基于移动互联网眼底成像的糖尿病眼底病变防控模式与实践研究

发布时间：2018-02-26 05:08

本文关键词： 数字化区域卫生医疗协同服务模型移动互联手持眼底镜糖尿病眼底病变筛查慢性非传染性疾病防控　出处：《中国数字医学》2016年11期 　论文类型：期刊论文

【摘要】：目的:为基层社区、远程专科机构和团队共同对辖区糖尿病患者眼底病变开展筛查提供技术支持,提升重大慢性非传染性疾病防控能力。方法:设计一个可用于防控某单种重大慢性非传染性疾病、具有业务-信息-金融互流,以及价值共赢的流程图;选出20名拟预试对象,采用手持眼底镜对其眼底部进行拍照,再通过协同服务平台将所采集图片远程传送到异地的专科机构和团队进行研读;对居民现场询问或活动结束一周随访,进一步筛查分析。结果:入选的20名拟预试对象中,17名接受并参与了预试,其中8名发现有眼底病变,且当中1名伴有疑似眼底渗血征。结论:通过手持眼底镜和互联移动操作平台卫生医疗协同服务,开展区域防控居民糖尿病眼底病变筛查结合健康教育,可构建区域卫生医疗协同共赢服务模式,有助于提升重大慢性非传染性疾病防控能力。
[Abstract]:Objective: to provide technical support for the screening of fundus disease of diabetic patients in primary communities, remote specialized institutions and teams. Methods: to design a flowchart that can be used to prevent and control a single major chronic non-communicable disease with business-information-financial flow and win-win value. The bottom of the eye was photographed with a hand-held fundus mirror, and the images were sent remotely to the specialized institutions and teams in different places through the collaborative service platform. The residents were followed up for one week after the scene inquiry or the end of the activity. Further screening analysis. Results: of the 20 prospective subjects, 17 received and participated in the pre-test, of which 8 found fundus lesions. Conclusion: through hand-held ophthalmoscope and mobile operation platform health and medical cooperation services, regional prevention and control of diabetic fundus disease screening combined with health education. This model can help to improve the ability of prevention and control of major chronic non-communicable diseases.
【作者单位】：东莞广州中医药大学中医药数理工程研究院;广州中医药大学;东莞麻涌镇社区卫生服务中心;东莞市卫生信息统计中心;广州市第八人民医院;广州中医药大学中医药数理工程研究院;炎黄东方(北京)健康科技有限公司;中山大学中山医学院;
【基金】：国家863计划课题(编号:2013AA020418) “十二五”国家科技支撑计划课题(编号:2012BAI41B02) 广东省科技计划项目(编号:2012A080205001) 广东省前沿与关键技术创新专项(编号:2014B010118003,2015B010106008)~~
【分类号】：R587.2;R771.3

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