Objective  To analyze the application effect of intelligent information management in the referral process of patients with important abnormal results in the physical examination center.

Methods  According to the implementation time of intelligent information management, patients with important abnormal results detected in the physical examination center of Ezhou Central Hospital from January to December 2023 were selected as the manual referral group, and those from January to December 2024 were selected as the intelligent information referral group. The differences in referral timeliness rate, average reporting time, average visit time, doctor response rate, and patient complaint rate between the two groups were compared.

Results  A total of 1,243 cases were included in the manual referral group and 1,317 cases in the intelligent information referral group. After implementing the intelligent closed-loop management, the referral timeliness rate increased from 65.2% to 92.3%, the average reporting time was shortened from (152.3±45.6) min to (8.7±3.2) min, the average visit time was reduced from (315.0±25.6) min to (103.0±15.6) min, the doctor response rate increased from 78.4% to 96.5%, and the patient complaint rate decreased from 12.0% to 2.8%. The differences in the above indicators between the two groups reached statistical significance (P<0.001). The referral methods of the physical examination center, the title of the administrator of significant abnormal results, the type of patient's medical insurance, the distance from residence to the hospital, and the results of imaging and ultrasound examinations were important factors affecting the visiting time.

Conclusion  Intelligent information closed-loop management can significantly improve the referral efficiency of significant abnormal results in the physical examination center, optimize the medical service process, and provide a reference management model for similar medical institutions.

1. 占慧琛,阮文珍,施金萍. 信息化智能导检系统在体检中心的应用[J]. 中国乡村医药, 2021, 28(11): 68-69. [Zhan HC, Ruan  WZ, Shi  JP. Application of information-based intelligent guided examination system in physical examination center[J]. Chinese Journal of Rural Medicine, 2021, 28(11): 68-69.]

2. 范云晖,张富,黄惠娟,等. 信息化健康管理模式在医院体检中心的应用效果[J]. 中国卫生标准管理, 2023, 14(24): 1-5. [Fan  YH, Zhang F, Huang HJ, et al. The application effect of information-based health management model in hospital physical examination center[J]. Chinese Health Standard Management, 2023, 14(24): 1-5.]

3. 辛英,胡丽. 健康体检机构的信息化建设[J]. 医疗卫生装备, 2012, 33(12): 117-118. [Xin Y, Hu L. Informationization construction of health examination institutions[J]. Medical and Health Equipment, 2012, 33(12): 117-118.]

4. 王璠,贾良春. 医院体检中心数字化转型现状、挑战与前景[J]. 中国当代医药, 2024, 31(23): 129-133. [Wang F, Jia LC. Current situation, challenges and prospects of digital transformation of hospital physical examination centers[J]. Chinese Contemporary Medicine, 2024, 31(23): 129-133.]

5. 何玲非,杨春波. 医院危急值信息化闭环管理的实践与思考[J]. 浙江医学, 2023, 45(17): 1901-1904. [He LF, Yang CB. Practice and reflection on information-based closed-loop management of critical values in hospitals[J]. Zhejiang Medicine, 2023, 45(17): 1901-1904.]

6. 哈提拉·京斯汗,江艳,董旭南,等. 基于人工智能的健康体检重要异常结果管理路径及效果评价[J]. 医学信息, 2024, 37(3): 78-82. [Khatira Kingshan, Jiang Y, Dong XN, et al. Management path and effect evaluation of important abnormal results in health check-ups based on artificial intelligence[J]. Medical Information, 2024, 37(3): 78-82.]

7. 中华医学会健康管理学分会,《中华健康管理学杂志》编辑委员会. 健康体检重要异常结果管理专家共识(试行版)[J]. 中华健康管理学杂志, 2019, 13(2): 97-101. [Health Management Branch of the Chinese Medical Association, Editorial Committee of Chinese Journal of Health Management. Expert consensus on the management of important abnormal results in health check-ups (trial version) [J]. Chinese Journal of Health Management, 2019, 13(2): 97-101.]

8. Howanitz PJ, Steindel SJ, Heard NV. Laboratory critical values policies and procedures: a college of American Pathologists Q-Probes Study in 623 institutions[J]. Pathol Lab Med, 2002, 126(62): 663-669.

9. 中华医学会检验医学分会临床实验室管理学组. 医学检验危急值报告程序规范化专家共识[J]. 中华检验医学杂志, 2016, 39(7): 484-486. [Clinical Laboratory Management Group, Chinese Society of Laboratory Medicine. Chinese medical association expert consensus on standardization of critical value reporting procedures in medical laboratory[J]. Chinese Journal of Laboratory Medicine, 2016, 39(7): 484-486.]

10. 马春华. 遵守危急值报告制度严格落实首诊负责制[J]. 中华医学信息导报, 2025, 40(5): 13. [Ma CH. Comply with the critical value reporting system strictly implement the responsibility system of first option[J]. Journal of Chinese Medicine Information Review, 2025, 40(5): 13.]

11. 张正鹏,任军保. 体检中心“检验项目重要异常结果”报告方案的实施与改进[J]. 健康必读, 2019, (35): 288. [Zhang ZP, Ren  JB. Implementation and improvement of the reporting scheme for "important abnormal results of examination items" in physical examination centers[J]. Health Must-Read, 2019, (35): 288.]

