On the morning of April 26, the National Health and Health Commission held a special press conference with the theme of “Internet + Medical Health Development and Hospital Internet Medical Serviceâ€. The conference was held at the China-Japan Friendship Hospital. As the first appearance after the media briefing on April 12, the Health Planning Commission selected the location in its directly affiliated national large-scale hospitals, which means that the Sino-Japanese friendly hospital model has far-reaching significance in the provision of Internet medical services.
At the press conference, Jiao Yahui, deputy director of the Medical and Health Administration of the National Health and Health Council, and Sun Yang, president of the China-Japan Friendship Hospital, answered the hot issues of concern to all walks of life. For the hot topic of "Internet + medical health", Internet hospital definition, medical security and other hot topics, the National Health and Health Commission gave the official answer for the first time, so that Internet medical services have operational guidelines. The arterial network has sorted this out.
How to cut in?
Before the country clearly defined the "Internet + medical health" development strategy, the practice of applying the Internet to the provision of medical services has long appeared in various forms. It is not uncommon for hospitals to touch the net and doctors to touch the net. Many companies that provide Internet medical services have even completed the layout and opened the closed loop of the medical industry chain. It seems that only a policy is ordered.
Jiao Yahui, deputy director of the Medical and Health Administration of the National Health and Wellness Committee (Source: China Government Network)
The media briefing two weeks ago clarified that there is no more detail than to support the development of Internet hospitals. Fortunately, the Health and Health Commission pointed out the direction of the meeting. Jiao Yahui said: "Next, the National Health and Health Committee will work with relevant departments to implement policies and implement hospital services as an important entry point . "How to cut in, Weijian A model hospital was also selected.
How to promote?
Anything has been demonstrated and promotion is relatively easy. Jiao Yahui said that he hopes that the committee will run the demonstration of the "national team" and promote the effective implementation of the "Internet + medical health" policy requirements. Later, Sun Yang introduced some work done by the China-Japan Friendship Hospital on Internet + medical health in recent years. In the summary of the experience of the Sino-Japanese Friendship Hospital, we can find out how to promote Internet hospitals in the future.
Sun Yang, Dean of China-Japan Friendship Hospital (Source: China Government Network)
What was the past way?
Telemedicine work
The China-Japan Friendship Hospital uses the Internet to establish a telemedicine collaboration network that connects the grassroots and large hospitals, linking medical institutions and medical personnel in different physical spaces. In addition, the China-Japan Friendship Hospital has been actively exploring the telemedicine coordination mechanism under the grading diagnosis and treatment model for many years. The use of the Internet has increased the accessibility of medical work.
Medical union construction
The China-Japan Friendship Hospital has established a regional medical association and a specialist medical association to achieve the sinking of quality medical resources. Through the regional medical association, the China-Japan Friendship Hospital guides patients to the community for the first consultation. At the same time, using the advantages of specialties such as breathing, pain, and combination of traditional Chinese and Western medicine, the Sino-Japanese Friendship Hospital establishes a specialist medical association to complete the referral of critically ill patients and remotely. Consultation, remote training, etc.
Informatization
Multi-channel development of patient-oriented information channels, such as APP, WeChat public number, etc., to achieve online appointment registration, payment, waiting, results query and other functions to improve patient experience. Internet technology is also playing an increasingly important role in the whole process of appointment, satisfaction evaluation, hospital emergency system construction, mobile health care and so on.
How will the future be carried out?
