基于医联体工作模式下区域化审方工作开展的思考与研究——以上海市金山区为例

Thinking and Research of Regional Party Prescription Examination Based on the Working Mode of Medical Association——A Case Study of Jinshan District, Shanghai

关键词:  医联体  区域审方中心  信息化平台  处方审核

Key words:  medical association  regional prescription examination center  information platform  prescription audit

摘要:

目的 了解金山区医联体工作和审方工作的开展现状，探索构建金山区区域审方中心的思路设计和工作开展模式。方法 通过对金山区医联体工作模式下的审方工作开展深入调查研究，结合面对面访谈、文献研究等方法，探索区域审方中心的构建框架和工作模式。结果 金山区目前形成了市区三级医院-区域医疗中心-基层医疗机构的三级联动机制，为医联体下区域审方中心的开展建立了较好的工作基础，区域性审方中心的建立在国内多个地方都开展了探索和尝试，在提高审方工作方面发挥了明显的作用，金山区三级联动的医联体工作模式能为区域审方工作提供更好的工作基础和更畅通的上下联动机制。结论 探索通过依托三级综合医院-区域医疗中心-基层医疗机构的三级联动体系，建立金山区区域审方中心具有现实意义和价值，基于医联体下的区域审方中心的构建将能保证区域内每家医疗机构的处方、医嘱得到监管，切实有效加强区域医疗质量，保障患者用药安全。

Abstract:

OBJECTIVE To understand the current situation of medical association work and prescription examination work in Jinshan District, and to explore the train of thought design and work development mode of constructing regional prescription examination center in Jinshan District. METHODS Through in-depth investigation and research on prescription examination work under the working mode of medical association in Jinshan District, combined with face-to-face interviews, literature research and other methods, this paper explored the construction framework and working mode of regional prescription examination center. RESULTS Jinshan District had formed a three-level linkage mechanism of urban tertiary hospitals-regional medical centers-basic medical institutions, which had established a good working foundation for the development of regional prescription examination centers under the medical association. The establishment of regional prescription examination centers had been explored and tried in many places in China, which played an obvious role in improving the prescription examination work. The three-level linkage medical association working mode in Jinshan District could provide a better working foundation and a smoother linkage mechanism for regional prescription examination work. CONCLUSION It has practical significance and value to explore the establishment of regional prescription examination center in Jinshan District by relying on the three-level linkage system of tertiary general hospitals-regional medical centers-basic medical institutions. The construction of regional prescription examination center based on medical association will ensure the supervision of prescriptions and doctor's orders of every medical institution in the region, effectively strengthen regional medical quality and ensure the safety of patients' medication.