"Internet + medical ", this topic has always been mentioned since the advent of mobile medical care , and it has often become a "hot topic" for discussion in major forums, conferences and events.
It is true that Internet+ contributes to the cooperation of hospitals at all levels in grading diagnosis and treatment, which helps to promote two-way referral, improve the level and quality of primary medical services, and the efficiency of medical resources, and promote the solution of “expensive medical treatment†through information sharing. It is expected that a reasonable division of labor between public hospitals and private hospitals will be realized, and the medical responsibility will be shared.
However, the Internet + medical care, the real landing is still "the road is long and its repairs are far-reaching", still need to go up and down.
Liao Xinbo, inspector of the Guangdong Provincial Health and Family Planning Commission, believes that "Internet +" can force the sharing of incremental data, but the parties need to mutually recognize the inspection results. Huang Feihua, deputy director of Tongde Hospital of Zhejiang Province, believes that the development of Internet hospitals still needs more perfect protection at the legal and policy levels, and promotes the closure of medicine, medicine and distribution. Tian Junzhang, dean of the Guangdong Provincial Network Hospital and the Second People's Hospital of Guangdong Province, is committed to the integration of the Internet and medical resources to achieve closure from the clinic to the hospital.
Chen Jinxiong, director of the Computer Application and Management Division of the Fuzhou General Hospital of the Nanjing Military Region, believes that “Internet + medical care†requires “respect†for information sharing, respects the intellectual property of doctors, and respects the privacy of patients. Liu Ping, dean of the Eric School of Management in Hong Kong, believes that “Internet +†cannot replace hospitals, but decentralizes and flattens medical services so that patients and doctors can interact quickly. Li Tiantian, the founder of Lilac Garden, also agreed that "Internet +" will not allow hospitals to reshuffle. In the face of huge institutional costs, the effective and feasible path is to practice in the existing practice and gradually realize the change of medical model.
"Internet +" forced reform
Director Li Bin of the National Health Planning Commission proposed to use the Internet + to promote the further development of medical reform. What role can "Internet +" play in medical reform, how to force the reform of "unit people" and promote information complementation; how to promote grading diagnosis and treatment and two-way referral; how to promote hospitals and medical institutions at all levels by means of "Internet +" Resource Integration. These explorations are ongoing.
Liao Xinbo, inspector of the Guangdong Provincial Health and Family Planning Commission:
I think the Internet wolf has quietly entered our medical institutions, whether it is a payment system or a drug circulation. Last year may be a year of soaring Internet in the medical field. But is it fruitful? Everyone has raised a question.
"Internet +" can help us implement many policies, and Internet technology can solve many problems. Li Bin, director of the Health Planning Commission, proposed a "forced", what is it? It is forced to reform the "unit people", the obstacles to the technical access of the administrative system, and the reform of the payment system.
Another key point of the forced force is the complementarity of information, which forces the sharing of incremental data. For example, medical reform proposes a third-party imaging center. If third-party images exist, the key is mutual recognition of results. Mutual recognition of results is more of an administrative and legal concept. Now it is the mutual recognition of the inspection results of the top three hospitals. Why is there only three Can the hospital's results be mutually recognized? If we say that our administration allows third parties to check the appearance of inspection centers, and through quality certification supervision, strict use of means to conduct, there is no reason why you do not recognize my results.
Huang Feihua, Vice President of Zhejiang Tongde Hospital:
The Internet has greatly promoted two-way referral and grading diagnosis and treatment. Using Internet technology, the first is that you can have a triage and referral. Second, some problems are solved directly on the line. It can rely on the Internet to conduct regular training and education, and improve the level of medical technology in the countryside. It also greatly promotes the retention of patients in the local area.
The Internet can facilitate patients, share resources, be more efficient, and have higher quality. It is more convenient to solve some of the concerns of the people in the process of grading diagnosis and treatment.
Some of the problems we encountered during the preparation of the Internet Hospital were not so easy to solve.
The first question is the legal and regulatory issues, such as the electronic prescription certification is not recognized? It is not that it is ok, nor that it is impossible. However, in theory, you have to sign, and if you really let go, you will encounter some problems. This problem is not solved by the hospital. It may depend on all of us to push it.
The second question is the policy level. How to pay? How to do it at your own expense? If an Internet hospital has no way to pay, it is not an Internet hospital. I went online to see the line and dispensed medicine. This chain did not form a closed loop. Can medical insurance be bound? This will promote the development of Internet hospitals, and can also promote the process of medical reform and two-way referral.
The third aspect of the problem is drug delivery. Drug distribution, who is reviewing the order? Whoever distributes, there are so many doctors to participate, as well as county, township, town and other levels of participation, the mechanism is very difficult to solve in the short term. These mechanisms are also actively explored and indeed very difficult. I believe that if our vision is finally successful, it does make a very large exploratory contribution, and it can also promote the entire medical reform, as well as two-way referral and graded treatment.
Tian Junzhang, Dean of the Guangdong Provincial Network Hospital and the Second People's Hospital of Guangdong Province:
The development of the network hospital to today is exactly one and a half years, and has experienced a lot of things. What kind of state do we think of Internet medical care? There are differences between us and internet companies. I think Internet hospitals are channel Internet + resources. Why do we have a lot of Internet companies to do offline, find a hospital to join. We believe that Internet medical resources must have hospitals to join. So far, the core resources are good doctors, but good doctors belong to public hospitals, and doctors in hospitals, especially big doctors, are very busy. Doctors look at outpatient clinics at least 70 times a day, more than 100, and Surgery and other things, but also scientific research, he has no time to do this for you online, really does not.
