Release time: 2015/3/3015: 24: 50 Source: Shanba Group
The connotation and extension of telemedicine and Internet health are very different. Not a medical institution, it can't provide medical services and can't be included in telemedicine.
A Simple Summary of Internet Health Model
Telemedicine has many related concepts. We talk about mobile medical care, internet medical care and so on. And the health of the internet. There are many concepts. These three concepts are similar, so we won't make a concrete analysis. Next, I will talk about some so-called internet health models other than telemedicine, which we can distinguish from telemedicine. For example, in addition to medical activities in a purely strict sense, some models of Internet health or mobile health can be simply summarized and roughly divided into five categories.
The first is health monitoring and guidance. Many of these services are related to intelligent hardware, and more are to collect and analyze the data of patients or people in this field in a certain period of time, and put forward some intervention suggestions, such as Kangkang blood pressure and female aunts.
The second is non-interactive health care information service, that is, there is no interaction between people, patients and medical staff, which can be simply considered as the interaction between people and machines. Typical applications, such as medical assistants and clove doctors in clove garden, can help doctors write prescriptions and drug instructions, and clove doctors can treat patients. This kind of interaction is between man and machine.
The third category, interactive health care consulting services, is the interaction between people, patients and doctors or other medical personnel, more typically Dr. Chun Yu and online doctors.
The fourth category is medical e-commerce services, which are further away from what we call medical care. For example, Tmall's medical museum is an online e-commerce, and the handheld pharmacy only plays the role of medical diversion.
The fifth category is medical service process optimization. For example, the Ali future hospital plan that everyone is concerned about is more about optimizing the overall service of the hospital through payment. The models mentioned above are almost not medical treatment in our traditional sense, but more about patient health management in the periphery of medical treatment, which belongs to process optimization, so it does not belong to the telemedicine we mentioned earlier.
Just now, many other models have been discriminated against. What are the more mature telemedicine projects? We also sort out the existing models in the process of policy making, which generally include remote pathological diagnosis, remote imaging diagnosis, remote monitoring and remote video consultation. These models should be mature telemedicine projects widely used in clinic. All these projects have a common feature, which does not involve direct operation on the human body, such as tele-surgery or other tele-treatment, and is more an auxiliary action in the process of doctor's diagnosis or consultation. Why we didn't think of setting up operations for people directly in the process of legislation is actually our own consideration. At present, this technology has not been widely developed. Few hospitals perform this kind of operation outside the hospital, most of them are in the same hospital or even the same operating room, which is different from what we call telemedicine. If this advanced technology is regulated by law too early, it may hinder development if it is too strict, and it will lead to some problems if it is too loose. Therefore, it is necessary to gradually introduce norms in the supervision process.
Why should we "push" medical institutions to carry out telemedicine services?
Last September, we issued guidance on promoting telemedicine services in medical institutions. In this document, everyone can pay attention to one word, that is, advance. The main argument of this document is that we want to promote telemedicine as a very important field, rather than many of our conventional medical technologies. Generally, a document called XXX management method will be issued. The management is neutral and is supervised by the third party. If the government promotes this matter, the meaning will be different. Why does the government want to advance? We can also sum up its meaning. The first significance is that telemedicine improves the accessibility of high-quality medical resources. The distribution of medical resources in different regions is very uneven. Large hospitals have concentrated a large number of medical resources, but there are relatively few high-quality resources in western rural areas. Through telemedicine, the barriers of time and space can be broken, and remote areas and grassroots people can enjoy high-quality services, thus improving the accessibility of high-quality medical resources. The second is to reduce medical costs. The price gap between different medical institutions is very large, in addition to indirect medical expenses. A patient has to go from the grassroots to the big hospital. In addition to medical costs, there are many indirect medical costs, which may be greater than direct medical costs, so telemedicine can solve the problem of indirect medical costs to a great extent. Third, promote health management. Telemedicine can continuously record this information through digital services, which will greatly promote health management, including the follow-up management of patients after discharge. The fourth is to develop the information industry. There are many means of informatization, which require a lot of information technology.
Telemedicine cases done well in China.
Internationally, the development of international telemedicine has been close to 50 years. Originally used in aerospace and war rescue, it has gradually developed into more and more forms, solved more and more problems, and gradually penetrated into the core of medical care. China has been exploring telemedicine since 1980s. In 1990s, Beijing, Shanghai and other places carried out some telemedicine exploration and system construction. In 20 10, the state made two projects, one is the primary telemedicine system facing the west, and the other is to connect the original 12 affiliated hospital with many other hospitals, which effectively promoted the development of telemedicine. This is the first large-scale investment in telemedicine system in China.
In the process of these developments, we also have some cases of telemedicine that have done well. I will mention these cases for your reference. The first is the situation in Zhejiang and Xinjiang provinces, one in the east and the other in the west. There are great differences in economic development between the two provinces, but the roads they choose are similar. Both of them took the lead in establishing a province-wide telemedicine system at the provincial, prefectural and county levels, and they have been well applied, with a relatively large number of applications. The number of telemedicine consultations in the People's Hospital of Xinjiang Autonomous Region and the First Affiliated Hospital of Xinjiang Medical University in 20 14 years has reached more than 10000 person-times, which should be a relatively large number and solve a big problem. Another is Yunnan, where telemedicine is also done very early. Telemedicine in Yunnan has invested more than 80 million yuan, connecting all county hospitals. At present, telemedicine in Yunnan Province is also the most perfect system in China.
In addition to the comprehensive telemedicine mentioned above, there are many so-called vertical telemedicine and specialist telemedicine, such as Ningbo. Ningbo digitized the images and ECG results of all township hospitals and community service centers. Doctors in grass-roots hospitals only need to make a checklist, and these films are all diagnosed by higher-level doctors, which greatly improves the accuracy of diagnosis.
The other is a pilot project that we once supported by McCordick Company and Case Center of Health Planning Commission in Xiamen. At the beginning, 60 county-level hospitals donated remote pathological diagnosis equipment, relying on these county-level hospitals to upload some difficult and complicated pathological films to the server, and top experts issued pathological diagnosis reports, which actually played a great role. We did a statistic. When the system first started running, about 40% of the cases were corrected through this system. If the patient's pathological diagnosis is wrong, it will directly affect the treatment. This system corrected 40% of the diagnosis, which we think played a very big role.