家庭医生签约服务推行这些年,签约率上去了,履约率却常常跟不上。居民签了字,一年到头见不到医生几次;医生想履约,又被填表、录数据、核对档案这些琐事困住手脚。问题的根子不在人,在工具——纸质记录做不到实时质控,超期了不知道,缺项了不知道,等上级考核才发现,整改都来不及。
In recent years, the implementation of family doctor contract services has increased the signing rate, but the compliance rate often lags behind. The residents have signed and cannot see a doctor several times a year; Doctors are trapped by trivial matters such as filling out forms, recording data, and checking files in order to fulfill their obligations. The root of the problem lies not in people, but in tools - paper records cannot achieve real-time quality control. If they exceed the deadline, they do not know, and if there are missing items, they do not know. It will only be discovered after the superior assessment, and there is no time for rectification.

家医随访一体机要解决的,就是让“签约”和“履约”在同一个设备上跑完。
The problem that the integrated home doctor follow-up machine needs to solve is to run both "signing" and "fulfilling" on the same device.
核心是数据自动跑,不是把纸质表搬到屏幕上。
The core is automatic data running, not moving paper tables onto the screen.
国家基本公卫第三版对慢病管理的要求写得很死:高血压、糖尿病患者每年至少4次面对面随访,随访表单必须完整、数据必须真实、时间节点不能超期。亿得信息的“公卫随访家庭履约平台”和“智能AI+慢病随访管理系统”,逻辑就是把采集、记录、上传三个动作压缩成一步——设备测完,数据自动进系统,有网络就实时上传,医生不用手抄、不用二次录入。
The third edition of the National Basic Public Health has very strict requirements for chronic disease management: patients with hypertension and diabetes should be followed up at least four times a year face to face. The follow-up form must be complete, the data must be true, and the time node cannot exceed the deadline. The logic of Yide Information's "Public Health Follow up Family Contract Platform" and "Intelligent AI+Chronic Disease Follow up Management System" is to compress the three actions of collection, recording, and uploading into one step - after the device completes the test, the data is automatically entered into the system and uploaded in real time with the network, without doctors having to manually copy or re-enter.
签约履约打通,才是真闭环。
Signing and fulfilling contracts is the true closed loop.
很多地方的问题是“签约是一套系统、随访是另一套系统、公卫平台又是第三套系统”,数据不通,医生要重复劳动。亿得的思路是居民手写签名、签约协议当场生成,履约记录、检测数据、随访表单全部打通,签约和履约在同一个平台上闭环。数据按国家及地方标准建立,内置中医体质辨识,医生现场就能分析体质。
The problem in many places is that "signing is one system, follow-up is another system, and the public health platform is the third system", with data barriers and doctors having to repeat their work. The idea of Yide is to have residents manually sign and generate signing agreements on the spot, with all performance records, testing data, and follow-up forms connected, and signing and performance closed on the same platform. The data is established according to national and local standards, with built-in identification of traditional Chinese medicine constitution, allowing doctors to analyze constitution on site.
健康查体和慢病随访,底层是同一套数据。
Health check ups and chronic disease follow-up are based on the same set of data.
亿得的“公共卫生查体系统”优势在于公卫信息化健康查体与电子健康档案自动生成,覆盖身高、体重、血压、心电、B超、血生化、血常规、尿常规、中医辨识、健康用药指导等项。查体和随访共用一套数据底座,意味着居民在查体车上测的数据,随访时能直接调取,不用重复检查、重复录入。
The advantage of Yide's "Public Health Physical Examination System" lies in the information technology of public health physical examination and the automatic generation of electronic health records, covering height, weight, blood pressure, electrocardiogram, ultrasound, blood biochemistry, blood routine, urine routine, traditional Chinese medicine identification, and health medication guidance. The shared data base for physical examination and follow-up means that the data measured by residents on the examination vehicle can be directly retrieved during follow-up without the need for repeated checks or entries.
基层末梢的痛点,靠智能体检一体机补上。
The pain points at the grassroots level can be compensated by the intelligent physical examination all-in-one machine.
村卫生室大多承担偏远地区的基本医疗服务,检测设备缺乏、服务半径大。亿得的智能体检一体机适合基层卫生机构开展公卫保健和慢病管理自助式体检,可测量身高、体重、BMI、血压、脉率、脂肪等指标,把“村医上门测”变成“居民就近自助测+数据自动上传”。
Most village clinics provide basic medical services in remote areas, but lack testing equipment and have a large service radius. Yide's intelligent physical examination all-in-one machine is suitable for grassroots health institutions to carry out public health care and chronic disease management self-service physical examinations, and can measure height, weight BMI、 Blood pressure, pulse rate, fat and other indicators have been transformed from "village doctors' on-site testing" to "residents' nearby self testing+automatic data uploading".
选设备,盯四条。
Select equipment and focus on four items.
一看能不能对接你所在省市的公卫平台,数据传不上去,再好的机器也是孤岛,采购时明确要求供应商对接本地平台并写进合同。二看离线能力,下乡十有八九没网,设备必须能在断网状态下完成建档、随访、数据存储,联网后自动补传。三看签约履约是否同一系统,分开的系统就是重复劳动。四看危急值提醒,血压、血糖超红线必须在测量完成那一刻就醒目提示。
Just to see if it can connect with the public health platform in your province and city, data cannot be transmitted, and even the best machine is an isolated island. When purchasing, it is explicitly required that suppliers connect with the local platform and include it in the contract. Secondly, looking at offline capabilities, it is highly likely that there is no internet connection when going to rural areas. The equipment must be able to complete file creation, follow-up, and data storage in a disconnected state, and automatically upload data after networking. Check whether the signing and performance of the contract are in the same system. A separate system is redundant labor. Four critical values reminder: Blood pressure and blood sugar exceeding the red line must be prominently indicated at the moment of measurement completion.
家医随访一体机的本质,是让公卫数据的采集、质控、上传变成一次动作。记录自动化、签约履约打通、离线可用、平台对接——这四条守住了,家庭医生才有时间真正履约,而不是困在填表里。
The essence of the integrated home medical follow-up machine is to make the collection, quality control, and uploading of public health data a one-time action. Automated record keeping, seamless contract fulfillment, offline availability, and platform integration - these four principles must be upheld so that family doctors have the time to truly fulfill their obligations, rather than being trapped in filling out forms.
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