Liu Minchao: A Review of the 2014 Medical IT Circle

In 2014, the medical IT market was climaxed. With the support of policies, the demand for IT and electronic technology in the medical market was thoroughly stimulated, and it was quickly integrated with the rapidly developing digital products. The concepts of wearable devices and mobile medical treatment were received by various circles. Widespread attention, many large medical institutions in China have tried the application of new technologies.

At the end of the year, just after the climax of the medical IT market in the past year, the reporter invited Director Liu Minchao of the Computer Application and Management Department of 301 Hospital to share ideas and ideas on several concepts in the medical IT industry.

HC3i: Wearables are coming. Nike step shoes, Google glasses, health monitoring wristbands, and body temperature shirts swarmed, and the concept of wearable attracted a lot of industry attention. After the initial fanaticism, the wearable device entered a more rational stage, unloading the dazzling big-name coat, quietly entering the hospital ward, and quietly entering the patient's door. Do you think there is any real room for development in the medical field for wearable devices? What is the specific aspect?

Liu Minchao: Wearable medical equipment is more than just a "fan"!

First of all, Google has become the new favorite of some doctors. Doctors at many domestic and foreign hospitals have already performed surgery with Google Glass. Perhaps it is just a slap in the face, but these doctors are not doing this for the sake of “headlines” or “beating the layout”. How many doctors like to use it, but Google Glass has already whipped up the appetite of the doctor. This is beyond doubt.

It’s not just doctors who look at wearable medical devices . Other health care providers can use the wearable medical device for intensive care or chronic disease monitoring to collect patient data. In this way, the patient does not have to be confined to the hospital bed, the data can be collected 24 hours a day, and the nurses are much easier. Some people ask, is the large-scale monitoring equipment different? Why develop new things? It's like people don't have to use the original big brother, but choose the thinnest touch screen phone. Of course, whether it can be realized depends on the medical equipment vendors. The information collected by so many patches of large equipment can be changed to a button. It is estimated that it is somewhat difficult. But after all, socks can now monitor motion data and wash it. Technically it should not be a problem.

Wearable medical devices can be given to patients in the hospital for monitoring. Like some patients who are afraid of entering the hospital, blood pressure and blood pressure are all going up. The doctor also knows that the treatment is better at home, but what if the patient has a problem? Bring a bracelet, not afraid of water, not afraid of dirty, 7X24 hours to collect data continuously. Once an abnormality occurs, the hospital-side system automatically alarms, the doctor looks at the data, finds out the problem and guides the patient or family to self-rescue, and at least can get more rescue time. It makes more sense for chronic patients, and I have heard that some hospitals in Shanghai are already trying.

Wearable medical devices can also be used as a babysitter for the elderly. When people are old, their arms and legs are not flexible, and their memory is not so good. Is blood pressure measured today? Have you taken the medicine? How is blood sugar? The data of each body index are collected from the wearable device, and there is a problem with automatic alarm. The medicine for taking the medicine should be seen by the doctor. This kind of old-age life is also easier, saving the caregivers a lot of time to go to the hospital.

HC3i: Gartner predicts that shipments of wearables will decline in 2015 as they will be hit by smart watches. In this regard, I do not agree, if the wearable device really touched the doctor, then only in China's huge chronic disease and pension market, at least in the Chinese market, the wearable device market is about to usher in a big bang, as for It’s not 2015, wait and see.

If technology is not an obstacle, then the market for wearable medical devices is going to break out. What you need is a product that really impresses doctors. What kind of products can impress doctors and patients?

Liu Minchao: "This has to ask the doctor."

What kind of wearable products do doctors and patients need? It should be the kind of product that can truly liberate medical staff, such as collecting the required data on time, and also automatically warning the system. After all, no one can stare at the data curve every day. What kind of products do the elderly need? Perhaps the volume is not too small, the buttons and display text should be larger, and the operation response should not be too sensitive. In practice, it is necessary to observe the details of the old people's life in order to make the products acceptable to them.

Just like the work of the information center, doctors will ask for various needs, but it is not so easy to truly understand these needs and use IT products to meet the needs. The first is to understand the needs. Therefore, IT staff are often asked to go to the front-line business department to see how the clinic is treated, how to charge the toll booth, and even experience the process personally if conditions permit. In this way, IT people's understanding of business needs is more accurate, and the system that is made is closer to the needs of business people.

