Published: 2015/3/30 15:24:50 Source: shanba group
The connotation and extension of the concepts of telemedicine and Internet health are very different. It is not a healthcare organization that can provide medical services and cannot be included in telemedicine.
A brief summary of the Internet health model
There are many concepts related to telemedicine, and we talk about mobile health, Internet healthcare, and so on, as well as Internet health, and there are many concepts, and these three concepts are relatively similar, so I won't analyze them specifically. Below I will talk about in addition to telemedicine, there are some so-called Internet health model, we can distinguish from telemedicine. For example, it can be the existing in addition to the purely strict sense of medical activities, but also on the Internet health or mobile health of some models can do a simple generalization, can be roughly summarized into five categories.
The first is the monitoring and guidance of health, many of the services in this category are related to intelligent hardware, more is to collect and analyze the data of the patient or the population in this area for a certain period of time, and put forward some intervention recommendations, such as KangKang blood pressure and women's great aunt.
The second is a non-interactive healthcare information service, that is, there is no interaction between people, no interaction between patients and medical staff, and can simply be considered as the interaction between people and machines. The more typical applications such as Clove's medication assistant and Dr. Clove, which can be directed at doctors to help them how to prescribe and information on drug instructions, and Dr. Clove for patients, this interaction is between humans and machines.
The third category, interactive healthcare consulting services, human-to-human, patient-to-doctor or other medical staff interaction, more typical is Chunyu doctor, good doctor online.
The fourth category is pharmaceutical e-commerce services, which is farther away from what we call health care, such as Tmall's medical hall is an online e-commerce, and then including the palm pharmacy, just play a role in the flow of medicine.
The fifth category is the optimization of the medical service process, for example, everyone is very concerned about the future of Ali's hospital plans, more to the means of payment to optimize the entire hospital services. Almost all of the previous model is not our traditional sense of health care, more in the periphery of health care for the patient's health management, a kind of process optimization, so it does not belong to the aspects of telemedicine we talked about earlier.
We have just identified many other models of telemedicine that are now more mature programs. We have also sorted out the existing models in the process of policy development, and the more mature ones include remote pathology diagnosis, remote imaging diagnosis, remote monitoring, and remote video consultation. These modes should be the more mature telemedicine programs with more clinical applications. All of these projects have a **** the same characteristics, these do not involve the direct operation of the human body, such as remote surgery or remote other treatments, it is more of a doctor's diagnosis or consultation process an auxiliary action. Why we did not think of setting up a direct operation on human beings in the course of this legislation is actually a kind of consideration of its own. Such a technology is not commonly carried out at present, and we seldom have hospitals to carry out this operation outside the hospital, and most of them are implemented in the same hospital or even in the same operating room, which is a certain gap with what we call telemedicine. If this type of advanced technology is regulated prematurely through the law, the development may be hindered if the regulations are too strict, and if the regulations are too loose, it may lead to some problems. So there is a need to gradually introduce norms in the regulatory process.
Why "promote" the development of telemedicine services for medical institutions
We issued a guideline on promoting telemedicine services for medical institutions in September last year. In this document, you can pay attention to one word, which is "promote". The main argument of this document is that we want to promote telemedicine as a very important area, rather than many of our conventional medical technologies. Generally issued a document called so-and-so management approach, management is a neutral state, is a third-party regulation. If it is the government to promote this thing, the meaning is different. Why does the government want to promote it? We can also make a generalization of its significance. The first significance, telemedicine to improve access to quality medical resources, the distribution of medical resources between our different regions is very uneven, large hospitals have concentrated a large number of medical resources, quality resources in the western rural areas is relatively small, through remote we can break the barrier of time and space, so that remote areas and grass-roots people can enjoy quality services, so to improve the accessibility of high-quality medical resources. The second is to reduce medical costs, the price difference between different medical institutions is very large, in addition to indirect medical costs, a patient from the grassroots to large hospitals, in addition to medical costs, there are a lot of indirect medical costs, which may be greater than the direct medical costs, so telemedicine to a large extent to solve the problem of indirect medical costs. Thirdly, to promote health management, telemedicine through digital services, through the continuous recording of such information, to promote health management, including the promotion of follow-up management of patients after leaving the hospital has a great role in promoting. The fourth is the development of the information industry, there are a lot of information technology means need to use a lot of information technology.
Nationally, the better telemedicine cases
Internationally, the development of international telemedicine is close to 50 years of development. The earliest is in the space and war injury relief applications, gradually and gradually the development of the form is more and more rich, to solve more and more problems, and gradually deepen into the core of medical care. Our country began to carry out some telemedicine exploration in the 1980s. In the 1990s, some telemedicine exploration and system construction was carried out in Beijing, Shanghai, etc. In 2010, the state made two projects, one is the primary telemedicine system for the west, the second is the connection of the original 12 ministry-controlled hospitals and many other hospitals, which strongly promotes the development of telemedicine, this is the first time that the country has invested in a large-scale telemedicine system.
In the process of these developments, we also have some better telemedicine cases, I mention a few cases for your reference. The first is the case of the two provinces of Zhejiang and Xinjiang, an eastern province and a western province. These two provinces are very different from the economic development point of view, but they chose a similar path, are led by the provincial hospitals to establish provinces, counties and districts so that the province-wide telemedicine system, and get a better application, the number of its applications is relatively large. The People's Hospital of Xinjiang Autonomous Region and the First Affiliated Hospital of Xinjiang Medical University both had more than 10,000 telemedicine consultations in 2014, which should be a relatively large number, solving a big problem. There is another one, Yunnan, where telemedicine is also done very early. Yunnan's telemedicine has invested more than 80 million dollars to connect all county hospitals, and at present Yunnan Province's telemedicine is also among the most complete systems in the country.
In addition to these comprehensive telemedicine, we also have a lot of so-called vertical and specialty telemedicine that is doing relatively well, such as Ningbo. Ningbo to all the township hospitals, community service centers, imaging, electrocardiography results of all digital, primary hospital doctors only need to write a checklist, done by the higher-level doctors to diagnose all of these films, greatly improving the accuracy of the diagnosis.
The other is that we have supported the Xiamen McAudi company and the case center of the Commission on Health and Planning to do a pilot, the start of the 60 county hospitals donated remote pathology diagnostic equipment, relying on these county hospitals to some of the difficult and complex pathology of the film uploaded to the server by the top experts to issue pathology diagnostic reports, in fact, has played a great role. We have done a statistic, when the system just started to run, about 40% of the diagnosis of cases through the system has been corrected, if a patient's pathology diagnosis is wrong, it will directly affect the treatment. This system corrected 40% of the diagnosis, we think it is played a very big role.