省-县两级医疗机构骨科远程会诊分析△

An analysis on orthopedic teleconsultation between provincial- county medical institutions

摘要:

［目的］对广东省第二人民医院骨科远程医学中心的骨科远程会诊模式进行总结。［方法］通过信息技术对数据进行采集、归类与整理，对本中心 2018 年 1 月—2021 年 3 月 749 例骨科远程会诊病例进行描述与分析。［结果］在由基层医院申请的 524 例远程会诊中，以阳山县人民医院及德庆县人民医院申请会诊病例分占第一、二位，分别为 232 例和 178 例。创伤与关节病例分占第一、二位，分别为 241 例和 155 例。会诊结果主要为手术指导，达 426 例。本中心进行远程授课 225 例，其中以关节和创伤病例分占第一、二位，分别为 104 例和 77 例。［结论］本中心开展的骨科远程会诊具有专业性强、亚专科覆盖广及手术指导为主等特点，为解决医疗资源分布不均提供了一种可行模式。

Abstract:

[Objective] To summarize the teleconsultation service of the Department of Orthopaedics, The Second General Hospital of Guangdong Province. [Methods] As data were collected, classified and organized by information technology, 749 cases of orthopedic tele- consultation from January 2018 to March 2021 were described and analyzed. [Results] Among the 524 cases of teleconsultation applied by the primary hospitals, the Yangshan People's Hospital and the Deqing People’s Hospital were the first and second in number, involving 232 cases and 178 cases respectively. In term of specialty, the orthopaedic trauma and joint disorder were the first and second in number, involv- ing 241 cases and 155 cases respectively. The main result of the consultation was surgical guidance, reaching 426 cases. In addition, teleeducation on orthopaedics were conducted for 225 times, including 104 times on joint surgery and 77 times on trauma surgery. [Conclusion] The teleconsultation conducted by our department has obvious professional characteristics with wide coverage of sub- specialties, which provides a feasible model for solving the uneven distribution of medical resources.