面对疫情防控新形势，做好偏远山村重点人群的健康管理意义重大，浙江依托数字化发展优势，用数字手段破解山区农村医疗卫生服务“最后一公里”的难题，形成了山区基层疫情防控“筛、防、管、治”闭环服务体系。
位于浙西山区的丽水龙泉市下辖行政村 236个，其中偏远山村173个，占比73.3%，是典型的山区县市，山高路远，地广人稀，基层医疗资源不足、村医配置不全、山区群众看病难等短板明显。结合自身区域特点，龙泉市依托已有的“浙丽乡村好医”医疗健康应用体系，上线新冠重点人群疫情防控应用模块。
在兰巨乡炉田村的文化礼堂中，村里的健康协管员陈汉青正在为阳康老人邓根福测量血压、血糖、血氧饱和度，监测结果同步上传到数字化应用管理后台，后台家庭医生发现数据异常时便能及时介入跟踪随访。
陈汉青说，村里老年人比较多，大部分都有基础疾病，离最近的乡镇卫生院也有近十公里山路，有时遇到我们处理不了的问题，可以在平台上连线医生实时远程问诊，确定是否按照分级诊疗规则入院或转院，让感染新冠的老人安心养病、没有感染的做好防护，同时避免轻症转重症、重症无人管的情况发生。
据统计，2022年12月1日至2023年1月30日，龙泉市山区居民通过智能一体机、便携设备完成日常监测1977人次，派发健康协管员、家庭医生主动干预任务共1062人次；通过“健康大脑”算法模型主动派发远程问诊任务90人次，有效防止新冠防疫重点人群25人感染转成重症的风险。
中医药在疫情防控工作中有独特的作用和优势，也受到不少老年人的认可。春节前夕，家住台州市仙居县官路镇下王村的88岁老人俞万章收到了快递到家的中药，自今年初老人感染后持续咳嗽，在家人的陪同下到仙居县中医院官路院区就诊，中医师为他开具 “清肺排毒汤”治疗。
“在镇里中医馆看完病后，我们便先把老人送回家，后续煎药、配送都在‘云上中医’平台上查询，各个环节一清二楚，最后还能快递到家，这种数字化平台确实方便。”俞万章的儿子俞新忠说，父亲住在偏远的乡村也能在家门口及时收到药包。
“朱医生，您来啦！”“老毛，吃了药好点没？”1月31日一早，杭州市临安区西天目卫生院的“签约服务随访车”停靠在天目山镇武山村独居老人毛宝林家门口。
今年68岁的毛宝林自小患小儿麻痹症，2022年又查出肺癌晚期，由于住在山区，毛宝林想去离家11公里外的镇卫生院都是一种“奢望”，朱雯凯的经常到访，让老毛的困境得以扭转。
朱雯凯2022年7月份开始担任武山村辖区内的签约医生，每周二、周四便会把心电图、血压、血糖等多功能诊疗包配备齐全的随访车开到患病村民家门口，提供入户复查、配药、随访等一系列服务。
“去年新冠感染高峰时，老毛也感染了，我一直密切关注着他的情况，每周两次下村，只要在附近都会去看他。”朱雯凯说，还好他的症状比较轻，用些常规抗病毒感冒药就好转了。
杭州市临安区卫健局副局长陆旭军介绍，全区除了配置20量携带常规检查设备的“签约服务随访车”，还同步配置5辆带有DR、心电、超声等仪器的“综合巡回诊疗车”，通过5G网络，开通远程诊断、巡回医保结算。疫情期间还利用这些“流动诊室”开展老年人疫苗接种、配药送药、用药指导等服务，让新冠居家的老年人、失能半失能、孕产妇、儿童等特殊群体更加安心。
翻译：
In the face of the new situation of epidemic prevention and control, health management of key populations in remote mountain villages is of great significance. Relying on the advantages of digital development, Zhejiang solved the “last kilometer” problem of rural medical and health services in mountainous areas by digital means, and formed a closed-loop service system of “screening, prevention, management and treatment” for grassroots epidemic prevention and control in mountainous areas.
