According to the National Health and Health Committee, the "Guiding Opinions on Promoting the Development of "Internet + Medical Health"" clearly defines the clear attitude of supporting the development of "Internet + medical health", allowing the development of Internet hospitals based on medical institutions. Some common diseases and chronic diseases can be online. Return to the clinic and prescribe. Artificial intelligence and the like will be used for clinical decision making, and Internet technology will also be used to improve hospital management and convenience services. In reality, many places have already carried out the exploration of “Internet + medical healthâ€, which has brought a lot of convenience to the people.
Internet Hospital: Looking at the experts at Beishangguang at the doorstep
In the First People's Hospital of Yinchuan City, Ningxia, the corner of the outpatient hall is a conspicuous remote expert clinic, which is divided into three small rooms with computers.
The 71-year-old Kim Uncle became a beneficiary of telemedicine. The son of the old man said that his father had gone to Beijing for treatment because of digestive diseases. He went to 301 Hospital, Union Hospital and Hebei Yanda Hospital. Affected by illness and tiredness, Jin’s uncle is very weak and can only eat some food to maintain his physical function. Later, the old man returned to the local medical treatment. Under the guidance of the doctors of the First People's Hospital of the city, he conducted remote consultations with experts from the Beijing Grand Hospital, saving the pain of running.
The remote expert outpatient platform was built by the Good Doctor Yinchuan Internet Hospital. The city's First People's Hospital, as the landing hospital, can connect with the Internet hospital North Shangguang and other 15,000 doctors at or above the level of the doctor to conduct remote consultation. The patient needs to be examined at the hospital and will be required to make an appointment. If surgery is needed, the expert will go to the hospital to do it.
Ma Xiaofei, the president of the hospital, said that relying on the Internet hospital platform, the hospital has created a model of “far-side expert treatment and local hospital convenience serviceâ€. The patients with chronic diseases of the medical complex have obviously subsided the community, and the number of difficult operations in the hospital has increased significantly. The surgery that dare to do is now carried out, and the arrival of experts has led to an increase in the level of technology. At the same time, promote the efficiency of medical institutions in the medical association, and remotely guide the primary hospitals to standardize the treatment of common diseases and frequently-occurring diseases, and reduce the inconvenience of frequent trips to and from Yinchuan.
As the earliest place to explore Internet hospitals in the country, Yinchuan City has specially issued a series of special management methods for Internet hospitals, including approval, online medical practitioner registration, medical insurance payment, risk prevention and control, and supervision.
For example, 15,000 doctors practicing in the Good Doctor Internet Hospital need to obtain electronic signatures and signatures through electronic certification, and the qualification certificates are filed in Internet hospitals. Online medical treatment is regulated by the local health department. Last year, 15 Internet medical related companies entered Ningxia one after another, which greatly facilitated local patients.
Wang Hang, chairman of the hospital, said that the biggest role of the Internet is to connect. Internet hospitals and offline base hospitals provide remote consultation services, which facilitates local patients to see a doctor and help to achieve graded diagnosis and treatment.
Human-machine cooperation diagnosis: clinical decision making is more accurate and efficient
Artificial medical diagnosis and decision-making system based on artificial intelligence, intelligent medical image recognition, pathological typing, etc. have been applied in some disease fields.
Some time ago, the reporter experienced the real application of a newly developed artificial intelligence image detection system: on the Beijing image cloud platform, intelligent detection and identification of nearly 9000 lung nodules CT images of 30 patients uploaded by the primary hospital The suspected nodules detected in the first round of screening were labeled as a secondary diagnosis and provided to 4 radiologists for review.
The whole process of human-computer cooperation diagnosis of pulmonary nodules took only 30 minutes, which was more than 5 times higher than the 150-180 minutes required by the traditional route. The radiologists at the top four hospitals in the field used a double-blind method to verify that the comprehensive accuracy of intelligent diagnosis reached over 90%. In the test report formed by the system, the probability of predicting the disease is accurate to two decimal places.
