《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1016-1019.doi: 10.3969/j.issn.1006-9771.2019.09.005

• 专题 • 上一篇    下一篇

基于ICF的互联网康复医疗质控信息平台需求分析和架构设计

李新平1, 白利明1, 张鸣生1,2,3, 马洪卓2,3, 陈迪2,3,4,5, 邱卓英2,3,4,5, 李安巧2,3,6   

  1. 1.广东省医学科学院，广东人民医院, 广东省老年医学研究所康复医学科，广东广州市 510080
    2.世界卫生组织国际分类家族中国合作中心，北京市 100068
    3.中国ICF研究院，山东潍坊市 261053
    4.中国康复科学所康复信息研究所，北京市 100068
    5.中国康复研究中心康复信息研究所，北京市 100068
    6.中国智力和发展性残疾分级、评估与康复（运动）重点实验室，郑州大学，河南郑州市450001
  • 收稿日期:2019-06-24 修回日期:2019-08-22 出版日期:2019-09-25 发布日期:2019-09-25
  • 通讯作者: 张鸣生，E-mail: mszrch@163.com E-mail:mszrch@163.com
  • 作者简介:李新平(1983-)，男，瑶族，广东广州市人，博士，主治医师，主要研究方向：干细胞基础和转化、康复医疗质量控制管理。
  • 基金资助:
    1.广东省科技计划项目(No. 2013B060500060)；2.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No. 2017CZ-7;No. 2018CZ-4);

Needs and Framework of Information Platform for Quality Control of Rehabilitation Medicine Using Internet with ICF Framework

LI Xin-ping1, BAI Li-ming1, ZHANG Ming-sheng1,2,3, MA Hong-zhuo2,3, CHEN Di2,3,4,5, QIU Zhuo-ying2,3,4,5, LI An-qiao2,3,6   

  1. 1.Department of Rehabilitation Medicine, Guangdong Institute of Geriatrics, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou, Guangdong 510080, China
    2.WHO-FIC Collaborating Center in China, Beijing 100068, China
    3.China Academy of ICF, Weifang, Shandong 261053, China
    4.Research Institute of Rehabilitation Information, China Rehabilitation Science Institute, Beijing 100068, China
    5.Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    6.China Key Laboratory of Classification, Evaluation and Rehabilitation Sport of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China
  • Received:2019-06-24 Revised:2019-08-22 Published:2019-09-25 Online:2019-09-25
  • Contact: ZHANG Ming-sheng, E-mail: mszrch@163.com E-mail:mszrch@163.com
  • Supported by:
    Supported by Guangdong Science and Technology Plan Project (No. 2013B060500060) and National Special Fund Projects of Based Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research) (No. 2017CZ-7; No. 2018CZ-4)

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摘要： 目的 从“互联网+”角度分析基于ICF的康复医疗质控信息平台需求和架构设计要求。 方法 从康复医疗质控信息需求入手，以“互联网+”思维，基于ICF术语系统、编码系统和评估分类标准，从质量管理角度，分析信息化平台采集的标准化数据和全面落实康复诊疗规范化流程、临床路径等要求；根据信息架构设计要求，探讨康复医疗质量评价指标体系的实现策略，以实现国家和区域间的康复医疗质控数据的比较和共享。 结果 康复医疗质控信息平台应实现现代规范的康复诊疗流程，有确认规范化的康复诊疗内容，基于ICD-11和ICF构建统一的数据平台和质量评价系统。在构建质控信息平台过程中，应基于ICF的康复医学理论架构和知识体系、康复医学术语体系和康复医疗信息的编码系统；建立基于ICF的康复医疗质量评价指标体系和开放兼容的康复医疗数据交换体系。 结论 基于ICF理论架构、术语系统和编码系统构建的信息平台，可实现质量评价、数据收集和分析。

关键词: 康复医疗, 质量控制, 信息平台, 互联网, 标准化, 国际功能、残疾和健康分类

Abstract: Objective To analyse the needs and framework development of an information platform on quality control of rehabilitation medicine based on ICF. Methods According to the demanding of the information on quality control of rehabilitation medicine and the principle of the Internet Plus, this study discussed how to collect standardized data based on the classification and coding system of ICF, and how to implement the clinic standardized procedure and the clinical rehabilitation pathway on the information platform. Meanwhile, the index system on the information platform was also discussed to make data comparable among regions and countries. Results This information platform should implement standardized procedure of diagnosis and treatment of rehabilitation medicine, based on the concept of ICF and ICD-11. The index system of the information platform should be compatible and open exchange. The structure of the information platform should use the framework, data standard, categories and coding of ICF. Conclusion An information platform based on the ICF framework, terminology system and coding system can meet the needs of rehabilitation medical quality control, data collection and analysis.

Key words: rehabilitation and medical care, quality control, information platform, internet, standardization, International Classification of Functioning, Disability and Health

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