摘要
目的探索无人机在县域医共体急救体系中应用的可行性和优势。方法2018年1-9月在浙江省长兴县进行研究,纳入长兴县人民医院及其半径25 km内的医共体卫生院。采用专门的商用无人机从各卫生院向县人民医院进行模拟急救物品转运的飞行,分别获得三类指标:①无人机的实际飞行时间;②使用百度、腾讯地图软件测量午夜0点上述路线的道路交通时间;③使用高德地图软件测定上述路线0点、8点、10点、12点、14点、16点、18点、20点共8个时点的道路交通时间。比较无人机飞行时间与不同地图软件测定的不同时间点的道路交通时间的差异。采用Wilcoxon符号秩检验进行统计分析,以P<0.05为差异有统计学意义。结果(1)共有10家卫生院参与研究,它们与县人民医院的空中直线距离为(10.97±3.59)km,道路交通距离为(13.61±4.95)km。(2)无人机飞行时间为(16.35±5.15)min,小于高德、百度、腾讯地图软件测定的午夜0点的道路交通时间,分别为(21.40±5.15)min、(22.50±6.11)min、(22.00±5.23)min(均P<0.01)。(3)高德地图软件测定所有线路从0点到20点的道路交通耗时均大于无人机飞行时间(P<0.01),其中18点耗时最长为(27.80±6.12)min,午夜0点耗时最短为(21.40±5.15)min。所有线路不同时点无人机最多可节省14.07 min,最少为2.8 min,平均节省(7.98±1.32)min。结论无人机可用于县域医共体机构之间急救物资的转运,比道路运输更快捷,是具有较好的应用前景而值得进一步研究。
Objective To explore the feasibility and advantage of the drones in a county emergency medical service system. Methods The study was conducted in Changxing County, Zhejiang Province from January to September 2018. The Changxing County People's Hospital and the health centers within its radius of 25 km were included in the study. Three types of indicators were obtained by using commercial drones to transfer simulated first-aid medical supplies from health centers to county people's hospitals:(1)The flight time of the drone;(2) The road traffic time measured by Baidu map and Tencent map software of the above-mentioned route at midnight;(3) The road traffic time measured by Amap software of these routes at 0: 00, 8: 00, 10:00, 12:00, 14:00, 16:00, 18:00, 20:00. The road traffic time at different time points measured by map softwares and drones flight time were compared. Wilcoxon symbolic rank test was used for statistical analysis, and P value of < 0.05 was considered statistically significant. Results (1) A total of 10 health centers were involved in this study, the air straight-line distance between them and the county people's hospital was (10.97±3.59) km, and the road traffic distance was (13.61±4.95) km.(2) The flight time of drone was (16.35±5.15) min, less than road traffic time measured by Amap, Baidu and Tencent map software, which were (21.40±5.15) min,(22.50±6.11) min,(22.00±5.23) min, respectively (P< 0.01).(3)The road traffic time measured by Amap software was longer than that of drones from 0:00 to 20:00 (P< 0.01), with the maximum time of (27.80±6.12) min at 18:00, and the minimum time of (21.40±5.15) min at midnight. Drones could save up 14.07 min at most and 2.8 min at least, with an average save of (7.98±1.32) min. Conclusions Drone might be used to transfer first aid medical supplies between health centers in a county area, which is faster than road transportation. It has a better application prospect and is worth to further study.
作者
张旻海
王慧
庾航
余育晖
陈江
章笑安
敖新华
李强
张茂
Zhang Minhai;Wang Hui;Yu Hang;Yu Yuhui;Chen Jiang;Zhang Xiaoan;Ao Xinhua;Li Qiang;Zhang Mao(Department of emergency medicine,the Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310051;Changxing County People's Hospital,Changxing 313100,China;Antwork Ltd,Hangzhou 311121,China;Changxing County Health Bureau,Changxing 313100,China)
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2019年第10期1237-1241,共5页
Chinese Journal of Emergency Medicine
基金
2019国家创伤区域医疗中心建设项目.
关键词
无人机
急诊医疗服务体系
县域
医共体
Drone
Emergency medical service system
County
Partnership health center
