Internet + shopping is "old", Internet + medical is still "young" -
This "double eleven", Alibaba announced that Tmall trade totaled 213.5 billion yuan, an increase of 45.3 billion yuan over last year, completely subverting traditional physical retail. It can be seen that the network, big data, artificial intelligence, and blockchain have deconstructed and reshaped the consumer field.
In comparison, in the medical field closely related to public health, referring to "Internet +", what people can think of is still limited to online appointment registration, but in the eyes of the industry, Internet + medical can do much more than online registration. Much more, in fact, those who can mature applications in online shopping can be achieved on the Internet + medical.
"When the patient is waiting in the hospital, he or she can talk to AI (artificial intelligence) first, complaining about symptoms, past medical history, etc. When the doctor is seen, the system has already connected the initial situation, and both parties directly cut into the subject." Xie Guozhen, chief medical scientist of science and technology, believes that, for example, video inspection time can't be combined with several hospitals, long-term drugs need to be queued for doctors to open bills, etc. These "troubles" will be because Internet + can break through time and space obstacles. Not a problem. A large percentage of the daily consultations of more than 500,000 people in Ping An’s doctors were completed by AI.
In addition to the convenience of patients, from the doctor's point of view, Jiao Shunchang, the director of the Chinese Research Hospitals Oncology Professional Committee, also raised a higher hope for Internet + medical care, "putting doctors from the case, opening inspection orders and other heavy machinery. Liberation in labor, providing patients with more technical medical services, so that doctors can get a stronger sense of professional well-being."
A few days ago, the National Health and Health Commission issued the "Internet Treatment Management Measures (Trial)" "Internet Hospital Management Measures (Trial)" "Telemedicine Service Management Regulations (Trial)" three documents, the industry believes that "boots" finally landed. At the national level, with a clear encouragement of Internet and medical development, the strong wait-and-see attitude of hospitals, Internet companies, investors and other parties has also become clear. The "young" Internet + medical industry is rapidly entering the "growth period" after brewing, inciting, crouching, and after obtaining the "approval" of the authority.
The film has been set, and all parties are working hard to promote medical services.
“When the access is clear, it will effectively enter the stage of “value-adding” for medical services.” Zhang Wanneng, chairman of Health Road (China) Information Technology Co., Ltd., said that the three documents mainly answered two questions hesitated before the industry. Do not have a physical hospital, can you carry out Internet + medical business? Second, who is responsible for providing Internet medical services?
Previously, for the first question, there has been no definitive policy at the national level. In Yinchuan and other places, there is a first-and-first-exploration exploration. However, due to the unclear policy, the market has different opinions on whether Internet companies can obtain permission to enter the Internet and medical licenses. Zhang Wanneng said that before and after 2017, the industry experienced a cold winter.
The new document stipulates that third-party platforms (Internet companies) are allowed to obtain a license, but they must sign a contract with a physical hospital. "This is actually the second question of who is responsible." Zhang Wanneng said that formal, large-scale Internet companies have the willingness and ability to fulfill their own main responsibilities, and signing a support agreement with the hospital as a prerequisite for obtaining a practice license, this is a "double insurance" for patients.
In addition, three documents clarify the positioning of Internet companies. "The role of Internet companies is to improve the synergy of medical resources supply by providing information services, and it is not to replace hospitals to improve medical supply." Zhang Wanneng emphasized that Internet companies have stood up because of the technical means to improve the efficiency of medical resources.
At this point, the controversy over how the Internet + medical development has "taken the board" and "fixed the tone."
“At present, local governments are carrying out the construction of supervision platforms.” Zhang Wanneng said that the new regulations require that government agencies first establish a provincial-level Internet medical service supervision platform before the Internet hospitals are approved for approval. In other words, without a provincial Internet medical service supervision platform, Internet hospitals cannot be approved.
“Ningxia, Hainan and other provinces have done a lot of exploration and experiment in the Internet+medical industry, and a similar regulatory platform has been built. Other provinces are also actively building.” Zhang Wanneng said, for example, Hainan Province’s provincial telemedicine system All types of medical institutions at all levels in the province are open and used as provincial Internet medical service supervision platforms.
