通过临床决策支持服务提供全国性的慢性疾病管理解决方案:软件开发和现实生活实施报告
Mustafa Mahir Ulgu1, Gokce Banu Laleci Erturkmen2, Mustafa Yuksel2
1Ministry of Health Turkey, Ankara, Turkey.
JMIR medical informatics
|January 19, 2024
概括
土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其 土耳其
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 由于人口老龄化和慢性疾病,对医疗保健服务的需求不断增加.
- 需要以人为中心的综合护理模式,用于慢性疾病管理.
- 土耳其卫生部倡议实施综合医疗保健模式.
研究的目的:
- 介绍国家疾病管理平台 (DMP) 的设计,开发和全国实施.
- 解决互操作性,临床工作流集成和用户友好性方面的挑战.
- 展示平台的可扩展性,性能和适应性.
主要方法:
- 综合护理解决方案,利用临床决策支持服务.
- 遵守基于证据的临床指南进行查和管理.
- 使用国际标准 (HL7 FHIR) 集成到现有的医疗IT系统.
- 共同创作策略用于开发疾病模块并确保易用性.
- 在负载下提供高性能的水平可扩展性.
主要成果:
- 截至2023年9月,全国范围内实施,为25568名卫生专业人员和16058904名公民提供服务.
- 促进了73,715,269次患者接触,用于慢性疾病查和监测.
- 诊断出3,545,573人患有肥胖,534,423人患有高心血管风险,490,346人患有糖尿病,144,768人患有高血压.
结论:
- DMP向成千上万的从业者展示了横向的可扩展性和高效的服务提供.
- 与现有医疗IT解决方案的无互操作性,以及与临床工作流程的整合.
- 通过与护理点的电子健康记录系统集成,最大限度地支持基于证据的决策.
- 由于国际标准,可适应在其他区域和国家环境中部署.
- 自2020年1月起开始运营,在全国范围内有效协调慢性疾病管理.
关键词:
慢性疾病是一种慢性疾病.慢性疾病管理 慢性疾病管理临床决定是临床决定.临床决策支持服务.决策支持提供了决策支持.诊断 诊断 诊断 诊断 诊断 诊断疾病管理 疾病管理基于证据的医学是基于证据的医学.实施实施实施实施实施.综合护理是一项综合护理.互操作性互操作性互操作性的互操作性管理的管理管理的管理.医学 医学 医学 医学 医学这是一个以医生为中心的医生.风险评估 风险评估 风险评估支持支持支持支持支持追踪 追踪 追踪 追踪更多相关视频
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