目的重建基于电子病案的随诊模式。方法针对当前随诊工作存在的问题进行现状分析,对比传统随诊模式,重建现代随诊工作模式。结果在电子病案的基础上建立统一的随诊管理平台,随诊工作以主管医师为主体,创新随诊方式,实行按病种和重点人群跟踪随诊,通过一体化管理和应用构建新的随诊模式。结论重建随诊模式,从而更有效地开展随诊工作。 Objective To reconstruct the follow-up model based on electronic medical records. Methods Based on the current situation of the existing problems in the follow-up work, the traditional follow-up mode was compared with the modern follow-up work mode. Results Based on the electronic medical records, a unified follow-up management platform was established. Follow-up work focused on the chief physicians and innovated follow-up methods. Follow-up was followed up by disease types and key populations, and a new follow-up system was established through integrated management and application Diagnostic mode. Conclusion The model of follow-up is rebuilt so that follow-up work can be carried out more effectively.