ability, drug allocation, family doctor contract satisfaction score increased by 5.23%, 17.52%, 9.64% and 10.25% respectively. Health records integrity, hypertension, diabetes standardized management rate and other quality indicators had improved to varying degrees.  Conclusion  Application of comprehensive remote diagnosis and treatment mode under the premise of ensuring the quality of service can effectively strengthen the relationship between family doctors and contract residents, improve the performance of family doctors' contracted services, reduce the human cost of primary medical and health service institutions, and improve the service efficiency of primary health service institutions in mountainous areas. It provides a new idea to promote the balanced development of urban and rural basic medical and health services.

     

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