本文介绍了医疗卫生行业与互联网跨界融合新型医疗服务模式的探索方案.通过结合天津市糖尿病移动医疗管理服务模式建设及应用研究课题实施案例,解析在医疗卫生行业与互联网企业跨界融合的过程中,医院作为实施主体,如何构建基层首诊、分级诊疗、双向转诊模式以实现国家医疗改革目标;如何利用互联网平台实现慢病管理;如何通过信息化业务流程改造改善医疗服务提高患者就医体验等问题,并通过探索建立新型医疗服务模式使之解决成为可能.

Objective To evaluate the iodine nutritional status of university students in Tianjin and analyze influencing factors affecting urinary iodine levels.Methods Students of Tianjin Medical University,Tianjin Nankai University,Tianjin University of Finance and Economics and Tianjin University of Traditional Chinese Medicine were selected as survey subjects,and 50 - 100 morning urinary samples were collected from each university,respectively.Urinary iodine was measured by arsenic-cerium catalytic spectrophotometry.The students were surveyed with questionnaires,which included family information,age, sex, specialty, iodine nutrition knowledge,source of drinking water,smoking or not and dietary habits.Results A total of 269 urine samples were collected,and the median urinary iodine was 213.68 μg/L.Urinary iodine levels(263.86 μg/L) of medical students was significantly higher than that( 168.01 μg/L,x2 =12.144,P ＜ 0.01 ) of non-medical students.There was an increasing trend of the level of urinary iodine of students with iodine nutrition knowledge scores ＞ 5 points (223.70 μg/L) over that of ≤5 points( 185.56 μg/L),but the difference was not significantly different statistically (x2 =2.297,P ＞ 0.05).Different gender and water sources had no significant effect on urinary iodine level(x2 =0.002,0.687,respectively,all P ＞ 0.05).Smokers urinary iodine levels( 154.55 μg/L) decreased compared with non-smokers(215.38 μg/L),but the difference was not statistically significant (x2 =0.515,P＞ 0.05).Vegetarian urinary iodine levels were lower than that of non-vegetarians,but the difference was not statistically significant(x2 =0.594,P ＞ 0.05).Conclusions Iodine nutritional status of students in university of Tianjin are generally at an appropriate level,but professional knowledge,habits and other factors may affect the intake of iodine,so students should develop good dietary habits to ensure a normal iodine nutrition status.