"Internet + medical can bend" overtaking

The 2016-03-16

Source: health

Our reporter Yan 龑 wang Dan

These days, the south Korean chess player against "alpha dog" after the burnley, lee se-dol a city news back to one of his hand cause social concern. More people for the future of artificial intelligence to extrapolate. In the medical field, whether also can appear "alpha dog"? Now an irreplaceable health status of scarce resources will be shake? In health and family planning commission director of Beijing to the point of view, in the medical field, the Internet is now tool, "medical + Internet" after more than a strong human brain data processing of what would happen, is worth looking forward to.

On March 13, sponsored by the health newspapers and mobile health research institute "medical" do you have in mind the Internet theme salon held in Beijing. Managers, CPPCC to government departments, experts and scholars, representatives of the medical staff, mobile medical industry representatives, advisers gathered, talk about the Internet medical opinion and suggestion.

Hierarchical diagnosis and treatment on "points"

"Internet power classification diagnosis and treatment, the first to find out who, what, points of tools is what, by what standard score." Commissioner of the Beijing municipal administration of hospital medical care valley water that hierarchical diagnosis and treatment, it must be by professional institutions, professional personnel, according to professional standards must be based on the illness, can be a regional health information technology and mobile Internet technology. What is the policy of second also clear points. Points of behavior including the patient's behavior and the doctor's behavior, also includes the behavior of the medical institutions at all levels, must want to have a policy driven, such behavior main body to have the motive to points. Also, faced with the problem of how to share the risk. Triage ", for the moment, the Internet is not good to clarify responsibility and risk, so we are trying to remote diagnosis and treatment. And now the so-called special light just consulting and advice, not as a medical behavior."

In addition, the application of the Internet tools, connection of the two sides is who also need to clarify. In accordance with the provisions of the current regulations of medical institutions or the professional medical practitioners law are clear, the connection at both ends of the subject is necessarily institutions and agencies, or a doctor practicing in the institution.

Valley water said that, in the process of the Internet to provide services, for the medical quality and safety of getting charged may need more attention. Because this is as a bottom line and red line of the doctors and hospitals. Also, consider fair, orderly, and it is also one of diagnosis and treatment, comprehensive booking request classification.

Valley water thought, both hierarchical diagnosis and the doctor team, is not only the form, structural reform, will bring more change in the future. "Around the hospital, of course, classification, performance evaluation, post Settings, job requirements to make adjustments, this also is the Beijing hospital authority to the demands of medical institutions, evaluation of expert evaluation and the team can't simply look at work, have treatment difficulty, talent output, quality and safety. This requires continuously grope, summed up and the pilot."

Medical need differentiation

"Health care payment is a killer." In national health health care, family health development research center, deputy director of the laboratory Gu Xue the point of view, the basic medical and health institutions and general hospital were taken according to the project, combined with a doctor without order, and bound to siphon phenomenon, makes the strong stronger. In terms of slow disease classification diagnosis and treatment, did not have a good health insurance payments, general hospital is impossible to actively strengthen the slow disease management and reduce the complications.

Gu Xue than thought, must persuade medical insurance to pay for health management, through the health insurance payment system, promote comprehensive hospital, grassroots medical and health institutions, division of labor cooperation between public health organizations. "' + 'Internet have to do, because only prove mode has cost effect, long term is to save money, to convince the paying party to pay for it. From this point of view, health funds and health funds used separately will cause the efficiency is not high."

"As people demand more and more differentiation, medical also have differentiation." The CPPCC national committee, the state administration of traditional Chinese medicine, traditional Chinese medicine for all Taiwanese jin-sheng Yang, director of the center for exchanges and cooperation proposal, clarify the basic medical insurance system and medical security system two concepts, visit the appointments, ordinary full liberalisation. "The implementation of hierarchical diagnosis need 3 d linkage, exert the leverage of health care, I firmly oppose the registration fee included in health care, health care reimbursement ratio at different levels must play a lead."

Gu Xue said, hierarchical diagnosis and treatment of the core is not graded, but the division of labor. Different levels should be collaboration relationship between medical institutions, with level institutions should encourage competition. Only differentiation positioning is advantageous to the long-term balanced development.

Management of the New Deal was forced out

Series registered in Beijing New Deal, the most popular is "cut off medical personnel cooperation with commercial web site registered plus seek improper interests". Online open discussion in the salon, Peking union medical college hospital allergy branch director professor Yin Jia platform via the Internet on this file to ask: "the recently introduced new registered in Beijing, forcing me to stop using the Internet platform to carry out all of the free reservation, the inconvenience for many patients. I believe that through commercial websites, do not take up free reservation number of average outpatient service source, should be allowed."

Beijing health and family planning commission director of the party to the British responded that has a very clear, the boundary of the policy document is the plus sign, participation into "paid". Work within the time and space to abide by the provisions of the hospital work is doctor oneself hold outside of space and time. Current policy interpretation of different voices, or read too much into more likely come from the individual hospital to the internal requirement of the medical staff.

For non-emergency full booking, party to Britain, said Beijing was brewing around 2010 make an appointment, the concept of the initial booking with "114" phone platform for cooperation, then gradually expand to the network platform, WeChat, App, etc. After years of hard practice, realize the emergency of Beijing comprehensively to make an appointment for realistic foundation and technical support. "Comprehensive first have to clarify the concept of an appointment. All non-emergency appointments, not in the morning to go to the hospital to hang the number, but no matter what time, register is done through the network system. Real-time network system of registered to also want to go."

Some question whether full booking. MenZhenLiang party to Britain, said the day more than 10000 people in Beijing children's hospital practice half a year, according to the results of hospital environment improved, at present have not received from party because the full booking can not see the disease, not on the number of complaints.

