Health insurance product innovation in the era of big data

The Fifth Plenary Session of the 18th Central Committee of the Communist Party of China started from the coordinated advancement of the "Four Comprehensives" strategic layout and put forward the grand goal of "promoting the construction of a healthy China", highlighting the country's high priority and determination to safeguard national health. determination. The reporter learned from the National Health and Family Planning Commission that in accordance with the requirements of the central government, the National Health and Family Planning Commission is studying and formulating the "13th Five-Year Plan for the Construction of a Healthy China". This plan will become the program for promoting the construction of a Healthy China in the next five years. sex documents. With the implementation of the "Healthy China" strategy, the medical and health industry focusing on big health, big sanitation and big medicine during the "13th Five-Year Plan" is expected to exceed the RMB 10 trillion market size. The medical and health industry will also lead a new wave of economic development, and subdivisions such as medical services, health insurance, innovative drugs, precision medicine and Internet medicine will advance by leaps and bounds.

The application of big data in China’s medical industry needs to be promoted urgently

However, with the deepening and penetration of “Internet +” thinking in various fields of society, how can medical services adapt to this big data? In this era, making full use of various useful data and establishing an efficient and fast service platform are the most urgent things to be promoted.

There are many successful applications of medical big data in developed countries that are worth learning from. For example, the U.S. Centers for Disease Control and Prevention has released medical data to inform patients of a variety of different medical options, allowing them to choose more cost-effective treatment options. In addition, the perfect combination of precision medicine and big data has enabled personalized treatment applications to achieve a new leap. Like cancer treatment, through the analysis of large data sets such as genomes, genetic variation can be studied to achieve personalized medicine and adjust drug dosage. McCarthy has estimated that in some cases, medical costs have been reduced by 30% to 70% by reducing prescription drugs. In addition, the cost of treatment and surgery for early detection of tumors is half that of late detection.

Medical “Internet +” calls for innovation

Recently, the country’s first Internet hospital settled in Wuzhen. Wuzhen Internet Hospital has opened up the exploration of a new model of "Internet +" medical care. Doctors and doctors, and doctors and patients, do not need to face each other. They can complete the diagnosis and treatment process through online video, including issuing electronic prescriptions and dispensing medicines. This will greatly save doctors and patients time. In addition to the innovation of medical models in hospitals, technological innovation of medical equipment and the development and use of technology platforms will also greatly promote the development of China's medical industry. For example, the EPIQ color ultrasound diagnostic system launched by Philips relies on a big data platform to realize intelligent individual examinations, simplify the analysis steps with one click, and quickly present accurate examination results, which can make the doctor's diagnosis process twice the result with half the effort.

The "Cardiovascular Chronic Disease Management Solution" jointly developed by Philips and Peking University First People's Hospital is also an innovative solution for health self-management in the "Internet +" environment. This system helps hospitals extend care to discharged patients by interconnecting senior hospitals, primary hospitals and families. For hospitals, this system will help doctors better manage the patient population outside the hospital, monitor the symptoms and related physiological signs of discharged patients, diagnose the condition in a timely manner, and adjust prescriptions to avoid aggravation of the patient's condition. For patients, this system can enable them to receive professional health guidance in a timely manner after they are discharged from the hospital, and mobilize patients' enthusiasm for self-management of chronic diseases. As Mr. Chen Shengyu, Vice President of Philips and General Manager of Greater China Medical Information Solutions Business Unit, said: "This solution explores how to use medical informatization to achieve chronic disease and health management, thereby alleviating the pressure on the current medical system. One of the important innovative practices. Our purpose is not only to provide solutions, but to build an ecosystem of continuous medical services.”

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