新疆住院儿童患者CRT智慧预警管理系统医疗服务模式构建与应用

住院儿童患者中心静脉通路装置相关静脉血栓形成（Central Venous Access Device-related Thrombosis,CRT）发生率高达15.37%，且漏检率极高。作为患者安全管理重要内容，CRT风险评估工具匮乏，无可遵循的标准化及系统化防治管理策略，患儿照顾者健康教育缺少规范的信息传递渠道。本研究以适应性干预理论、技术接受模型为指导，依据照顾者主动健康参与思路，开展多中心研究，探讨我国不同地区住院儿童患者CRT危险因素，研制风险评估工具，验证其预测效能及拟合校正能力；应用预警模型结合移动互联网，构建新疆智慧预警管理系统医疗服务模式，对该模式进行照顾者主动健康参与干预效果机制路径分析及经济学评价，以期降低新疆住院儿童患者CRT发生率及漏检率，提高患儿生活质量，为我国住院儿童患者CRT的防治提供科学依据，对建立互联网自主健康管理一体化的医疗服务模式具有重大社会意义。

The incidence of Central Venous Access Device-related Thrombosis（CRT）in hospitalized children is 15.37%, and the miss rate is extremely high. As an essential part of patient safety management, CRT risk assessment tool is scarce, there is no standardized and systematic management strategy to follow, and a lack of normalized health education information transmission channels for caregivers of children with CRT. Therefore, this study is guided by adaptive intervention theory and technology acceptance model, and based on the idea of caregivers’ active participation in health to carry out a multi-center survey to explore the risk factors of CRT in hospitalized children in different regions of China, develop a suitable risk assessment tool, and make a confirmatory evaluation of its predictive effectiveness and fitting correction ability. Additionally, we will combine the early-warning model with mobile Internet to construct medical service model of intelligent early-warning management system for hospitalized children with CRT in Xinjiang, conduct path analysis of the intervention effect mechanism of caregivers’ active participation in health involved in this model, and develop economic evaluation of this model. The project is expected to reduce the incidence and miss rate, improve the life quality of hospitalized children with CRT in Xinjiang, and provide scientific basis for the CRT prevention and treatment in hospitalized children of our country, which will have a great social impact on establishing the integrated medical service model of Internet-based autonomous health management.