After decades of development, my country’s medical informatization has gone from HIS, which is based on the informatization of hospital management processes, to CIS, which is based on the informatization of patient diagnosis and treatment processes, and then to the interconnection with regional health care, medical informatization. The construction has realized the development from the individual to the whole, from the local to the wide area, the connotation and function have been strengthened, and the service scope has been continuously extended. After the outbreak of the new crown pneumonia in early 2020, the domestic medical informatization construction authorities vigorously advocated the use of informatization methods to support epidemic prevention and control and improve medical services. This article will explore what the potential benefits of implementing digital health care are for hospitals, physicians, and patients. Hopefully, this thought article will inspire readers to think hard about the future of digital health and how the promising “digital revolution” can be made a reality.
Due to the new crown pneumonia epidemic, a series of changes have occurred in the medical field, among which the field of digital medical care has undergone the greatest changes. The new crown pneumonia epidemic has changed the technology of remote medical treatment for patients, and digital medical care as an emerging industry has developed rapidly. As 5G, AI, bigdata, cloudcomputing and other digital technologies are catalyzed by the new crown epidemic, digital medical care has been frequently applied in recent years. Especially during this epidemic, related digital medical methods such as remote conferences, 5G, and AI have helped us make full use of existing medical resources. Real-time epidemic information broadcasts, Internet diagnosis and treatment platforms, and remote drug purchases have all played a role in this epidemic prevention exam. important role. Comprehensive electronic and intelligent digital medical care is gradually being accepted and recognized by people. It has improved consumers’ awareness and demand for digital medical care, and inspired hospitals and doctors to attach importance to and provide online diagnosis and treatment services.
Digital health is breaking the limits of traditional medical services. Research data shows that nearly 70% of China’s medical resources are used for nearly 400 million chronic disease patients. How to guide these patients to transfer to primary medical and health institutions can ensure that they receive timely and high-quality care services, and become the focus of future medical services. , is also the key to hierarchical diagnosis and treatment.
As a new medical model that applies computer technology and information technology to the entire medical process, digital medical care has significant advantages. From the patient’s point of view, digital medical care can span time and space, solve the problem of information asymmetry between doctors and patients, simplify the medical treatment process, reduce medical expenses, and improve the medical experience. From the doctor’s point of view, digital medical care enables the digitization of patient medical records and health files, improves the efficiency of patient management, and further liberates the already tense medical productivity. From the perspective of medical institutions, digital healthcare helps to promote refined management in hospitals and improve management and patient services. And in the context of the normalization of epidemic prevention and control, China’s medical and health leaders are trying to strengthen and consolidate the national medical and health system, breaking through the barriers inside and outside the hospital, and expanding medical care outside the hospital will help reduce costs and improve access to medical services. sex. This measure not only solves the problem of overcrowding in China’s top three hospitals or large hospitals in first-tier cities, but also solves the problem that grassroots people find it difficult to see a doctor. Many first-class hospitals have broken through the barriers inside and outside the hospital and expanded care from the hospital to the community, which is expected to ease the pressure of their medical treatment.
With the continuous deepening and development of my country’s medical system reform, the medical alliance model has received extensive attention. It can realize the sharing of medical resources and optimize the allocation of medical resources in each medical unit. Informatization construction is the “catalyst” for the construction of medical alliances, but there are some difficulties in the informatization construction of medical alliances at present. For example, medical institutions in my country continue to promote the informatization upgrade of clinical medical systems such as electronic medical records. During the specific implementation process, due to local procurement and construction, the relevant system standards are not unified and the interfaces are different. In this context, it is difficult for electronic health records and electronic medical record systems to achieve national interconnection and real-time sharing. Therefore, we should explore the establishment of unified norms and systems, clarify technical standards such as software operation and data interface, and strive to promote the transformation and update of the original system. Including the following aspects:
1. Hospital informatization: smart consultation, mobile medical households, smart hospital management, AI-assisted diagnosis and treatment.
2. Regional medical informationization: remote consultation, remote ultrasound, remote surgery, emergency rescue, remote medical care, and remote teaching.