These may not be enough. To make a wearable product that makes doctors and patients feel the heart, it is necessary for R&D personnel to come to the front line to experience it. After careful and meticulous research and analysis, we can get the most accurate demand and make products that satisfy doctors.

"Never treat your users as fools. If you are casual about them, they will not even give you anything. Respecting each other is to respect yourself."

HC3i: In addition to wearable devices, the current hot technology concepts are cloud computing, big data, internet of things and mobile healthcare. If it is more than heat, in 2014, the medical industry is the hottest than mobile medical. Why do you think mobile medical is so hot?

Liu Minchao: "Because there are real needs in it. This demand does not refer specifically to doctors' ward rounds or nurses' infusions, but also includes such things as payment, such as chronic illness management and pension."

Today, the era of information access mode changes is imminent. At this time, the technology and concept of mobile medical care are also maturing. The encounter between demand and technology is not a minute earlier, nor a minute later, and some are just good. So mobile medical broke out.

HC3i: How is cloud computing progressing in the medical industry? Where is the future explosion?

Liu Minchao: The application of cloud computing in large hospitals is not uncommon. Many hospitals have tried to build private clouds to improve storage efficiency. By simplifying IT resource management with virtualization, it can help hospitals save costs. In the future, cloud computing will be More hospital acceptance and application.

"The explosion of cloud computing in the medical industry should actually be at the grassroots level." The central government allocated funds to the grassroots hospitals to help them informatize, but bought hardware without software, no one would buy software, what should I do? Grassroots hospitals have limited income, and IT investment is bound to be more limited.

"The cloud computing model can be moved in. The primary hospital rents computing resources and storage resources to third-party companies, and even outsources the entire IT business to third-party companies for operation and maintenance, hardware, software, and people. No matter which node has a problem, the hospital A telephone, a third-party company can get it." This approach is not necessarily a way out for grassroots hospitals. After all, equipment products are good to buy, and it is hard to find talents.

HC3i: Medical informatization is advancing in the process of exploration, and all localities are eager to try new methods and new technology applications. The relevant authorities are actively exploring on their own sites, and the result is that the participants are a bit tired. For example, issuing a card, a medical insurance patient has a medical insurance card, almost all hospitals have a medical card, the Health Planning Commission promotes a health card, and some places are pushing the citizen card to see a doctor. What do you think of issuing cards? What card is used in the 301 hospital?

Liu Minchao: Since the opening of the financial registration channel, ordinary people can directly use the bank card to register on the ATM machine, and take the bank card to the 301 hospital to register. At the beginning, it was only the four major banks built by workers and peasants. Now it is extended to all banks' bank cards, from registration to payment card. The patient no longer has to worry about forgetting to bring the card to the doctor. It is enough to have a bank card.

"The future registration of medical records does not require a card at all." There is a personal credit guarantee mechanism. When the patient arrives at the hospital, the patient, the fingerprint, the iris or any other physical identification can confirm the identity information and complete the medical treatment process. As for the medical insurance issued by the medical insurance directly to the hospital, the bank account of the patient is directly transferred to the hospital.

HC3i: The most important thing in the 21st century is talent! At present, what problems are faced in the training of IT talents in hospitals? What is your solution?

Liu Minchao: The market for medical care is developing too fast, the expansion of public hospitals, the rise of private hospitals, the cross-border of IT and equipment manufacturers, and the emergence of new technologies for the development of emerging technologies. The scale of the entire medical technology market is expanding rapidly, and the shortage of talents come behind.

The hospital information section is generally not paid very well, and the promotion space is very limited. In the words of Director Liu, you can see the "ceiling" at a glance. In the hospital, you can only figure out the stability, otherwise it is the "sea" business. At the young age, I am waiting for retirement in the Information Section. This kind of day is not something that everyone can live in. Therefore, in the past two years, the hospital information section has been "sea". But if everyone is "going to the sea", who will do the hospital information construction? Therefore, our domestic medical institutions should pay attention to it, and provide more room for development of IT talents in hospitals in terms of allocation, remuneration, and promotion space.

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