12. 钟国宁,袁俊贤,杜婉燕. 健康体检重要异常结果分级管理的实践效果分析[J]. 中外医药研究, 2023, 2(27): 147-149. [Zhong  GN, Yuan JX, Du WY. Analysis of the practical effect of hierarchical management of important abnormal results in health check-ups[J]. Chinese and Foreign Medical Research, 2023, 2(27): 147-149.]

13. 陈钢,帅学军,罗薇,等. 《健康体检重要异常结果管理专家共识(试行版)》在体检中心应用初探[J]. 健康体检与管理, 2023, 4(2): 112-116. [Chen G, Shuai XJ, Luo W, et al. A preliminary study on the application of "expert consensus on the management of important abnormal results in health check-ups (trial version)" in health check-up centers[J]. Health Checkup and Management, 2023, 4(2): 112-116.]

14. 葛岑红,杨芬芳,沈暮兰. 体检现场型重要异常结果的处置与管理[J]. 中国卫生产业, 2022, 19(12): 54-57, 69. [Ge CH, Yang FF, Shen ML. Disposal and management of important abnormal results at physical examination sites[J]. China Health Industry, 2022, 19(12): 54-57, 69.]

15. 司超增, 胡宇, 张晟, 等. 基于知识库方法构建危急值闭环管理实践与评价[J]. 中国医院, 2025, 29(6): 79-81. [Si CZ, Hu Y, Zhang  S, et al. Constructionof critical value closed-loopmanagement practice and evaluationbasedon knowledge base method[J]. Chinese Hospital, 2025, 29(6): 79-81.]

16. 薛莉,赵文慧,张蕊,等. 健康体检重要异常结果处理流程质量控制的方法及效果评价[J]. 健康体检与管理, 2024, 5(1): 73-76, 102. [Xue L, Zhao WH, Zhang R, et al. Methods and effect evaluation of quality control for handling important abnormal results in health check-ups[J] Health Examination and Management, 2024, 5(1): 73-76, 102.]

17. 陈英,谢云彩,黄平平,等. 智慧转诊在体检重大异常结果受检者中的应用效果[J]. 中华健康管理学杂志, 2024, 18(7): 529-534. [Chen Y, Xie YC, Huang PP, et al. The application effect of smart referral in patients with major abnormal physical examination results[J]. Chinese Journal of Health Management, 2024, 18(7): 529-534.]

18. 游民黎,曹超羽,府伟灵,等. 人工智能在检验医学医疗决策系统中的应用[J]. 国际检验医学杂志, 2025, 46(1): 1-6. [You ML, Cao CY, Fu WL, et al. Application of artificial intelligence in medical decision-making system of laboratory medicine[J]. International Journal of Laboratory Medicine, 2025, 46(1): 1-6.]

19. Lee J, Burkett BJ, Min HK, et al. Deep learning-based brain age prediction in normal aging and dementia[J]. Nat Aging, 2022, 2(5): 412-424.

20. Jones DT, Lee J, Topol EJ. Digitising brain age[J]. Lancet, 2022, 400(10357): 988.

21. 洪欣悦. 城乡差异对居民就医行为的影响研究—基于居民医疗保险的实证分析[D]. 北京: 对外经济贸易大学, 2024. [Hong  XY. Research on the impact of urban-rural differences on residents' medical behavior: an empirical analysis based on residents' medical insurance[D]. Beijing: University of International Business and Economics, 2024.]

22. 张潇予. 遂宁市中心医院病人跟踪治疗管理信息系统的设计与实现[D]. 成都: 电子科技大学, 2011. [Zhang XY. Design and implementation of the patient tracking and treatment management information system in Suining central hospital[D]. Chengdu: University of Electronic Science and Technology of China, 2011.]

23. 甘筱青,高阔.关于医疗卫生体系中转诊研究的文献综述 [J].中国卫生事业管理, 2011, 28(3): 193-196. [Gan XQ, Gao K. Literature review on referral research in the medical and health system[J]. Chinese Health Service Management, 2011, 28(3): 193-196.]

24. 陈虹. 基于质量功能展开理论的综合性医院体检中心健康管理服务改进研究—以某三甲医院体检中心为例[D]. 福州: 福建医科大学, 2024. [Chen H. Research on the improvement of health management services in comprehensive hospital physical examination centers based on the theory of quality function deployment - taking the physical examination center of a grade-a tertiary hospital as an example[D]. Fuzhou: Fujian Medical University, 2024.]

25. 韦金梅,黄玲,林华,等. 57707例健康体检者重要异常结果检出情况分析[J]. 健康体检与管理, 2024, 5(4): 404-408. [Wei JM, Huang L, Lin H, et al. Analysis of the detection of important abnormal results in 57,707 healthy individuals[J]. Health Examination and Management, 2024, 5(4): 404-408.]

26. 张德君,王亚男,李琳琳. FOCUS-PDCA在缩短患者超声检查等待时间中的应用[J]. 保健文汇, 2021, 22(4): 141-143. [Zhang  DJ, Wang YN, Li LL. The application of FOCUS-PDCA in shortening the waiting time for patients' ultrasound examinations[J] Health Care Review, 2021, 22(4): 141-143.]