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宁波云医院的SWOT分析和对策研究
引用本文:张静,水黎明,江志琴,赖黛黛.宁波云医院的SWOT分析和对策研究[J].中华全科医学,2017,15(2):338-342.
作者姓名:张静  水黎明  江志琴  赖黛黛
作者单位:1. 宁波市江东区明楼街道社区卫生服务中心, 浙江 宁波 315040;
基金项目:浙江省医药卫生科技计划项目(2014KYB251)
摘    要:基于云技术、云计算、物联网、大数据等技术的依托,通过"互联网+医疗"的模式,以满足群众需求为突破口,整合区域医疗资源,迅速催生了各种形式的云医院和互联网医院,对传统的实体医院在各方面都产生了巨大冲击。本文着眼于考察宁波云医院的运行现状,在此基础上引入SWOT分析模型,对云医院内部环境的优势、劣势及外部条件的机会、威胁进行全面系统分析,深入了解其本身的一些深层次的问题,认为宁波云医院发展是具备了放大医疗资源、降低医疗成本、优化就医流程、推进分级诊疗、提高基层水平、促进自我管理、改善医患关系等优势;当前劣势主要体现在医保支付尚未对接、医疗信息部分共享、网上执业尚无依据、药械管理不够规范、检验检查无法互认;机会是政府在政策上的支持、老龄化与疾病谱的改变、医疗卫生信息化基础、互联网技术的快速发展、人们对健康的重视;面临威胁主要有传统观念的影响、政府监管的缺失、医疗市场的竞争、数据泄露的风险、利益格局的调整。文章通过SWOT矩阵分析,进一步提出我国首家城市云医院未来良性可持续发展的应对策略,包括坚持需求导向,深化云医院服务功能;完善政策保障,规范云医院行业标准;重构医疗生态,形成云医院利益共同体;加强行业监督,促进云医院品牌建设。 

关 键 词:互联网    云医院    SWOT分析    对策研究
收稿时间:2016-03-21

SWOT analysis and countermeasure research of Ningbo cloud hospital
Affiliation:Minglou Community Health Service Center, Jiangdong District, Ningbo, Zhejiang 315040, China
Abstract:With the development of cloud technology,cloud computing,Internet of things and big data,every kind of cloud hospitals and online hospitals spring up,to meet the demand of the masses as a breakthrough and integrate regional health resources,causing a big shock to traditional hospitals in all aspects.This paper focus on the basis of knowing operations of current cloud hospitals in Ningbo,makes a systematic analysis of the advantages and disadvantages in the interior cloud hospitals,plus the opportunities and threats of the exterior conditions,insight into the deep problem of the ownership,the advantages of developing Ningbo cloud hospital include amplifying medical resources,reducing Health care costs,optimizing medical procedures,advancing tiered medical treatment,improving grass-roots level,promoting self-management,and perfecting doctor-patient relationship;the disadvantages include that health insurance payments have not yet been realized,the medical information is only partly shared,there is no legislation on online practice,pharmaceutical machinery management is not standardized,and health check Results cannot be mutually recognized;Opportunities refer to the government's support in policy,changes in aging and disease history,the foundation of medical and health information,the rapid development of Internet technology,people's increasing attention to health.Threats consist of the influence of traditional ideas,the lack of government supervision,the competition in the medical market,the risk of revealing data,the adjustment of revenue pattern.The SWOT analysis model shows how to maintain sustainable development of the very first cloud hospital.These instructions include sticking to demands in order to deepen the service function of cloud hospital,perfecting policy security to standardize this industry,rebuilding medical ecology to form a team of cloud hospitals with shared profits,strengthening supervision of this industry to promote the brand construction of cloud hospital. 
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