In this case, there is no way for Internet medical care to develop. We want to pool the hospitals. The hospital has set up a department to do this. Each hospital provides some doctors to come out, and then backstage to do support. Without the integration of resources from the hospital, it is difficult to achieve a closed loop from the clinic to the hospital. Distribution, relying on pharmacies, pharmacy resources integration, you can distribute.
Another resource is the village doctor, which is a very necessary resource. The rural population accounts for a large part of the Chinese population. Who is facing the rural medical care? Only rely on our vast village doctors. If we provide our platform to village doctors, the level of village doctors will also increase, and medical resources can be rationally allocated through village doctors. By integrating the platform, it is possible to do this well.
How long does it take for "Internet +" to land?
How long does it take to really see the driving force of Internet+? Despite the Internet + medical treatment, there are many paths in the process of exploration, the model is not unique, and the development of the industry is in full swing. However, in the process of landing, there are still some problems that need to be positive and resolved. How to define and protect information intellectual property in information sharing, patient privacy, and how to seek a down-to-earth and forward-looking path are all being explored.
Chen Jinxiong, Director of Computer Application and Management Department, Fuzhou General Hospital of Nanjing Military Region:
Patient privacy issues are very important. Objectively speaking, to engage in informationization, we must ensure information security. However, security and convenience must be contradictory. There is no way. We can only achieve effective sharing of information and provide more convenient services on the premise of ensuring security as much as possible.
How to solve this problem? There are a few pieces of information sharing that need to be addressed. First, the problem of medical records, the medical records involve the intellectual property of doctors or the intellectual property of hospitals. This piece of content, especially some new methods of diagnosis and treatment, doctors are certainly not willing to take out the medical records, because this involves an intellectual property issue, and definitely protect it. Second, it is definitely a question of patient privacy; the third of course involves other issues.
How to do it? I think it is still a matter of respect. Who is this right? Who is the most important to the right? Part of it is a doctor who wants to protect the doctor's intellectual property. It is best to have a legal framework to solve this problem. The information belonging to the patient should be given to the patient, who should be entrusted by the patient, and must have an informed and confirmed link in the design of the information system. If the information is not shared at all, then big data is empty talk, medical records sharing, two-way referrals are empty talk. Of course, when patients entrust information to third-party organizations, they must ensure their privacy. This is the most crucial point.
What about doing scientific research? Some content that is not related to research, such as the content of patient privacy, personal information, etc., can be hidden without affecting research. There must be responsibilities, authorities, and corresponding processes in it.
Liu Ping, Dean of Eric Management School, Hong Kong:
The Internet is connected to the Internet. Now it is Internet + medical, medical + Internet. The hospital's informatization construction has been improved, covering the entire medical and treatment environment. The transmission, exchange and integration between clinical data guarantees the consistency and transparency of medical services. The needs of hospital transformation, Internet +, Internet of Things, mobile Internet, cloud and big data will play a key role in high-quality diagnosis, treatment, personalized and intelligent medical services.
Inter-institutional interconnection of physical hospitals effectively promotes grading diagnosis and treatment through inter-institutional interconnections to ensure rational allocation of resources between hospitals at different levels. It is important that the interconnection between hospitals requires the homogeneity of information.
Internet + Hospital: The Internet + is unlikely to replace the hospital, but to decentralize and flatten the medical services so that patients and doctors can interact quickly.
The foundation of Internet + medical development: users' demand for mobile medical and health fields will have 8 trillion markets in 20 years, and there will be more health care and health monitoring. The prospects for China's healthcare industry are very large, with a growth of 5 billion from 2012 to 2015, 8 billion in 2017, and 9.5 billion in 2018, and this number has been rising.
The overall situation of China's Internet medical industry: In addition to medical applications in the field of disease, in 2015, vertical-type APP in the single disease field became the most popular among diabetes management, medical beauty, maternal and child birth, oral and Chinese medicine. The main model of China's Internet medical industry, the Internet-based medical project for mothers, infants and children with a large user base and a high degree of commercialization, there are several channels at this stage. E-commerce includes insurance companies, B-side cooperation, hardware, offline diagnostics, and community e-commerce. E-commerce has surpassed the United States since 2013 and has become the world's number one. China's e-commerce has become the world's number one, so e-commerce is a market in the future.
The main modes of China's Internet medical industry: one is Internet + medical, and the other is medical + Internet. The Internet Medical O2O platform is a new hybrid business model that emerged in 2015. The prospects from the future are very good. Throughout the domestic BAT layout in the medical market, the first is online, online medical treatment, providing medical information, health information and so on. The second is offline to online, offline network consultation, registration, and payment. The third stage is offline to online, booking optical registration, offline services and so on. Finally, the Internet closed loop was implemented.
Li Tiantian, founder of Lilac Garden:
The Internet can't allow hospitals to reshuffle: Internet optimization efficiency, improved experience or under the original medical system is an iteration, an upgrade, and reshuffle is not the case, reshuffling is based on the Internet, or a certain item Advanced and revolutionary technology allows the medical model to undergo subversive changes in the short term.
I think this kind of opportunity does not exist in China. Why? The huge institutional costs have already eaten the dividends of technology, the dividend of capital, and the dividend of the market. We see mobile health is very good and can be paid by mobile phone. Sending and receiving red packets is a kind of payment, but in the medical industry, even if mobile payment for a registration fee can not be achieved, why? Not linked to medical insurance. So this huge cost is what we face today. I really hope to be able to shuffle, but in the face of huge institutional costs, we need to find a more feasible way, with a system that conforms to our existing system, and we will promote it first without change in the system. It takes a long time to achieve changes in the medical model.
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