新型冠状病毒肺炎(COVID-19)疫情下,做好数据采集应用工作,直接关系地区疫情防控和医院患者救治成效,更是提升医院治理能力的重要一环.笔者总结了浙江大学医学院附属第一医院(以下简称"浙大一院")数据采集与应用实践探索,结合此次疫情特点,建立完善4个工作机制、科学制定信息报送流程、加快以数据信息为基础的研究成果推广应用,既有效保障了数据采集质量和信息报送及时、准确,又为统一调配疫情防控应急物资保障和总结新冠肺炎患者医疗救治经验提供支撑;此外,对重大紧急信息报送与应用也提出了一些思考,供同行借鉴和探讨.

December 2019 witnessed the outbreak of COVID-19 in Wuhan and spread of the epidemic across the country. As a provincial designated hospital for critical patients, the First Affiliated Hospital of Zhejiang University responded rapidly since then by advocating the four-concentration principles, namely " concentrating patients, experts, resources and treatment" . In its rescue of critical patients, the hospital formulated comprehensive emergency plans, optimized hospital-wide resources, effectively arranged rescue spacing, established medical echelons, and implemented multi-disciplinary strategy. These efforts ensured efficient rescue and treatment, achieving a cure rate up to 98.7% of such patients, with no deaths.

Multi-disciplinary team(MDT) is a new mode of medical diagnosis and treatment service. Multidisciplinary discussion could provide patients with a scientific, standardized and effective individualized diagnosis and treatment plan to avoid over-treatment. This article is based on the application experience of the MDT information management platform designed by the First Affiliated Hospital of Zhejiang University during the past five years. It discussed how to build a MDT management system which could fit the medical environment of large general hospitals in China. The MDT management system simplifies the MDT process, improves the efficiency of MDT work, and enhances the overall medical quality of hospitals. Meanwhile, it also contributes to strengthen the disciplinary collaboration in such aspects as disease diagnosis and treatment, personnel training, and scientific research innovation, ultimately forming a new multi-disciplinary collaboration system in hospitals. Key words: Hopsitals; Multi-disciplinary team; Information management platform; Service mode; Medical quality

日间手术是源于欧美国家的一种能在24h内完善手术全部流程,并达到出院标准的快速手术模式.其对于降低住院时间、降低平均住院费用等方面具有天然优势.虽然近年来日间手术取得了很大进展,但仍需进一步完善.

“互联网+”的经济实质是一种资源优化配置的机制,通过发挥互联网在生产要素配置中的优化和集成作用,提升实体经济的创新力和生产力.近年来,随着互联网技术的飞速发展,对传统医疗行业各个环节进一步渗透,医疗信息水平得到不断提高,使医疗服务行业发生了日新月异的变化.本文以患者就医体验为线索,阐述和记录互联网对于传统医疗服务行业带来的改变,通过对医疗“互联网化”以及患者满意度调查、整体就诊时间改变的分析,探索互联网对于未来医疗服务行业发展趋势的影响.

The First Affiliated Hospital of Zhejiang University founded an online hospital campus leveraging the Internet-plus environment. Supported by the offline hospital, this campus made full use of Internet features and advantages in its attempts to optimize the distribution of medical resources,to improve the accessibility of medical service, to reduce medical costs, and to expand the service coverage among others. Meanwhile,this online system, via interconnection with the hospital′s HIS system, achieved online medical insurance payment,prescriptions checking and drug delivery service.