Optimize the allocation of medical resources and improve the level of intelligent services, Internet medical

Seek medical treatment without going out to ask for accuracy (first-line survey, new Internet observation ⑤)

　　Our reporter Shen Shaotie

　　"People's Daily" (06th edition, July 15, 2020)

　　Core reading

　　In recent years, the Internet medical industry has developed rapidly. People do not have to go out to buy medicine. Doctors screen for patients with intelligent assistants. While optimizing the allocation of medical resources, they provide more convenience for both doctors and patients. The Central Committee of the Communist Party of China and the State Council issued the "Opinions on Deepening the Reform of the Medical Security System" this year, proposing to support the development of new service models such as "Internet + Medical". With the continuous introduction and improvement of relevant policy measures, various platforms are continuing to focus on strengthening medical quality supervision, innovating service models, and promoting the orderly development of Internet medical treatment.

　　"Please ask family members and patients to show their ID cards and medical insurance cards and put them in front of the lens. Please point the lens at the patient..." Grandma Lin, who lives in Chaoyang District, Beijing, with the help of her daughter, passed the Beijing Union Medical College Hospital Mobile App to the Department of Cardiology of the hospital Deputy chief physician Liu Yongtai described the condition. Liu Yongtai checked Granny Lin’s previous medical history, test results and medication situation, after careful consultation, gave treatment suggestions and prescribed online.

　　Grandma Lin is the first patient after the online diagnosis and treatment of Peking Union Medical College Hospital was officially launched. In recent years, Internet medical care has continued to develop: Internet hospitals have been established one after another, e-commerce platforms have launched health services, and large hospitals have explored the diagnosis and treatment service "touching the net." This year, the Central Committee of the Communist Party of China and the State Council issued the "Opinions on Deepening the Reform of the Medical Security System", proposing to support the development of new service models such as "Internet + medical", and Internet medical has entered an accelerated development period.

Online consultation for remote drug purchase

Consult a doctor at home and reimburse medical insurance online.

　　Since the beginning of this year, the number of hospitals that have launched or expanded online diagnosis and treatment services has grown significantly. Internet consultations are not uncommon. For example, Jingdong Health's online consultations have reached an average of 100,000 orders per day, and Baidu's "Ask Doctor" free consultation channel has a maximum of 850,000 consultations per day.

　　However, unlike the general online consultation, the Peking Union Medical College Hospital's APP service this time covers the patient's follow-up consultation process, supporting multiple functions such as medical record reading, online consultation, examination and inspection, prescribing, and electronic medical record writing. At the same time, the hospital also has a real-time online review of clinical pharmacists, allowing medical insurance patients in Beijing to pay online re-examination fees online.

　　"Your medicine has been found! The courier has been delivered. Have you received the courier information?" "You have received a text message. Thank you!" Not long ago, Xiao Wei, who lives in Wuhan, discovered that his father's treatment of COPD was fast. It’s over, but the surrounding pharmacies can’t buy it, so I log in to the “Ali Health Pharmacy”, but I can’t find the medicine, so I have to ask the customer service; the customer service quickly found the medicine for him, and it was delivered in less than two days.

　　Since the e-commerce platform deployed a healthy business, there have been more and more beneficiaries like Xiao Wei's father. For example, Alibaba Health launched the "Buy Medicine Without Going Out" service on Taobao this year, and mobilized dozens of pharmaceutical companies to maintain stable drug supply and drug prices. At the same time, it cooperated with logistics companies to speed up the delivery of drugs. As another example, since February, Jingdong Health’s pharmaceutical sales business has increased by more than 100% year-on-year, of which the turnover of chronic disease medicines of “Jingdong Grand Pharmacy” on June 18 increased by 270% year-on-year. Behind the rapid development trend, many patients hope to be able to diagnose and treat more and more at ease.

Intelligent imaging surgery networking

Improve diagnostic efficiency, break space limitations, and empower doctors

　　Zhejiang Lishui People's Hospital recently launched the coronary CTA (CT angiography) AI (artificial intelligence) assisted diagnosis system developed by Shukun Technology. The system uses computer vision and deep learning technology to generate a three-dimensional reconstruction of the coronary arteries with one click. It can also help doctors find plaques in blood vessels faster, judge the nature of the plaques, determine whether the blood vessels are narrow and the degree of stenosis, and so on.

　　Zou Jianxun, director of the Department of Radiology of the People’s Hospital of Lishui City, introduced: Coronary CTA examination is an effective method for clinical diagnosis of coronary heart disease, but the image processing and diagnosis report process is very cumbersome, requiring a lot of manpower and time, and the AI-assisted diagnosis system takes the image processing time from 30 minutes reduced to 5 minutes. "AI can help doctors quickly get imaging results, improve diagnosis efficiency and accuracy." said Yan Fuhua, director of the Radiology Department of Ruijin Hospital, Shanghai Jiaotong University School of Medicine.