There are 236 administrative villages under the jurisdiction of Longquan City in the mountainous area of western Zhejiang Province, among which 173 are remote mountain villages, accounting for 73.3%. It is a typical mountainous area, county and city, with high mountains and far roads, vast land and sparse population, insufficient primary medical resources, incomplete allocation of village doctors, and difficult for people in mountainous areas to see a doctor. Combined with its own regional characteristics, Longquan City, relying on the existing medical and health application system of “Zheli Village Good Doctor”, has launched the novel coronavirus prevention and control application module for key population.
In the cultural auditorium of Lutian Village, Lanju Township, Chen Hanqing, the village health assistant, is measuring the blood pressure, blood sugar and oxygen saturation of Deng Genfu, the elderly man of Yangkang. The monitoring results are synchronously uploaded to the digital application management background. When the background family doctor finds the abnormal data, he can intervene and follow up in time.
At the same time to avoid mild disease to severe, severe unattended situation.
Chen Hanqing said that there are a large number of elderly people in the village. Most of whom have basic diseases. And the nearest township health center is nearly 10 kilometers away from the mountain road. Sometimes when there are problems that we cannot deal with, doctors can be connected on the platform for real-time remote consultation to determine whether to be admitted or transferred to hospitals according to the rules of graded diagnosis and treatment. So that the elderly infected with COVID-19 can rest assured and have no protection against infection. At the same time to avoid mild disease to severe, severe unattended situation.
According to statistics, from December 1, 2022 to January 30, 2023, 1,977 times of daily monitoring were completed by residents in mountainous areas of Longquan City through intelligent all-in-one machines and portable devices. And a total of 1,062 times of active intervention tasks were distributed to health assistants and family doctors. Through the “healthy brain” algorithm model, 90 patients were sent to remote clinics to effectively prevent 25 people from becoming seriously ill.
TCM has its unique role and advantages in epidemic prevention and control, and has been recognized by many elderly people. On the eve of the Spring Festival, Yu Wanzhang, an 88-year-old old man living in Xiwang Village, Guanlu Town, Xianju County, Taizhou City, received Chinese medicine delivered to his home. Since the beginning of this year, the old man has been coughing continuously after infection. Accompanied by his family, he went to Guanlu Hospital of Xianju County Hospital of Traditional Chinese Medicine for treatment. Where the TCM doctor prescribed “lung clearing and detoxification soup” for him.
After seeing the patient in the town’s traditional Chinese medicine center, we first send the old man home.
The follow-up decocting and delivery are all checked on the ‘Cloud TCM’ platform. Every link is clear. Yu Wanzhang’s son, Yu Xinzhong, said his father, who lives in a remote village, was able to receive the medicine packages at his doorstep.
Zhu has been a contracted doctor in Wushan Village since July 2022. On Tuesdays and Thursdays, she will drive a follow-up car equipped with multifunctional diagnosis and treatment kits. Such as electrocardiogram, blood pressure and blood sugar to the villagers’ doorsteps, providing a series of services. Such as in-home review, medicine dispensing and follow-up visits.
Lu Xujun, deputy director of the Health Bureau of Lin ‘an District, Hangzhou. Introduced that in addition to 20 “contracted service follow-up vehicles” carrying routine inspection equipment. The district also synchronised with 5 “comprehensive touring diagnosis vehicles” with DR, ECG. Ultrasound and other instruments, to open remote diagnosis and touring medical insurance settlement through 5G network. During the epidemic, these “mobile consulting rooms” were also used to provide vaccination. Medicine dispensing and delivery, medication guidance and other services for the elderly, to make the elderly, disabled and semi-disabled, pregnant women, children and other special groups at home feel more at ease.
本文由数字化转型网（www.szhzxw.cn）转载而成，来源：经济参考报；编辑/翻译：数字化转型网宁檬树。
免责声明: 本网站(http://www.szhzxw.cn/)内容主要来自原创、合作媒体供稿和第三方投稿，凡在本网站出现的信息，均仅供参考。本网站将尽力确保所提供信息的准确性及可靠性，但不保证有关资料的准确性及可靠性，读者在使用前请进一步核实，并对任何自主决定的行为负责。本网站对有关资料所引致的错误、不确或遗漏，概不负任何法律责任。
本网站刊载的所有内容(包括但不仅限文字、图片、LOGO、音频、视频、软件、程序等) 版权归原作者所有。任何单位或个人认为本网站中的内容可能涉嫌侵犯其知识产权或存在不实内容时，请及时通知本站，予以删除。
