The "13th Five-Year Plan" outline clearly sets out the goals and tasks of supporting the construction of smart cities and the construction of healthy China. The Central City Work Conference also proposed to build an upgraded version of the smart city with Chinese characteristics. General Secretary Xi Jinping pointed out: "Without the health of the whole people, there will be no comprehensive well-off society." Premier Li Keqiang pointed out: "Smart city is the advanced form of urban informatization." Under the joint exploration of relevant authorities and market players, the concept of smart medical collection of Internet+, big data, and healthy China's development has received increasing attention from all parties. Combined with the above background, it is of great practical significance to further explore and think about smart medical care.
Progress in smart medical practice in China
There are many discussions about smart healthcare. It is based on the high-end Internet of Things, traditional and mobile Internet, big data and cloud computing technologies. Based on the health archive regional medical information platform, it effectively implements patient-centered patients, medical staff, medical institutions, and medical care. Equipment- linked medical service model.
From the perspective of stage operation, smart medical care is divided into three stages: data acquisition, knowledge discovery, and remote service. The three phases are reciprocated and supported by the Internet of Things technology, big data technology and cloud computing technology. From the perspective of components, smart medical care is divided into three parts: smart hospital system, regional health system and family health system. From the perspective, smart medical care is divided into patient/ordinary management, medical staff management, and medical device/medical supplies management; from the perspective of audience appeal, smart medical care is a more convenient and high-quality service experience for the public; An efficient and low-cost operating model; in the case of medical personnel, it is a career improvement that optimizes its own value; it is a more scientific and reliable decision-making support for regulators; and it is a legitimate interest feedback for investors.
In 1999, China began to engage in the application research of wireless sensor networks, and started almost simultaneously with developed countries. At present, China has initially formed a framework system for sensor networks, which is one of the major countries in the formulation of relevant international standards. In 2009, the State Council issued the "Opinions of the Central Committee of the Communist Party of China on Deepening the Reform of the Medical and Health System." In 2012, the State Council issued the “Deepening the Medical and Health System Reform Plan and Implementation Plan during the 12th Five-Year Planâ€. In the same year, the Ministry of Health issued the “Health China 2020 Strategy Research Reportâ€. In March 2015, Premier Li Keqiang first proposed the concept of “Internet +†and healthy China in the government work report, and proposed health management, self-diagnosis, self-medication, clinical consultation, waiting for diagnosis, diagnosis and treatment during the “13th Five-Year Plan†period. 9 related links such as in-hospital rehabilitation and out-of-hospital rehabilitation (chronic disease management) were integrated into the Internet to make profound changes. In August 2015, the “Guiding Opinions on Promoting the Healthy Development of Smart Cities†proposed to promote the construction of smart hospitals and telemedicine , and to popularize the application of electronic health records and electronic medical records. In September 2015, the State Council promulgated the “Guiding Opinions on Promoting the Construction of Graded Diagnosis and Treatment Systemâ€, and set clear standards and targets for grading diagnosis and treatment. The Health Planning Commission has comprehensively launched the preparation of the "Healthy China Construction Plan (2016-2020)".
As far as local practice is concerned, many local governments and hospitals have begun to implement smart medical care from the perspective of convenience, safety and efficiency. For example, from the perspective of convenience, the First Affiliated Hospital of Wenzhou Medical University is the first mobile phone clinic in the country. Chongqing City has improved the appointment and treatment services through the 12320 public welfare hotline and the medical service regional health information platform. Xiamen City, Fujian Province explores the electronic signing service model for families. The Third People's Hospital of Tongxiang City, Zhejiang Province (Wuzhen Hospital) helps patients who pay online to distribute medicines through drug distribution agencies. Chifeng City, Inner Mongolia has created a regional electronic health record and electronic medical record sharing database and a resident health information portal, so that doctors can refer to the reference and residents quickly obtain their own health information. From a safety perspective, medical staff at Shengjing Hospital of China Medical University can scan the radio frequency identification (FRID) wristband on the patient's hand through a mobile terminal such as a personal electronic assistant (PDA) to confirm the identity, and package the QR code by scanning drugs, infusion bags, etc. Perform medical order confirmation. Wuxi Municipal People's Hospital of Jiangsu Province successively implemented measures such as infant burglary, infusion monitoring, and medical waste traceability management. From the perspective of efficiency, in order to create a graded diagnosis and treatment system, two-way referral, the First People's Hospital of Zhenjiang City, Jiangsu Province, with a contract-based hierarchical referral as the core, to create a closed loop of health care services; mobile/remote expert consultation, affiliated to Zhejiang University School of Medicine Shao Yifu Hospital has built a healthy health cloud platform. After the doctor encounters a problem, he can send an inquiry request to other experts on the relevant platform at any time. The experts who have received the application use the fragmentation time to check the medical records and reply; remote area inspection and In terms of inspection, Zhenjiang City, Jiangsu Province, the health care regional health service information system to establish a remote consultation system for imaging, ECG, testing, pathology; in distance education, China-Japan Friendship Hospital applies new technology for clinical requirements to ophthalmic 3D microsurgery Teaching, remote real-time laparoscopic special technical guidance, remote teaching rounds and other practices.
Market prospects for smart healthcare and related industries
(1) Market potential of smart healthcare
First, the huge population base and market gap have laid a huge potential for the development of smart healthcare in China. China's population accounts for 22% of the world's population, with 980,000 medical and health institutions and 7.3 billion visits per year. However, China's medical and health resources account for only 2% of the world. Second, China's big data and Internet technologies are in sync with the world, especially in the medical field. Third, smart medical care can respond intelligently to the needs of all parties and alleviate urgent medical problems in China, such as uneven distribution of medical resources, poor information sharing among medical systems, inconvenient or expensive residents, frequent conflicts between doctors and patients, and inadequate medical insurance systems. Etc., easy to get support from national policies.
According to the statistics of the China Business Research Institute, the investment scale of China's smart medical construction in 2014 increased by 23.8% year-on-year, reaching approximately 27.91 billion yuan. According to the 2015 China Internet Medical Development Report, the overall Internet medical investment in the world reached its peak in 2014. In 2014, as the first year of China's Internet medical care, the investment in this field was about 4.2 billion yuan (US$690 million), a year-on-year increase of 226%. Although the total amount is only about 1.6% of the United States ($4.1 billion), it has entered the start-up period from the exploration period and the market has grown rapidly. In 2014, the top four Internet medical investment in China were genetic testing, medical e-commerce, wearable devices, and mobile medical applications, of which wearable devices were the most intensive. The results of the CCW survey show that the focus of medical information investment in 2014 is PACS system, regional health and medical information platform, HIS system, mobile medical, electronic medical record, telemedicine system. According to the report of the Prospective Industry Research Institute, by 2020, the scale of China's smart medical construction will exceed 100 billion yuan.
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