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扫描并分享以登记印度门诊患者。

Scan and share to register outpatients, India.

作者信息

Neogi Sutapa B, Pagaria Vikram, Dutta Sharbari, Bele Nishikant, Yadav Prateeksha, Samtani Ratika

机构信息

International Institute of Health Management Research, Phase 2, Plot No 3, Sector 18A, Dwarka, New Delhi, 10075, India.

National Health Authority, Janpath, Connaught Place, New Delhi,110001, India.

出版信息

Bull World Health Organ. 2025 Feb 1;103(2):164-169. doi: 10.2471/BLT.24.292828. Epub 2024 Dec 3.

DOI:10.2471/BLT.24.292828
PMID:39882498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11774221/
Abstract

PROBLEM

To address the long waiting times patients incur when visiting outpatient departments in India.

APPROACH

In 2022, the National Health Authority in India developed a paperless service, called Scan and Share, leveraging mobile technology and QR (quick-response) codes to streamline outpatient department appointments. Patients can use a mobile application (app) to scan QR codes at health facilities, generating tokens linked to registration counters. The service integrates patients' demographic data from their Ayushman Bharat Health Account with the facilities' health information systems. Collaboration with government bodies, health workers and patient advocacy groups ensured compliance with data protection regulations. For developers, the National Health Authority published detailed technical specifications outlining standards for app functionality, security and interoperability on the Ayushman Bharat Digital Mission platform.

LOCAL SETTING

Launched in 2021, Ayushman Bharat Digital Mission in India aims to digitize health care, creating a shared digital infrastructure for affordable and accessible care.

RELEVANT CHANGES

As at 19 October 2024, the Scan and Share service operates in 16 939 health-care facilities across 35 states and territories. The service has reduced waiting times from 1 hour to 2-5 minutes. Out of 56 801 213 tokens generated, 714 014 (1.3%) were issued in the private sector. There are currently 2074 active developers, with 1545 from the private sector.

LESSONS LEARNT

The Scan and Share service is transforming health-care delivery by reducing outpatient department queues, waiting times and errors. High-performing states can provide valuable insights for states with low service adoption.

摘要

问题

解决印度患者在门诊就诊时面临的长时间等待问题。

方法

2022年,印度国家卫生管理局开发了一项名为“扫描并共享”的无纸化服务,利用移动技术和二维码简化门诊预约。患者可以使用移动应用程序在医疗机构扫描二维码,生成与挂号柜台相关联的令牌。该服务将患者阿育吠陀·巴拉特健康账户中的人口统计数据与医疗机构的健康信息系统整合在一起。与政府机构、医护人员和患者权益倡导组织的合作确保了数据保护法规的合规性。对于开发者,国家卫生管理局在阿育吠陀·巴拉特数字使命平台上发布了详细的技术规范,概述了应用程序功能、安全性和互操作性的标准。

当地背景

印度的阿育吠陀·巴拉特数字使命于2021年启动,旨在实现医疗保健数字化,创建一个用于提供负担得起且可及的医疗服务的共享数字基础设施。

相关变化

截至2024年10月19日,“扫描并共享”服务在35个邦和地区的16939个医疗机构中运行。该服务将等待时间从1小时缩短至2 - 5分钟。在生成的56801213个令牌中,有714014个(1.3%)是在私营部门发放的。目前有2074名活跃开发者,其中1545名来自私营部门。

经验教训

“扫描并共享”服务正在通过减少门诊排队、等待时间和错误来改变医疗服务的提供方式。表现出色的邦可以为服务采用率低的邦提供有价值的见解。

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本文引用的文献

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The Transformation of The Indian Healthcare System.印度医疗体系的变革
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