　　The application of AI in medical treatment does not stop there. Since this year, some platforms have also used it to assist doctors in screening for new coronary pneumonia. For example, Baidu has launched an intelligent self-test tool to help users judge the risk of infection; Ali has launched intelligent diagnostic technology to quickly screen CT images, which has been used by more than 550 hospitals nationwide.

　　If AI is said to "reduce the burden" for doctors, the "networking" of surgery will expand the space for doctors. Wearing VR glasses, the patient's blood vessels, nerves and some narrow positions are clearly visible, and the guidance expert is not in the operating room... In June of this year, the remote guidance of the simulation expert of the Hunan Provincial Brain Hospital achieved the first case in the country. 5G+MR (Mixed Reality Technology) remotely guided carotid endarterectomy and revascularization surgery.

　　Before the operation, the doctors reconstructed the patient's MRI, CT and other two-dimensional image data in high-definition into three-dimensional anatomical images, and then performed 3D printing and holographic three-dimensional multi-modal anatomical images to accurately design the surgical plan. Hospital neurosurgery experts Huang Hongxing and Kuang Weiping at the hospital's network hospital remote medical consultation center, through the display screen real-time online viewing patient image data, simulated remote guidance, to help the operating room doctors complete the neurosurgery operation. "With the double assistance of medical MR and 5G network, the experts seem to be right next to the operating table." said Liu Kun, chief physician of neurosurgery in the hospital. Dean Wang Xiaoye believes that remote guidance of the surgical procedure can achieve remote collaborative treatment of patients, and it is also conducive to improving the diagnosis and treatment capabilities of primary-level medical and health institutions. The prospect is promising.

Control quality and strengthen supervision

Ensure the safety of diagnosis and treatment, improve the service level, and promote the healthy development of the industry

　　In recent years, there have been some cases of uneven quality of medicines and a mixture of online doctors in the Internet medical industry. Industry insiders said that all parties should work harder to ensure the quality and safety of medical treatment.

　　In April 2018, the General Office of the State Council issued the "Opinions on Promoting the Development of "Internet + Medical Health"". In July 2018, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine issued the "Administrative Measures for Internet Diagnosis and Treatment (Trial)". These documents It has been issued one after another, and has made clear provisions on improving the "Internet+" drug supply guarantee service, improving the access standards of relevant institutions, and strengthening the supervision of medical quality.

　　The relevant person in charge of the Medical and Medical Management Bureau of the National Health and Health Commission said that Internet medical treatment can be roughly divided into two categories: one is related to the core business of medical treatment, such as online medical treatment, prescribing and other medical treatment services; the other is non-core medical treatment. Business, such as information consulting, registration and other services. Especially for the core business, the health and safety committee should strictly supervise the bottom line, borders, and qualifications.

　　He Bin, a special researcher of the Public Policy Research Center of the Chinese Academy of Social Sciences, believes that while the relevant departments are strengthening supervision, the service platform itself should also pay attention to the control of medical quality. "With all the sand and sand, patients will use their word of mouth and actions to'vote'."

　　At this stage, various platforms have come up with strategies to adapt to the development of the situation. Factor Health actively invites authoritative experts in the industry to settle on the platform to provide users with customized health science information; Baidu Health strengthens online inspections and regularly verifies the identity of doctors through face authentication; Ali Health regularly organizes excellent diagnosis and treatment cases and experience sharing activities. The doctor's service and the quality of the drugs on the shelves are regularly evaluated and assessed, and doctors and drugs that fail to meet the standard will be punished accordingly, and so on.

　　On the other hand, in terms of remote diagnosis and treatment, the main focus is on diagnosis guidance, remote monitoring, etc., and more deeply integrated forms such as remote surgery are still in the exploration stage. A survey by Mao Zongfu, director of the Global Health Research Center of Wuhan University, found that some grassroots medical institutions have problems with low utilization rates of telemedicine platforms and insufficient power for doctors. "On the one hand, it is necessary to establish a doctor incentive mechanism; on the other hand, it is necessary to explore the inclusion of remote diagnosis and treatment costs into medical insurance and encourage patients to participate in remote diagnosis and treatment. In addition, strengthening the network infrastructure and establishing a unified authority and interconnected universal health information platform can better guarantee Remote diagnosis and treatment have been carried out smoothly."

Control medical quality and safety (Reporter's Notes)

　　Medical services are different from ordinary commodity services. Its service target is the patient's health. Internet medical treatment is also different from traditional physical medical treatment. The concealment and uncertainty of the network put forward higher requirements for the entire industry. If the quality and safety of medical services cannot be guaranteed, the basis of their existence will be lost.

　　Market competition requires Internet platforms to provide high-quality medical services. In recent years, a large number of Internet medical platforms have emerged in my country. If medical quality and safety problems occur frequently, their credibility will be greatly reduced, and they will eventually be eliminated by the market.

　　In the future, my country's Internet medical supervision will tend to be stricter, and the penalties will be greater. Internet medical platforms cannot be lucky, and only by accurately controlling quality and safety and continuously optimizing services, can stability be achieved.

　　Data sources: National Health and Health Commission, Analysys Consulting, Bida Consulting