中国罕见病分级诊疗体系建设中的信息化系统考量

Informatics Consideration on the Hierarchical System of Rare Diseases Clinical Care in China

  • 摘要: 中国罕见病诊疗资源严重不均衡,基层诊疗能力弱,患者确诊时周期长,漏诊误诊率高,因此建设分级诊疗体系是提升中国罕见病诊疗水平的必由之路。当前国内罕见病分级诊疗体系的落地实施仍面临基层医疗机构转诊标准及流程不明确、各级机构信息交互不畅等诸多挑战,因此高水平信息化建设赋能罕见病分级诊疗势在必行。本文探讨了通过信息化搭建多学科联合远程诊疗平台和健康管理平台,为罕见病患者打造数字诊疗服务和健康随访管理两条闭环,从而实现对患者的及时诊断与终身健康管理;整合优化辅助诊断工具,推动罕见病诊疗经验向基层快速推广,提高分级诊疗体系的信息化建设水平,着力破解基层医疗机构罕见病诊疗能力弱的现实困境。此外,本文提出了多维度自主创新引领普及高效优质罕见病诊疗服务的重要途径,包括创新罕见病诊疗协作网及多学科诊疗模式、推动最新生物医学及信息学技术下沉基层、建设国家级罕见病创新智能数据平台等,创建具有中国特色的罕见病服务新模式,将极大地提升中国罕见病医疗水平,为患者谋得更多福祉。

     

    Abstract: The diagnosis and treatment resources for rare diseases in China are highly imbalanced. The basic diagnosis and treatment capabilities are weak, the diagnosis period for patients is long, and the rates of missed diagnosis and misdiagnosis are relatively high. The establishment of a hierarchical diagnosis and treatment system is the inevitable approach to enhancing the diagnosis and treatment standards of rare diseases. Currently, the implementation of the domestic hierarchical diagnosis and treatment system for rare diseases still confronts numerous challenges, such as ambiguous referral standards and processes of primary medical institutions, and ineffective information interaction among institutions at all levels. Thus, it is essential to facilitate high-level information construction for the hierarchical diagnosis and treatment of rare diseases. This paper explores the process of constructing a multidisciplinary joint remote diagnosis and treatment platform and a health management platform through informatization, with the hope of establishing two closed loops of digital diagnosis and treatment services and health follow-up management for patients with rare diseases, as well as achieving timely diagnosis and lifelong health management for patients. It integrates and optimizes auxiliary diagnostic tools, promotes the rapid dissemination of rare disease diagnosis and treatment experiences to the grassroots, enhances the information construction level of the hierarchical diagnosis and treatment system, and endeavors to address the practical predicament of weak diagnosis and treatment capabilities of rare diseases in grassroots medical institutions. Additionally, this paper proposes an essential approach for multi-dimensional independent innovation to guide the popularization of efficient and high-quality rare disease diagnosis and treatment services. By encompassing innovating the rare disease diagnosis and treatment collaboration network and multidisciplinary diagnosis and treatment model, facilitating the application of the latest biomedical and informatics technologies to the grassroots, and constructing a national intelligent data platform for rare disease innovation, a new model for rare disease services with Chinese characteristics will be established. This will significantly enhance the medical treatment level of rare diseases in China and strive for more benefits for patients.

     

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