Pulmonary nodules are the manifestations of early stage lung cancer. Among the causes of cancer death in China, lung cancer mortality is the highest. Early detection and treatment of lung cancer can greatly improve the quality of life and survival rate of patients, and screening of lung nodules is extremely important. Li Xiaoqiu, a radiologist at the Wanliyun Imaging Center and the chief physician of the Air Force General Hospital, told reporters that lung nodules are often easily overlooked by visual observation on the image. Imaging technology can help doctors to "snoop" the lesions inside the body more deeply. It can more accurately diagnose the condition and propose a more effective clinical treatment plan.
Imaging doctors usually need to spend a lot of time on manually detecting lung nodules, which makes the clinical work very heavy. “A top three hospitals receive an average of 200 or so lung nodules every day to screen patients. Each patient will produce 200-300 CT images during the examination, and the radiologist will need to read at least 40,000 images per day.†Li Xiaoqiu Say.
In addition to pulmonary nodules, some hospitals have also used artificial intelligence to assist doctors in making decisions, such as esophageal cancer, breast cancer, and diabetic retinopathy. Experts believe that artificial intelligence intervention in clinical use to assist physician diagnosis can effectively improve service efficiency, can alleviate the problem of insufficient primary health service capacity to a certain extent, and promote graded diagnosis and treatment.
Cloud clinic: do not have to go to the hospital to see a doctor
As the "Internet + Medical" platform launched earlier in the country, Zhejiang Ningbo Cloud Hospital will enter the cloud from appointment registration to examination, pathology, imaging, nursing, pharmacy, etc. This year, medical insurance payment will also be accessed. This has greatly improved people's medical treatment and health service experience. According to rough calculations, in one year, medical informationization can save about 60 million hours for Ningbo patients.
The cloud clinic is a major feature of Ningbo Cloud Hospital. Mr. Chen, a diabetic patient, was one of the first residents to experience the cloud clinic. At that time, the diabetes clinic was opened. Mr. Chen uploaded his blood pressure and blood glucose monitoring records to the cloud clinic for medical treatment. The doctor can also access the past medical records with the patient's authorization. Then take the electronic prescription authorized by the doctor and go to the fixed pharmacy to dispense the medicine. "I have to run the hospital regularly, and it is too much trouble to wait in line. It is really convenient to see a doctor at home!"
On the platform of the cloud hospital, the hospital has a specialist and specialized disease cloud clinic to provide online diagnosis, follow-up and consultation services for returning and discharged patients. At the grassroots level, there is also a cloud clinic, which is combined with the signing service of family doctors. It uses the cloud hospital platform and the “handheld cloud hospital†terminal to develop online and offline collaboration and medical defense integration services to improve the efficiency of family doctor services. Some large hospitals also use the cloud hospital platform to build a three-level service management system for cardiovascular rehabilitation from hospitals to community health service centers and households.
Cloud computing, big data, Internet of Things, artificial intelligence, etc., Internet technology is increasingly used in the field of medical and health, from the initial mobile payment, mobile phone appointment registration to Internet hospitals, online referrals, decision-making, surgery. How to make good use of new technologies to better meet the growing health needs of the people is a new proposition facing the relevant departments, and all parties need to participate in solving them.
Chen Qiulin, deputy director of the Center for Health Industry Development Research of the Chinese Academy of Social Sciences, believes that "Internet + medical health" plays a role in benefiting the people, empowerment and governance. Innovative services such as hospital Internetization and remote diagnosis and treatment have reduced the economic and time cost of seeking medical advice and medicine for the masses; helping doctors, especially doctors at the grassroots level, to improve service capabilities and levels through online learning and assisted diagnosis and decision-making; through big data management To promote effective governance of health and increase the sense of gains.
"But health care is directly related to people's health. The innovation of 'Internet + medical health' should be cautious and inclusive, with the premise of risk control and non-life threatening. The supervision of online medical health service behavior requires uniform standards and norms. Establishing a firewall at the institutional and technical level, clarifying the boundaries of behavior, clarifying the bottom line of policies, and implementing dynamic supervision, so that ordinary people can safely go online for medical treatment," Chen Qiulin said.
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