Party to the introduction, the expert team work that hiding behind the design of future referral concept hierarchy, brewing is to make the expert resources for the maximum benefit, not to blind disorder patients go to a doctor. The thinking way of resource allocation in Beijing, and hospital level diagnosis and regional medical center as the core of hierarchical diagnosis system, the starting point is the same.

Party to the said, in general, the Beijing municipal hospital internal management policies are forced out by the market, at the same time is the Internet technology and the combination of the traditional medical care. "Traditional medical service pattern will appear because of the development of Internet technology revolutionary change, the Internet technology in and the integration of medical technology on the exploration of revolutionary change."

Legal framework cannot lack

The CPPCC national committee, xuanwu hospital, capital medical university, director of neurosurgery doctor LingFeng said, the advantages of the Internet is convenient, accurate, and efficient medical help, can bring great convenience to the doctor followed up, increase the rate of follow-up; Help maintain common disease diagnosis and treatment, such as high blood pressure, diabetes, etc.; Promote academic exchange between the doctor and will be great help for the improvement of low qualification doctor. But the Internet on the grading diagnosis and some "congenitally deficient", especially the first option must meet problem. Neurologist of the first option, for example, in addition to the language communication, the doctor also need to give patients a important examination of the nervous system.

The CPPCC national committee, director of the Chinese academy of sciences wangjing hospital of traditional Chinese medicine orthopaedic WenJianMin argues that Internet power classification diagnosis idea is great, but the hospitals medical information between relatively closed, so the first thing to solve the problem of information island. In addition, relevant laws and regulations should be in place. Lack of legal framework, the Internet health is likely to be an area where no rules, full of disputes.

"The Internet company reputation is very important, how to make professional segmentation is the important premise of Internet medical development." The CPPCC national committee, Beijing tongren hospital chief physician of ophthalmology custine think, do the enthusiasm of the Internet is had, also have the money, the biggest problem is that how the open policy, the government how to transition from access to process supervision and management. Process management must have professional standards, specifications, processes, and training mechanism.

2016 is a crucial stage of diagnosis and classification, the Internet how to used for grading diagnosis? Good doctor online Wang Hang founder, said the Internet platform for grading diagnosis system have very good supporting effect, the government should have an open mind; Internet platform should be positive for the government classification of diagnosis and treatment system of zhenhai, contribution to the technology and operation ability; Internet companies need self-discipline, government departments should be specifications by appropriate means.

You talk about

The promise of the road is very long

The CPPCC national committee, xuanwu hospital, capital medical university, director of neurosurgery doctor LingFeng: the Internet is one of the trends of disruptive medical revolution, in the next 50 years will greatly change the existing medical model, I am full of expectation and confidence. But there are still a long way to go, the Internet medical revolution has not yet been successful, comrades still need diligently.

The CPPCC national committee, the Beijing university first hospital heart center and director of the cardiovascular internal medicine, blood now, I think the Internet medical should more focus on "health + Internet", the future of Internet medical need to be more perfect, better technology.

The CPPCC national committee, the state administration of traditional Chinese medicine, traditional Chinese medicine for all Taiwanese jin-sheng Yang, director of the center for exchanges and cooperation in use of the Internet is a way of life and attitude, is also the trend of the development of the future; Internet medical consultation does not take the place of traditional way of medical diagnosis and treatment; The Internet will let to nod medical wings, send health to families.

The CPPCC national committee, Beijing tongren hospital chief physician of ophthalmology custine: Internet medical can solve the difficulties and the pain points of health reform, changing ideas to one of the leading enterprises in the future.

Health chief editor Zhou Bing: "alpha dog" let a person shock is its ability to learn. Internet medical also need the ability to learn, learning of medicine and even the inherent law of China's social and economic development, not just with a simple Internet Internet technology to promote health. Doctors, hospital administrators, policy makers, on the other hand, also want to learn, learning through the Internet knowledge, form a scientific attitude towards the Internet. Only in this way learning and close to each other, the Internet health will have a good prospect.

Commissioner of Beijing municipal administration of hospital medical care valley water: a virtual space also keep medical quality and safety of the bottom line, big data and the growth of artificial intelligence for medical development, the doctor and the patient health services, should be a broad, more transparent, to ensure a fair and orderly.

Health management research center, tsinghua university researcher skill: Internet health an important problem is that how to raise the enthusiasm of public hospitals, especially the large hospital. Both hierarchical diagnosis and more practice, all need public hospital to participate in a larger extent.

Beijing chaoyang district health and family planning commission, deputy director of the Chen Kaigong: now, the Internet is a kind of innovation, promotion and development, is a basic engineering, can not think of it as a tool to use pure. The next step, such as grading diagnosis platform construction, should better use of the Internet.

Good doctor online founder Wang Hang: in fact, the Internet medical and health care is the same, in patients with service as the center, so from this perspective, the Internet health must power reform, reform also must make good use of the advantage of Internet medical.

Baidu health group, general manager of business development GanWeiJie: baidu is positive change, under the guidance of the government and experts to study the health care industry characteristics, play to baidu and the superiority of Internet technology, support for health reform and development.

Spring rain doctor's chief medical officer Fan Jing: Internet with respect to the manner of the whole medical mode and medical service organization change is very profound. The perfection of China's medical service system has a bend overtaking opportunities, this opportunity is the Internet.

Doctor 160 senior vice President liu its super: the Internet is an efficient tool, the government and the country's attitude towards the Internet can be more open.

Hui every acme medical CEO QuWei: Internet hospital to ensure the standard and quality of medical services.