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Our tele-medicine start late, but it develops fast. Until 1999, we have had 170 consult centers, stations and terminals, 80% of them have opened and have won social and economic profit. But problems remain on communication, consulting software and consulting management. More attention should be paid on the construction and completing of our tele-medicine net. We should improve the management of our consulting work, promote our software development and our technique update, as to ensure the health de- velopment... Our tele-medicine start late, but it develops fast. Until 1999, we have had 170 consult centers, stations and terminals, 80% of them have opened and have won social and economic profit. But problems remain on communication, consulting software and consulting management. More attention should be paid on the construction and completing of our tele-medicine net. We should improve the management of our consulting work, promote our software development and our technique update, as to ensure the health de- velopment of our tele-medicine work. 我军远程医疗起步较晚,但发展较快。到1999年已展开会诊中心、站点、终端170个,87%已开通,取得一定的社会、经济效益。但在通信、会诊软件开发和会诊管理上还存在一定问题。建议要统一规划和完善全军远程医疗会诊网的建设;加强远程医疗会诊工作的宏观管理;加强软硬件开发和技术保障,以使我军远程医疗工作健康发展。 Objective:In order to speed up the establishment of military information system and improve the health care system of military hospitals, it is planned by Hygienic Department of General Logistic that a Telemedicinet of PLA based on telephone line communications for the entire army will be established within two years.Methods: Telemedicine Research and Development Center of PLA will be primary responsible for the construction of the entire telemedicine network, providing centralized training and telemedicine... Objective:In order to speed up the establishment of military information system and improve the health care system of military hospitals, it is planned by Hygienic Department of General Logistic that a Telemedicinet of PLA based on telephone line communications for the entire army will be established within two years.Methods: Telemedicine Research and Development Center of PLA will be primary responsible for the construction of the entire telemedicine network, providing centralized training and telemedicine equipments (hardware and software) to all military units. Each of these units could activate such equipments after getting connected so that information and data interchange is enabled.Results: 221 telemedicine terminals are established within the entire military medical system and over 1 500 telemedicine activities were conducted via the network, meanwhile, over 1 700 medical graphics were transmitted. It is estimated that among all military units using the service, satisfactory rate reached 92.8%, while 21 medical specialties were covered.Conclusions : Under the guidance of remote medical specialists, the telemedicinet of PLA cured effectively many patients who were not diagnosed and treated correctly in primary clinics due to inadequate equipments. Trainings via the network also improved significantly the overall professionalism of the staffs in primary clinics while some problems to be improved also caught our attention. 目的 :为加速军队信息化建设 ,增强平战时期部队卫勤保障力量 ,根据总后勤部卫生部计划布署 ,2年建成采用普通电话线通讯方式的全军远程医疗会诊网络。方法 :由全军远程医学研究开发基地全面负责网络建设任务 ;对全军各大单位实施远程医疗专业技术集中培训 ,统一配置远程医疗软硬件设备 ,各单位自行装配建站的方法 ,完成互交式远程医疗网络建设。结果 :全军设立大小网络站点 2 2 1个 ;共实施远程医疗活动 15 0 0余例次 ,传输医学图片资料 170 0余张 ,业务范围涉及 2 1个临床专科 ;应用单位满意率达 92 .8%。结论 :军队远程医疗网络建设与应用 ,缓解了基层医疗单位专业技术力量不足的问题 ,有效地救治了大批危重疑难伤病员。通过医学专家网上医技传授 ,带动了我军基层医院及医务人员整体医技水平的提高 ,也暴露了诊疗工作中存在和急待改进的问题 To inquire into developing actuality on the armed telemedicinet, it is expounded that the developing and application instance, and it is explained the practicality worth in the military medical treatment ensure. 为探讨军用远程医疗发展的现状 ,阐述了军队在远程医疗方面的发展及应用情况 ,并说明其在军队医疗保障中的实用价值。
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