多方聚力:探索“互联网+医疗健康”发展,提高县级医院服务能力

2019-03-11 不详 美通社

3月9日,为推进实施健康中国战略,提升基层医疗服务能力和效率,满足人民群众日益增长的医疗卫生健康需求,努力实现“大病不出县域”的目标,3月9日,由中国心血管健康联盟、中国县域院长联盟、杰凯心血管健康基金会、39 互联网医院携手打造,辉瑞中国支持的“县域医院远程帮扶心血管能力提升项目”举行启动仪式,五方就县域医院远程帮扶缔结战略合作。我国多位心血管领域领军专家出席启动仪式。县域医院远程帮扶战略合

3月9日,为推进实施健康中国战略,提升基层医疗服务能力和效率,满足人民群众日益增长的医疗卫生健康需求,努力实现“大病不出县域”的目标,3月9日,由中国血管健康联盟、中国县域院长联盟、杰凯血管健康基金会、39 互联网医院携手打造,辉瑞中国支持的“县域医院远程帮扶心血管能力提升项目”举行启动仪式,五方就县域医院远程帮扶缔结战略合作。我国多位心血管领域领军专家出席启动仪式。

县域医院远程帮扶战略合作签约仪式

心血管疾病是严重威胁我国居民健康的一大类疾病。根据《中国心血管病报告2017》数据显示,目前心血管病死亡占城乡居民总死亡原因的首位,农村为45.01%,城市为42.61%。县域心血管病的疾病负担日渐加重,已成为重大的公共卫生问题。3月8日,国家卫生健康委主任马晓伟在“部长通道”回答记者提问时表示,落实分级诊疗的重点方向和工作之一,是要以县级医院为抓手,把县级医院放到优先发展的地位,让县医院一些重点学科,比如在肿瘤、心脑血管、神经内外科、普通外科、急诊方面,达到一定的水平,使90%的疾病都能在县域内得到解决;还要发展“互联网+医疗健康”,推进远程医疗,为人民群众提供更加便利的医疗服务。

2018 年4月28日,国务院办公厅发布《关于促进“互联网+医疗健康”发展的意见》,要求加强“互联网+”医学教育和科普服务。鼓励建立医疗健康教育培训云平台,提供多样化的医学在线课程和医学教育。构建网络化、数字化、个性化、终身化的医学教育培训体系,鼓励医疗工作者开展疑难杂症及重大疾病案列探讨交流,提升业务素质。实施“继续医学教育+适宜技术推广”行动,重点针对基层和县域,通过远程教育手段,推广普及实用型适宜技术。“县域医院远程帮扶心血管能力提升项目”正是在这个背景下应运而生。

线上线下紧密结合是“互联网+医疗健康”落实到位的关键

在刚刚发布的政府工作报告中,明确指出要“加快建立远程医疗服务体系,加强基层医护人员培养”,“务必让基层群众受益”。

中国心血管健康联盟副主席、心血管健康(苏州工业园区)研究院院长、北京大学第一医院霍勇教授致辞

“只有不同地区医疗机构达到同质化、高水平的目标,才能让百姓得到安全、有效、可及的医疗服务。但是目前我国县级医院普遍面临着硬件强但软件弱、有目标但缺方法、优质医疗资源需求大但资源少、患者同质化但难一体的现状。”为此,中国心血管健康联盟副主席、心血管健康(苏州工业园区)研究院院长、北京大学第一医院霍勇教授作为全国政协委员在今年两会上提交议案,建议地方各级卫生行政部门应推动县级医院“互联网+医疗健康”提升医疗服务考核办法;各专业学会建立“互联网+医疗健康”组和医疗、技术规范;鼓励第三方平台参与医疗机构“互联网+医疗健康”建设,切实提高水平。

霍勇教授指出,我国地幅辽阔,心血管患者人数众多,各地区医疗水平发展极不均衡,但是,大医院给县级医院广泛地配以长期常态化优质专家是难以达到的。发展“互联网+医疗健康”是大势所趋,而线上线下紧密结合是“互联网+医疗健康”切实落实的关键。线上线下结合在帮扶县级医院可以带来系列成果,包括科室医疗服务能力提升、申请市级省级等重点学科、加入国家项目比如胸痛中心、参加临床协作组成员单位、引进填补本地区空白的先进医疗技术等,最终实现基层医院诊断及治疗符合率不断提升,让老百姓能够在家门口就能看得上病、看得起病、看得好病。

北京医院心内科主任医师汪芳教授致辞

北京医院心内科主任医师汪芳教授在介绍远程心血管能力提升项目时表示,县级医院肩负广大基层百姓日常首诊、转诊和长期治疗的重任,是做好以心脑血管疾病为主的慢性非传染性疾病防治工作、保障居民健康的“守门人”。通过“互联网+医疗健康”远程平台,对基层县域医院提供心血管顶级专家支持的一对一远程帮扶指导,将有助于提升县域心血管专科医生的临床能力,改善基层心脑血管疾病的防治水平。更多的社会力量应共同参与到“互联网+医疗健康”发展建设中,打造线上线下结合平台,探索院前院中院后全覆盖网络,高效应用有限的优质医疗资源,提高县级医疗服务水平,助力我国心血管拐点的早日到来。

多方聚力 共促“大病不出县”目标早日实现

辉瑞成熟药品业务(Pfizer Upjohn)中国区总经理吴锋先生致辞

辉瑞成熟药品业务(Pfizer Upjohn)中国区总经理吴锋先生表示,辉瑞始终把“携手共创 健康中国”作为在华的使命,致力于“成为中国医疗卫生体系的重要组成部分”,承诺并积极参与促进中国医疗卫生事业的发展和提高人民健康水平。辉瑞中国更加致力于对于基层医疗的发展与投入,包括支持县域CVD(心血管病)管理能力提升的“拐点在县”,提高基层药物可及性的“惠民万家”等。此次“县域医院远程帮扶心血管能力提升项目”的启动正是辉瑞积极响应国家医改“强基层”的政策号召、助力健康中国战略、推进“拐点在县”县域能力建设的又一有力证明。

39互联网医院董事长王伟先生致辞

39互联网医院董事长王伟先生介绍,39互联网医院是专业的“移动互联网+实地”专科建设平台,运营以互联网+专科建设模式为核心,以系统化(内容)、立体化(线上线下结合、院前院中院后结合)和常态化为特点落实执行,遵循“互联网医疗的本质还是医疗”的理念,促进优质医疗资源切实下沉到县市基层医院,使基层老百姓享受到优质的同质化医疗服务。

现场,霍勇教授和汪芳教授还共同与基层医院进行远程连线帮扶指导,和基层心血管科室医生开展互动交流。

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