The Development Trend of Medical Informatization and Appointment Booking
How to choose the correct and realistic model and path to realize medical service informatization under the new medical reform situation? How to emancipate the mind, sound regulations, not only to ensure that the public *** medical public welfare attributes, but also effectively utilize the third-party social forces for rapid and healthy development. Well-known experts and scholars in the capital city gathered together for an in-depth discussion on the direction of medical service informatization and appointment booking under the situation of new healthcare reform. In the past few years, the medical service informatization industry has made great progress in the U.S. Google has cooperated with medical centers in the U.S. to establish electronic files for millions of community patients, which can be remotely monitored by doctors. Microsoft has also launched a new healthcare informatization service platform to help doctors, patients and patients' families keep up-to-date with the patients' conditions in real time. Intel also launched a digital healthcare platform a few years ago to help doctors establish interactions with patients through IT. ibm has also made great efforts in this area.
The Chinese Academy of Medical Sciences, assistant to the president of the Chinese Medical Association, the Chinese Medical Association Health Management Branch, vice chairman of Huang Jianshi pointed out that the medical service information technology is the inevitable trend of the development of medical science, booking appointments in the future will be more and more, and finally completely universal. Appointment is to know one's own health status and medical resources information for purposeful medical treatment, is to meet people's personalized demand for medical treatment is inevitable. Medical informatization, i.e. the digitalization, networking and informatization of medical services, refers to the collection, storage, processing, extraction and data exchange of patient information and management information between hospitals and between departments belonging to hospitals by means of computer science and modern network communication technology and database technology, as well as to meet the functional requirements of all authorized users. According to the international unified medical system informationization level division, the construction of medical informationization is divided into three levels: hospital information management system, clinical information management system and public **** health informationization.
Most of China's hospital informatization is still at the stage of hospital information management system construction, i.e., the hospital information management system centered on the price delineation/charging system and financial system.
The Ministry of Health's "Twelfth Five-Year Plan" clearly states that health informatization is an important task in deepening healthcare reform. The Ministry of Health has preliminarily determined the roadmap for the construction of China's health informationization, referred to as the "3521 Project", that is, the construction of the national, provincial and municipal health information platform to strengthen the public **** health, medical services, the new rural cooperative, the basic drug system, the comprehensive management of the five business applications, the construction of the health record and the electronic medical record of the 2 basic databases and a specialized network.
Analysis pointed out that, in the new round of policy to promote China's health care IT investment is expected to reach 24 billion yuan in 2013, 2010-2013 compound growth rate of about 20%.
China's Ministry of Health has preliminarily determined China's health information construction roadmap, referred to as the "3521 project", that is, the construction of the national, provincial and municipal level health information platform; to strengthen the public **** health, medical services, the new rural cooperative, the basic drug system, the integrated management of five business applications; construction of health files and electronic medical records, 2 basic databases and 1 specialized network construction. Compared with developed countries, China's medical informatization is still at a relatively low level. The scale of annual investment in IT in the domestic medical industry accounts for about 0.8% of the expenditure of health organizations, while developed countries have reached the level of 3%-5%. The future development of China's medical informatization space is vast.
According to the analysis of "China Healthcare Information Technology Industry Market Outlook and Investment Strategy Planning Analysis Report", the application of information technology in the healthcare industry is of great significance, not only to improve the quality of service, tap the medical potential, but also to facilitate the deployment of resources, and more importantly, is of great significance for the protection of medical safety.
From the point of view of the stage, China's medical information technology industry is still in the second stage (clinical management information technology) of the primary stage, but from the point of view of the development of China's medical information technology is currently in full swing, the medical information technology industry in the development of the best period. The reporter learned that the Tiantan Hospital from 1995 to start the booking of registration, one is to facilitate the masses to seek medical treatment, reduce queuing; secondly, to facilitate the management, change the number of traffickers to dominate the market situation; thirdly, in order to avoid outsiders to Beijing to seek medical treatment by the number of traffickers, medical care by the blindfolded.
Professor of Peking University's School of Public ****, Zhou Zijun, a member of the Beijing Municipal Health Informatization Expert Committee, pointed out that the earliest appointment booking is actually to facilitate the people to register. From a professional management point of view, it is true that appointment booking is a very important part of hospital management.
In Chinese hospitals, the vast majority of random patients, when to come, what kind of patients, the hospital can not be calculated, which brings great difficulty to hospital management. If the patient to do 70-80% of the appointment clinic, the hospital's situation will improve very much; the people's point of view, ten minutes ahead of time, you can see the doctor, not only saves a lot of time and energy, but also alleviate the traffic congestion in front of the hospital, while reducing the cross-infection. The degree of informationization of the domestic booking is not optimistic. For example, the annual outpatient clinic in Beijing is 80 million, and the use of Akcome, China Mobile 12580 and some hospitals to provide their own appointment booking service does not add up to more than 800,000 people, less than 1%, which with the Beijing Municipal Bureau of Health 30% of the expectations of the gap is still very large.
"To solve the problem of the people's difficulty in seeing a doctor in a medical situation, we should also change the public's concept and pattern of looking for specialists for both major and minor illnesses." Hong Mi, deputy director of the Institute of Hospital Management of the Ministry of Health, said that one of the directions of public hospital reform is "two-way referral". The two-way referral problem and the appointment has a lot to do with the masses have a disease first go to the community to see, the community to turn up, so you need to provide a platform for hospitals, what condition, to that department, which intervenes in the knowledge component. Appointment booking is undoubtedly a way to play a diversionary role from the objective.