According to Shaoyuan, CEO of Antai Innovation, the core of Internet medical care refers to medical services such as critical diagnosis, examination and treatment programs that patients need, through the means of the Internet. There are three preconditions: First, the data is going online, and the patient's complete medical record data cannot be confined to the LAN and the fragmented system, so it is necessary to efficiently access the application on the Internet. Second, the process is online, and the key service processes of the physical hospital should be implemented on the Internet. The third is that the medical association is on the line, the hospital is connected to the Internet, and it is efficient and synergistic, providing patients with quality services around them and forming a closed loop.
Internet medical treatment can be divided into three forms in the development stage. It was the earliest stage of online Baidu+ offline 莆田系, which was the product of the PC era and still exists today. The second is the form that is led by Internet companies in the era of mobile Internet after 2012. For example, Chunyu doctor and Wuzhen Internet Hospital are characterized by online light consultation, and there are not many offline medical services.
By 2018, Internet medical care has entered a new stage – a large number of offline physical hospitals will be providing services online, and the “Internet + Medical†drama will actually start.
On April 28, 2018, the General Office of the State Council issued the "Opinions on Promoting the Development of "Internet + Medical Health"". The "Opinions" pointed out that medical institutions can use Internet hospitals as the second name and use them on the basis of physical hospitals. Internet technology provides safe and appropriate medical services, allowing online diagnosis of some common diseases and chronic diseases.
In September, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine jointly issued a notice on the three documents on the administration of Internet diagnosis and treatment (Trial). The purpose of this is to regulate the behavior of Internet diagnosis and treatment and to play a positive role in telemedicine services. Improve the efficiency of medical services, ensure medical quality and medical safety.
Only a large number of offline medical resources are really mobilized, online services are provided, and physical hospitals are beginning to build Internet hospitals. Internet medical services will truly enter the substantive stage in terms of resource allocation and services.
Therefore, the key to the construction of Internet hospitals is how to bring physical hospitals online.
Data, processes, and medical associations must go online
The key to the hospital's online, the first key point is that the hospital's data is going online. The doctor needs the patient's complete medical condition and medical history to support his precise diagnosis and treatment.
Therefore, the core medical treatment data of the hospital must be online. However, the difficulty lies in the fact that medical data existing in various information systems is not only complicated in data types but also in a large amount of data.
The second key point is that the hospital's process is online. The process is online, which means that the key services of the physical hospital should be online, online review, prescription, inspection/test, appointment check, online reading, remote consultation, etc. Rather than just doing simple registration and consultation online.
The third key point is that the medical association is on the line.
In the view of Antai Innovation CEO Shao Yuan, Internet medical care is closely related to offline services, such as postoperative rehabilitation treatment, follow-up imaging examination, etc., which are closely related to the geographical location and service radius of the physical hospital. Internet hospitals "have to get the cloud, but also have to land on the ground."
The medical hospital service network led by the core hospital allows the "Internet hospital" to truly land. By rationally deploying the medical resources in the medical association, achieving efficient medical collaboration, remote consultation, and allowing information to run errands, ordinary people can get high-quality medical services at their doorsteps. Therefore, the medical association is an important structural basis for building an Internet hospital.
Antai Innovation CEO Shao Yuan
Information heterogeneous integration platform, the foundation of Internet hospital
As we all know, because the data structure of many business systems in the hospital is different, the patient's medical treatment data is fragmented, which is not convenient for doctors to read and discuss.
In the medical association, the collaborative communication of such medical data is particularly difficult.
Collaboration between the medical associations usually requires a lot of time to collect the complete medical information of the patient in order to make a diagnosis and judgment.
Taking remote consultation as an example, the traditional scheme needs to integrate the patient diagnosis and treatment data in advance. At the time of consultation, the doctor still needs to spend a lot of time to consult the patient's medical treatment data before the consultation can be conducted. It is often "prepared for two hours, five minutes of talk."
Internet hospitals are a high-traffic platform. The resources of high-quality doctors are very valuable, and information technology is needed to improve the efficiency of service output. The past information integration methods can not meet the needs of Internet hospitals.
In this regard, Antai Innovation's self-developed “information heterogeneous integration platform†adopts non-intrusive technology, efficiently integrates patient data without changing the existing system of the hospital, and quickly accesses the medical network, facilitating online doctors. Exchange consultation. This is a new medical collaboration service system architecture.
Thanks to its extensive project experience, Aetna's innovative heterogeneous integration platform can access system and hospital data in two weeks.
In terms of data security, Antai's innovative system provides a secure and convenient data access channel under the authorization of the hospital. In other words, Antai Innovation will not move data to the cloud or other hospitals without the hospital's authorization.
Under this framework, the lower-level hospitals of the medical association have the initiative. If the medical records are not discussed and consultation requests are made, the higher-level hospitals cannot see the relevant medical data of the patients.
Original image and panoramic medical records, the key to internet medical
As mentioned earlier, the integration of hospital information is the foundation of Internet hospitals. The quality of medical data is equally important.
Modern medicine, most of the diagnosis and treatment are based on morphology. Especially in recent years, the rapid development of medical imaging, medicine has also entered the era of "no picture and no truth."
Therefore, in the diagnosis process, the original image data becomes an important support for diagnosis and treatment. However, due to the huge amount of data in the original image, it is difficult to achieve online sharing and instant access in a complex network environment. This also creates inefficiencies and high costs between medical collaboration.
Therefore, Shao Yuan believes: “To ensure a high-quality, medical-level remote consultation, the panoramic medical record covering the original image is the key.†But the question is how to ensure that doctors can view online in a narrow-bandwidth network environment. Original image?
In response to this problem, Antai Innovation, which started as an imaging technology, took five years to develop a cloud imaging technology with a national invention patent. This technology can open a complete, lossless DICOM original image at a rate of milliseconds under a normal 4G network.
Unlike Internet medical companies that have been registered, lightly consulted, and insurance started, Antai Innovation has been deeply cultivating medical data and medical imaging. This is also the “alternative†model for Antai Innovation to cut into Internet hospitals. Its products cover 28 provinces and municipalities directly under the central government, and the market share of the top 100 hospitals in China is as high as 30%.
Recently, Antai Innovation won the “Top 20 China's Top 50 Innovative Companies†by the world-famous commercial media “FastCompanyâ€, which is the authoritative list of China's innovative weathervanes. This also confirms the uniqueness of Antai Innovation in the medical field.
The construction of Internet hospitals in the new era requires companies with new era innovation to participate. At this point, Antai Innovation has taken the lead in the way of data and process online. In the future, Antai Innovation is expected to achieve a qualitative leap in the fields of big data mining and AI-assisted diagnosis, and promote the upgrading and iteration of Internet medical technology with its strong basic ability in medical data.
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