Huang Lihua, Jiang Lan, Xu Yiming, Ma Yanhong
Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Neurosci. 2023 Feb 15;17:1100681. doi: 10.3389/fnins.2023.1100681. eCollection 2023.
With the aging of the population, the prevalence and incidence of stroke in China are increasing every year. China advocates the establishment of a three-level medical service system for stroke rehabilitation, but it lacks uniform information management among all levels of medical institutions.
To achieve unified management of stroke patient rehabilitation in multilevel hospitals in the region through informatization construction.
The need for informatization of three-level stroke rehabilitation management was analyzed. Then, network connections were established, and a common rehabilitation information management system (RIMS) was developed for all levels of hospitals to enable daily stroke rehabilitation management, inter-hospitals referral, and remote video consultation. Finally, the impact on the efficiency of daily rehabilitation work, the functioning and satisfaction of stroke patients were investigated after implementing the three-level rehabilitation network.
One year after implementation, 338 two-way referrals and 56 remote consultations were completed using RIMS. The stroke RIMS improved the efficiency of doctors' orders, reduced therapists' time to write medical documents, simplified statistical analysis of data and made referrals and remote consultations more convenient compared to the traditional model. The curative effect of stroke patients managed by RIMS is better than that of traditional management. Patient satisfaction with rehabilitation services in the region has increased.
The three-level stroke rehabilitation informatization has enabled the unified management of stroke rehabilitation in multilevel hospitals in the region. The developed RIMS improved the efficiency of daily work, improved the clinical outcomes of stroke patients, and increased patient satisfaction.
随着人口老龄化，中国脑卒中的患病率和发病率逐年上升。中国倡导建立脑卒中康复三级医疗服务体系，但各级医疗机构之间缺乏统一的信息管理。
通过信息化建设实现区域内多级医院脑卒中患者康复的统一管理。
分析三级脑卒中康复管理的信息化需求。然后，建立网络连接，为各级医院开发通用的康复信息管理系统（RIMS），以实现日常脑卒中康复管理、医院间转诊和远程视频会诊。最后，在实施三级康复网络后，调查其对日常康复工作效率、脑卒中患者功能及满意度的影响。
实施一年后，使用RIMS完成了338次双向转诊和56次远程会诊。与传统模式相比，脑卒中RIMS提高了医嘱效率，减少了治疗师书写医疗文件的时间，简化了数据统计分析，使转诊和远程会诊更加便捷。由RIMS管理的脑卒中患者的疗效优于传统管理。该地区患者对康复服务的满意度有所提高。
三级脑卒中康复信息化实现了区域内多级医院脑卒中康复的统一管理。所开发的RIMS提高了日常工作效率，改善了脑卒中患者的临床结局，并提高了患者满意度。
