Remote consultation of local doctors and expert doctors to communicate remotely, consultation by local doctors and experts **** the same diagnosis of difficult diseases, so the expert side and local hospitals have certain requirements, basically to meet the following conditions.
Conditions to be met by the expert side
1. The expert side should have medical experts with credibility to conduct consultations for local hospitals.
2. Have corresponding remote consultation equipment.
3. The network cable connected to the equipment, the bandwidth should reach the minimum standard required for the consultation (in the case of Pengbo Jiaxun, at least 4M independent network cable).
4. There is a person in charge of the expert's appointment, the download of documents, etc., for the remote consultation to do the preparatory work.
Local hospitals need to meet the conditions
1. have a special place for remote consultation
2. have the corresponding remote consultation equipment.
3. The consultation should be accompanied by a doctor. Because the consultation is to listen to the patient's condition description, and the expert will also speak some corresponding medical terminology, some treatment suggestions, so there should be a companion doctor to communicate with the expert during the consultation.
4. Can provide accurate examination information. In the consultation, the specialist needs to diagnose the patient according to the corresponding examination report, so the local hospital should be able to provide accurate examination reports.
5. and equipment connected to the network cable, the bandwidth should meet the minimum standard required for consultation
Telecommunications consultation services introduced into our country, some hospitals in the conditions do not have, not rich in experience, technology is not mature, then carried out the teleconsultation service. Some hospitals do not have a complete and accurate grasp of the patient's condition, only a phone call or a letter from the patient to the patient to make an inaccurate diagnosis and not very appropriate treatment program, then, what kind of hospitals can carry out remote consultation services?
One, the hospital hardware construction requirements 1. Hospitals should have a detailed, fixed, significant address, zip code to ensure that letters between doctors and patients can be quickly and safely received. This has 2 meanings: fast: the faster the time, the more timely diagnosis, the more you can seize the opportunity to treat, thus reducing treatment difficulties and treatment costs. Safe: the letter is guaranteed to be received safely. If a patient's letter is lost in the mail, the various laboratory tests and checklists contained therein are also lost, and if the doctor's reply is lost, the detailed results of the consultation, such as diagnostic opinions, treatment plans, daily precautions and other information are also lost, which will cause incalculable losses to the patient.
This is often the case in informal hospitals and remote private hospitals, so it's best to have a hospital that is more than 7 years old, well-known in the region and even in the country, and has some specialty expertise.
2. Hospitals must be dedicated to teleconsultation use of multiple direct-dial telephone, fax and e-mail, in order to meet the needs of teleconsultation of various modes of communication, at the same time for the patient to call in the consultation, query phone and for the staff to call to inquire about the patient's condition, the return visit to the patient's phone to be strictly separate, the two are not the same.
Second, the hospital software construction requirements
Hospitals should have a special teleconsultation office, its functional departments include: information reception department, the information sub-inspection department, the information triage department, the consultation expert group, the consultation record department, the consultation archives department, the consultation sends the department, the consultation visit department, the departments of the main functions are as follows:
Information Reception: Responsible for the reception, record of the patient's phone calls, letters, faxes, e-mails and other information.
Information Sub-inspection Department: Responsible for categorizing the information of the Receiving Department according to the requirements of disease type, severity, and type of information.
Information triage department: responsible for the information of the sub-screening department according to the type of disease, seriousness, information category, etc. to the corresponding consultation expert group.
Consultation Expert Group: It is composed of senior experts in the corresponding diseases and is mainly responsible for consulting the patients' conditions and formulating consultation diagnosis, treatment plan, detailed medication, daily precautions for the patients and other consultation results.
Consultation Record Department: It is responsible for recording the consultation results of the experts in detail, and after the consultation results are recorded, they are reviewed and signed by the consultation experts and consultation assistants. The consultation record is usually made in triplicate and submitted to the consultation file department, consultation sending department and consultation return visit department
Consultation file department: it is responsible for archiving and filing the consultation results of the consultation record department.
Consultation and Delivery Department: It is responsible for sending the consultation results of the Consultation and Records Department to the relevant patients or informing the patients by fax or e-mail.
Consultation Return Department: It is responsible for supervising the consultation records of the consultation sending department to be sent on time, and checking whether the patients have received them 10 days after the letters are sent out, or the next day after the faxes or e-mails are sent out, to make sure that the patients have received the results of the consultation, and explaining to the patients what they don't understand about the results of the consultation.