3. Informatization of health management: remote real-time health monitoring to realize the transfer of medical resources and information to people.
In the prevention and treatment of the new crown pneumonia epidemic, digital technologies such as AI, 5G, and big data have emerged a number of typical service scenarios for epidemic prevention and control in intelligent diagnosis and treatment of epidemics, material allocation, and drug research and development. In order to improve the efficiency of control work It played an important role.
(1) Telemedicine: liberate manpower and relieve pressure for epidemic prevention and control
1. 5G telemedicine: intelligent diagnosis and treatment of epidemic diseases and balanced distribution of medical resources.
2. Online medical services: the “second battlefield” for epidemic prevention and control.
(2) Medical intelligence: improving efficiency and accuracy for epidemic prevention and control
1. Auxiliary imaging diagnosis: improve diagnosis efficiency and release medical resources
2. Drug R&D: Supported by AI algorithms to accelerate the R&D process
3. Disease analysis: AI rapid analysis to improve detection efficiency
(3) Service coordination: reduce the burden on personnel and reduce the risk of infection
(4) Dataization of supply chain: improving the efficiency of resource allocation
Digital healthcare has achieved leapfrog growth, mainly due to the improvement of the policy environment, the catalysis of the new crown epidemic and the rigid demand for continuous improvement of patients’ medical experience. This surge in demand has given Chinese healthcare leaders more confidence to develop digital and artificial intelligence. In fact, in the past 20 years, the progress of digital health care has been slow, but it has developed rapidly during the new crown epidemic, which allows the extension and protection of medical value. Digital medical care and artificial intelligence have changed the traditional medical model and are moving towards a deeper level. Chinese medical and health leaders are already on their way and are fully embracing a new model of medical service, a more “value” digital medical care Patterns are emerging and thriving.
At present, the application of artificial intelligence and big data has covered many scenarios such as disease screening, auxiliary diagnosis, application management, pharmaceutical marketing, and health management. This series of progress is helping to improve the efficiency of medical services and the integration of resources to a certain extent, and alleviate the imbalance between domestic medical resources and service supply and demand. The digital health industry is booming. Whether it is the integrated development of technologies such as 5G, Internet of Things, blockchain, artificial intelligence and medical care, or the mutual cooperation between industries, it has become an important way for innovation and breakthroughs in the medical industry today.
Compared with foreign countries, the medical systems of China and the United States are extremely complex, but the development speed and scale of medical AI in the United States far exceeds that of China. Although there are many similarities, there are also huge differences.” Due to the huge difference in population base, the current annual per capita medical cost in the United States is 9,428 US dollars, while China is only 714 US dollars. Both countries have huge amounts of medical big data constantly generated, and they also face the same challenges. Due to the larger population size, the workload of Chinese doctors far exceeds that of American doctors, so the role of medical AI in improving the efficiency of clinical diagnosis is even more important for Chinese doctors. urgent.
In addition, digital medical care and AI in the United States have rapidly penetrated into related industries, including industrial regulatory interaction, payment management, hospital management, patient medical records, medical team collaboration, doctor-patient interaction, clinical technical support, biotechnology and other aspects. Whether it is in terms of the total market volume of digital health care and AI in the two countries or in terms of growth rate, the United States has surpassed China at this stage. Although the United States has advantages in digital medicine and AI in the market, the talent training of medical schools has been seriously delayed. At present, no American medical school has courses dedicated to teaching digital medicine.
In the future, if China wants to squeeze into the world’s most advanced digital medical power, the rapid development and occupation of the medical field will also in-depth application of artificial intelligence technology in four aspects:
First, establish a basic security system for intelligent medical care;
Second, breakthroughs have been made in the fields of intelligent diagnosis, intelligent group management and intelligent medical supervision;
Third, focus on breakthroughs in human-machine hybrid intelligent medical care and intelligent robots;
Fourth, establish a number of national key scientific research bases and teams for intelligent medical care, and develop new models and industries in epidemic prevention and control, diagnosis and treatment, and health management.
Author: Xia Xiaorong, Senior Partner of Peking University