Sun Yang said that in the next step, the China-Japan Friendship Hospital will start from the following aspects:
First, further open the appointment service, expand the appointment method, and shorten the waiting time for medical treatment;
The second is to fully open online payment, and prepare for the comprehensive coverage of medical insurance, new rural cooperative medical insurance, and commercial insurance to achieve safe and convenient payment;
The third is to further promote self-service, laying Internet bridges in the doctor-patient interaction links such as registration, medical treatment, payment, inquiry, appointment, etc., to reduce patient window queuing;
The fourth is to further use the Internet channel to promote information disclosure, and greatly expand the way patients obtain information;
The fifth is to further promote telemedicine, integrate 4G and 5G telecom facilities of basic telecom operators, establish an Internet telemedicine collaboration system centered on Sino-Japanese hospitals, and open the whole process of telemedicine;
Sixth, through the combination of “online and offline†and “up and down linkageâ€, a two-way appointment referral is carried out to comprehensively promote graded diagnosis and treatment;
The seventh is to comprehensively promote health management and serve the community's chronically ill patients, especially the online diagnosis and treatment services for returning chronically ill patients;
Eight is relying on Internet technology to build smart hospitals that are more efficient, more convenient, and more optimized.
How to supervise?
Internet hospitals are a new thing, and there is no precedent for industry regulation to follow. This is the case. When the state opened the mouth of the Internet hospital, the first time it identified two important safeguard policies: one is medical quality and safety, and the other is data information security.
The state requires medical institutions to develop Internet hospitals to ensure the authenticity and reliability of information. At the same time, Internet enterprises must bear the corresponding main responsibilities and be able to “see and feelâ€.
Specifically, on the one hand, the identity of doctors is digitally authenticated , so that the whole process can be traced and traceable on the Internet; on the other hand, the main responsibility is clearly defined , and even the main responsibility of Internet companies is increased, so that Internet companies can take the initiative to perform their duties. Responsible for the services and treatments provided. Jiao Yahui said that the Health and Welfare Committee is studying to ensure the security of electronic information data and to confirm the data information of electronic medical records. For some localities to establish an Internet regulatory platform, Jiao Yahui believes that it is feasible.
Jiao Yahui said: "It is necessary to step on the accelerator pedal and prepare for stepping on the brakes . On the one hand, it encourages development. On the one hand, it must strengthen the supervision of medical quality, and adopt a tolerance to the people's health and life. Prudent basic principles to strengthen supervision."
How to coordinate doctor time?
For the doctors, especially the experts, who are concerned about the public, the daily workload is already very large, even overloaded. The opening of an Internet hospital will further crowd out the doctor's rest time. Jiao Yahui also gave her views. She believes that there is a misunderstanding here, that is, artificially separating "Internet + health care", that doctors are traditional doctors within 8 hours, and doctors in the Internet environment are only 8 hours away. In fact, this view is wrong. The penetration of the Internet into the medical industry is silent. In the current daily 8-hour work, doctors are already Internet doctors. They remotely diagnose through the Internet or health care for contracted patients. Management and monitoring are not just the use of fragmentation time, but work normality. The Internet has changed the way doctors work and improves efficiency, rather than adding extra hours of work.
Jiao Yahui said: "I don't think this is an issue that is either one or the other. We still have to look at the application of Internet technology in doctors' work in a comprehensive way, and it plays an important role all the time."
How will medical AI land?
Medical AI has been applied in many medical situations in China, including manual assisted diagnosis systems within medical institutions, Da Vinci surgical robots, surgical navigation, etc. Patient-end wearable devices are used to monitor blood pressure and blood sugar. Some women's and children's hospitals and maternity hospitals have remote fetal heart rate monitoring AI equipment for pregnant women who have undergone physical examination, which reduces the number of pregnant women who go to the production check.
Jiao Yahui believes that the development of medical AI is in line with the direction of our country's innovation-driven development strategy. Although the country does not have a clear overall plan, the state, local governments and social capital have organized some medical AI scientific and technological projects, and many experts have been obtained. The participation of the big doctors shows that from the scientific research aspect of medical AI, not only the government is advancing, but also the forces from the state to the local, from the government to the society are mobilized. Everyone is doing this effort. .
At the same time, China is in a leading position in the world of AI, so the policy side is full of hope for the prospect of medical AI, full of expectations.
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