"I believe that a third-party platform will soon obtain a "medical institution practice license" to provide more convenient Internet diagnosis and treatment services." Zhang Wanneng said that the company is also actively seeking cooperation and signing with the hospital to provide patients with contracted entity hospitals. Matching department services.
The whole process of tracking AI error correction, the new technology is endless to ensure two major security
A spokesman for the Health and Welfare Committee once emphasized the promotion of "Internet + medical health" in the authoritative interpretation of the "Opinions on Promoting the Development of "Internet + Medical Health"". Two security must be guaranteed. One is medical quality and safety, and the other is data information. Safety.
What is fundamentally different from online shopping is that medical care is related to health issues and absolute privacy. Then, will the requirements of these two "high thresholds" stop the use of the Internet by medical services?
“You can rely on new technologies to find solutions to security problems.” Xie Guozhen believes that new technologies can even improve the quality of medical services and make medical services safer.
“China’s annual visits are 8 billion, and about half of them are in secondary and secondary hospitals. The standardization of this 4 billion treatments is very worrying. The survey data shows that the proportion of normative treatment of primary treatment is low. It may be less than half." Xie Guofan said. “Regularity and standardization are what information technology is good at.” He believes that through big data analysis and artificial intelligence, it can provide auxiliary decision-making for clinical diagnosis, just like “road navigation”, reminding doctors when he is diagnosed. Standardize operations and give recommendations for diagnosis and treatment that are both standardized and personalized.
In addition, Ping An Medical Technology has helped medical regulatory authorities in various regions to establish an Internet + medical quality control platform. Xie Zhenzhong, general manager of Ping An Medical AI Platform and director of Ping An Medical Information Security Institute, said that the quality control platform for pathology and radiology imaging supervision of the provincial and municipal health planning committees in Shanghai and Henan is gradually expanding and using the technology.
"In terms of information and data security, Ping An Medical Technology has also established a joint laboratory for medical and patient information network information security with China's Xintong Institute to study how to block loopholes from the network security level after the hospital's data wall is 'broken'." Xie Zhenzhong said that blockchain technology is being used. For example, Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine has carried out research on information sharing in medical associations based on blockchain technology and artificial intelligence technology.
For patients, one of the most intuitive security measures in Internet diagnosis and treatment is the whole process. The consultation process can be video, audio, video, and text records. Zhang Wanneng said that in 2016, the then Health Planning Commission had organized a risk study. The results showed that there was no dispute in Internet medical treatment. "Everything is recorded, the higher the degree of informatization, the better the risk control."
It is no longer difficult to separate medicines. Extend the "tentacles" of medical services.
"A hypertensive patient, only after the medicine is finished, the condition has not changed, to renew the medicine. Before going to the queue, wait a few hours, see the doctor, the doctor will prescribe the medicine." Xie Guozhen said that this scene will not Appeared, according to the new regulations, the return of patients with chronic diseases and prescribed routine treatment can be carried out in Internet hospitals.
Correspondingly, when the prescription can flow, then the separation of medicines will no longer be difficult. "Patients can use the prescriptions issued by Internet hospitals to buy medicines at online pharmacies, and logistics will be sent directly to patients." Zhang Wanneng said.
Just like online shopping allows fewer people to go to the mall, Internet + medical care also wants fewer people to go to the hospital, and let different patients go to the hospital and find a doctor.
“A cardiovascular disease oncologist once told me that more than half of people should not go to see him.” Xie Guozhen said that the efficient use of medical resources should be graded. People with mild illnesses can use their own automated means, such as mobile APP and self-management, to manage themselves well and let the disease happen for five years. Those who are seriously ill will match them to the most appropriate and standardized. Medical resources, good medical treatment.
Don't be surprised if you see a robot assistant in the clinic at the gate of the community soon. “We deployed a complementary medical treatment system in Ping An Wanjia clinic and 40 grassroots public hospitals to ensure the standardization of these clinics and recommend treatments to the doctors. This is where AI can play a role.” Xie Guozhen said, raising primary clinics The quality of diagnosis and treatment in community hospitals is one of the important tasks of graded diagnosis and treatment. (Zhang Jiaxing)