公卫体检随访一体机让基层“脱胎换骨”

公卫体检随访一体机，是专为国家基本公共卫生服务场景设计的智能化终端设备。它将血压、血糖、心电图、血氧、血脂、尿酸、尿常规等10余项常规检查集成在一台设备中。居民只需出示身份证，设备自动读取身份信息，即可一站式完成多项健康检测，数据实时上传至公共卫生服务平台。一台设备，就是一个移动的“微型体检中心”。

The integrated machine for public health examination and follow-up is an intelligent terminal device designed specifically for national basic public health service scenarios. It integrates more than 10 routine checks such as blood pressure, blood glucose, electrocardiogram, blood oxygen, blood lipids, uric acid, and urine routine into one device. Residents only need to present their ID card, and the device will automatically read their identity information to complete multiple health checks in one stop, with real-time data uploaded to the public health service platform. A device is like a mobile 'micro medical examination center'.

公卫体检随访一体机带来的最大改变，是体检效率的质的飞跃。在濂溪区，过去基层医生入户随访测完血压血糖后，得记在小本子上，回单位再录入电脑系统，一名患者随访一次光录入数据就要花30分钟。配备智能随访终端后，检测数据一键采集、自动上传，单户随访数据录入时长从30分钟压缩至5分钟，慢性病随访整体耗时缩短60%，公卫数据整理工作量减少70%，人力负担直接减轻近一半。医护人员从繁杂的事务性工作中解放出来，把更多精力投入到为群众提供健康咨询、诊疗指导和慢病管理等核心服务上。

The biggest change brought by the public health examination follow-up all-in-one machine is the qualitative leap in examination efficiency. In Lianxi District, in the past, grassroots doctors had to record their blood pressure and blood sugar levels in a notebook after visiting their homes, and then enter them into the computer system when they returned to the office. It took 30 minutes for a patient to just enter the data during one follow-up visit. After equipping with an intelligent follow-up terminal, the detection data can be collected and automatically uploaded with one click. The input time for single household follow-up data has been compressed from 30 minutes to 5 minutes, and the overall time for chronic disease follow-up has been reduced by 60%. The workload for organizing public health data has also been reduced by 70%, and the manpower burden has been directly reduced by nearly half. Medical staff are liberated from complex administrative work and devote more energy to providing core services such as health consultation, diagnosis and treatment guidance, and chronic disease management for the public.

公卫体检随访一体机带来的第二个改变，是数据质量的真实可靠。过去纸质随访记录存在事后补录、数据失真的风险。如今系统会自动校验，若数据有异常或漏项，马上弹窗提醒。在兰州新区西岔中心卫生院，自2022年启用智能公卫系统后，家庭医生签约相关数据差错率已由2021年的10%左右逐步降至0.5%以下，质控完整率从91.7%提升至100%。设备还创新了“照片佐证”功能，要求体检等关键环节现场拍照上传。每一次检测都有据可查，每一份数据都经得起检验。

The second change brought about by the public health examination follow-up all-in-one machine is the authenticity and reliability of data quality. There is a risk of post recording and data distortion in the past paper-based follow-up records. Nowadays, the system will automatically verify, and if there are any abnormalities or missing items in the data, a prompt will pop up immediately. At the Xicha Central Health Center in Lanzhou New Area, since the implementation of the intelligent public health system in 2022, the error rate of data related to family doctor contract signing has gradually decreased from around 10% in 2021 to below 0.5%, and the quality control completeness rate has increased from 91.7% to 100%. The device has also innovated the "photo evidence" function, requiring on-site photos and uploads of key processes such as physical examinations. Every test is traceable and every piece of data can withstand scrutiny.

公卫体检随访一体机还扮演着 “医防融合”的催化剂。在浙江永嘉碧莲镇中心卫生院的慢病一体化诊室，智能慢病一体机将身高、体重、腰围、血压、血糖等多项检测功能集于一体。公卫人员可快速完成多项指标检测，数据实时上传至居民电子健康档案系统。借助信息化支撑，公卫人员能够及时发现异常指标，第一时间与临床医生联动，实现筛查、诊断、治疗、随访的无缝衔接。“以前来医院就是拿药，现在公卫人员不仅给我测血压血糖，还详细询问饮食起居，帮我建立健康档案，制定个性化干预方案。”前来复查的张阿姨对此深有感触。这种“一次就诊，全程管理”的模式，正是国家推动医防融合的核心目标所在。

The integrated machine for public health examination and follow-up also plays a catalyst for the integration of medical and prevention. In the integrated chronic disease clinic of Bilian Town Central Health Center in Yongjia, Zhejiang, the intelligent chronic disease machine integrates multiple detection functions such as height, weight, waist circumference, blood pressure, and blood sugar. Public health personnel can quickly complete multiple indicator tests and upload real-time data to the residents' electronic health record system. With the support of information technology, public health personnel can promptly detect abnormal indicators and collaborate with clinical doctors in a timely manner, achieving seamless integration of screening, diagnosis, treatment, and follow-up. Previously, coming to the hospital was just to get medicine. Now, public health personnel not only measure my blood pressure and blood sugar, but also inquire in detail about my diet and daily life, help me establish a health record, and develop personalized intervention plans. Aunt Zhang, who came for a follow-up examination, deeply felt this. This "one visit, full process management" model is precisely the core goal of the country's promotion of medical prevention integration.

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