Shimakami Tetsuro, Kaneko Shuichi
Department of Gastroenterology, Kanazawa University Hospital, Ishikawa, Japan.
Glob Health Med. 2021 Oct 31;3(5):314-320. doi: 10.35772/ghm.2021.01061.
In Ishikawa Prefecture, Japan, the regional core center for hepatitis care coordination (Kanazawa University Hospital, the only regional core center in the prefecture) conducts follow-ups with people who tested positive for viral hepatitis at screenings organized primarily by municipal governments. This program, called the Ishikawa Hepatitis Follow-up Program, has been operating since 2010. The regional core center has conventionally verified the status of program participants using a paper-based system of "examination letters" which specialized institutes mail to the regional core center when a program participant visits a physician there. However, only a low 40% to 50% of examination letters were returned to the regional core center. The program is now using the information and communication technology tool ID-Link to help the regional core center participate in care and provide support through mutual sharing of clinical information with specialized institutes. Currently, 1,632 of the 3,202 people who had tested positive for hepatitis testing since 2002 have consented to participate in the Ishikawa Hepatitis Follow-up Program, and as of the end of March 2021, information about 132 among those 1,632 people is being shared between specialized institutes and the regional core center using ID-link. Sharing of clinical information between the regional core center and specialized institutes enabled by ID-Link provided a more accurate picture of how many people who tested positive for viral hepatitis had visited a specialized institute compared with the previous paper-based system of examination letters, making follow-up more efficient.
在日本石川县，肝炎护理协调区域核心中心（金泽大学医院，该县唯一的区域核心中心）对主要由市政府组织的筛查中病毒肝炎检测呈阳性的人员进行随访。这个项目名为石川县肝炎随访项目，自2010年起开始运作。该区域核心中心传统上使用基于纸质的“检查信函”系统来核实项目参与者的情况，当项目参与者前往专业机构就诊时，专业机构会将检查信函邮寄给区域核心中心。然而，只有40%至50%的检查信函被返还至区域核心中心。该项目目前正在使用信息通信技术工具ID-Link，以帮助区域核心中心参与护理，并通过与专业机构相互共享临床信息来提供支持。自2002年以来，在3202名肝炎检测呈阳性的人员中，有1632人同意参与石川县肝炎随访项目，截至2021年3月底，这1632人中的132人的信息正在通过ID-Link在专业机构和区域核心中心之间共享。与之前基于纸质的检查信函系统相比，ID-Link实现的区域核心中心与专业机构之间的临床信息共享，能更准确地了解病毒肝炎检测呈阳性的人员中有多少人前往了专业机构就诊，从而使随访工作更高效。
