Telemedicine can make the medical resources of large hospitals sink, improve the level of primary medical services, ease the "wartime state" of large hospitals, and have certain positive effects on the promotion and guarantee of standardized and orderly diagnosis and treatment, especially at the county level. The hospital, the development of telemedicine, provides patients with convenient, efficient and advanced medical services, and it is a quick way to alleviate their "expensive medical treatment". In recent years, the administrative departments of health and family planning and medical and health institutions in Hebei Province have actively adapted to the new situation and set up various telemedicine platforms to facilitate more people to realize the “expert number†at their doorsteps.
Not long ago, the 69-year-old uncle Wang was sent to the Daming County Chinese Medicine Hospital for treatment because of chest tightness, shortness of breath, and severe cough.
After a few days of treatment, Wang’s condition improved significantly, but the symptoms of nighttime cough were not light. After obtaining the consent of Uncle Wang and his family, Daming County Chinese Medicine Hospital decided to send a remote consultation application to the First Hospital of Shijiazhuang City through the provincial remote consultation system. “In order to let the masses enjoy the services of large hospital experts at the door of our home, our hospital has joined the provincial remote consultation platform.†The person in charge of the hospital said that they can invite experts from the comprehensive large hospitals to consult the doctors at any time.
When Uncle Wang was still lying in the hospital bed of the county hospital, his medical records were all passed to the remote consultation center of the First Hospital of Shijiazhuang City. Wang Yunying, the chief physician of the hospital, and Zhang Xianghua, director of the respiratory department, came to the consultation center on time. Through the provincial remote consultation system, they had a detailed dialogue with Wang Daye and the attending doctor to understand the condition of Uncle Wang.
"With heart failure, chronic emphysema ... disease diagnosis, treatment options are feasible." In combination with Wang Daye's condition, the two experts proposed adjustments to their treatment medication.
“This is too convenient!†Wang’s family is very satisfied with this remote consultation. “Without running Shijiazhuang, you will enjoy the excellent service of the experts of the big hospital, save time and worry, and save money!â€
"This not only reduces the burden of medical treatment for patients, but also opens up a new way to effectively solve the problem of uneven distribution of medical resources and the difficulty of seeing doctors at the grassroots level." The relevant person in charge of the Hebei Provincial Health and Family Planning Commission said that in recent years, Hebei Province has developed A provincial telemedicine service system linking primary hospitals and large urban hospitals has been established. If the doctors at the grassroots level encounter difficulties during the treatment process, they can submit a consultation application to the superior hospital in the system as soon as the patient agrees. The help of hospital experts.
Telemedicine
With the further development of telemedicine development, more and more people have enjoyed its convenience. According to reports, as of now, the Provincial Health and Family Planning Commission has completed the coverage of Hebei Medical University Second Hospital, Hebei Provincial People's Hospital, Hebei Children's Hospital, Hebei Medical University Fourth Hospital, Shijiazhuang City First Hospital and other 43 county-level Construction of a provincial telemedicine service system for hospital networking. At the same time, each district and city has also built a remote consultation system covering cities, counties and townships according to their respective conditions.
In addition to the remote consultation function, this system can also meet the needs of video conferencing, distance education, information sharing, and surgical teaching among hospitals in the system. The person in charge of the Hebei Provincial Health and Family Planning Commission said that not only patients benefit, but also grassroots hospitals benefit a lot.
Hebei Province plans to build a “Taobao†platform for medical resources, and patients can be interviewed online in real time.
“Remote consultation is only one of the contents of telemedicine.†According to Li Shujun, the head of the Hebei Telemedicine Center, the remote teleconsultation system currently running, each hospital must establish an independent remote consultation room. Due to this terminal limitation, the role of the entire system is greatly reduced.
According to reports, the provincial telemedicine center is planning to build a new open provincial telemedicine platform, its telemedicine can cover all medical activities, such as remote clinic, remote imaging diagnosis, remote pathology diagnosis, remote ECG diagnosis, remote ultrasound consultation , distance education platform, remote chronic disease management, etc.
The so-called open telemedicine platform is to build up an Internet platform to absorb all the high-quality medical resources in Hebei Province, re-plan the patient treatment process, and reconstruct the resources in the industry chain with a new medical treatment process. Li Shujun explained that it is equivalent to the dip in the taxi software and the Taobao in the shopping platform. The platform itself will not operate taxis or open stores, but provide a public platform that everyone can enter. "This platform can provide patients with online consultation, electronic prescription, drug distribution, etc. through APP, WeChat, website, etc. It is an online medical model that combines online and offline."
Telemedicine
At present, the construction of provincial-level telemedicine platform in Hebei Province has started. The provincial telemedicine center is located in the Second Hospital of Hebei Medical University, and four county-level hospitals in Zhangping, Neiqiu, Lincheng and Shexian. The pilot remote open consultation platform of Hebei Province and the remote outpatient platform of Hebei Province are set up.
“Where the patients of these four county-level hospitals, their local doctors can send telemedicine requests to the doctors of the Second Hospital of Hebei Medical University through these two platforms at any time.†Li Shujun said that it is related to the original remote consultation system in our province. This time, they will install the platform terminal in the expert office, the ward doctor's office, and even the doctor's mobile phone. This makes it easier for doctors to consult online.
According to Li Shujun's vision, in the future, qualified medical experts can apply to join the telemedicine platform as long as they meet the set conditions. It is simpler for patients, just register, you can choose the experts you want to find in the Internet hospital, and ask for medical treatment online in real time.
At the same time, the provincial telemedicine center will also connect with the national telemedicine platform to share the top domestic quality medical resources such as Beijing and Tianjin, so that patients can get better medical services.
Popularizing telemedicine, the benefit management mechanism of medical management system needs to be improved
As a new medical model, the province's telemedicine service has just started. Although the future vision of the provincial telemedicine platform “looks beautiful,†there are still many areas in the real world that need to be improved.
“Provincial telemedicine platform, in fact, like a physical hospital, requires a clear medical management system.†The head of the Hebei Provincial Health and Family Planning Commission said that the telemedicine platform cannot directly copy the medical management system of traditional hospitals. For example, how to ensure the qualification of doctors, how to monitor the consultation process, and how to deal with misdiagnosis and missed diagnosis, etc., must make clear provisions. For some diseases that are not suitable for online medical treatment, patients should also be referred to the offline appointment.
"At present, telemedicine carried out in China is basically free of charge, and a complete telemedicine policy system has not yet been formed." Li Shujun said that due to various factors, telemedicine can not form scale, and the cost of single-use applications is high. The hospital and doctors are not very motivated. He believes that if an effective interest feedback mechanism cannot be formed, it will restrict the development of this convenient medical model.
In order to solve this problem, the telemedicine platform should also pay attention to offline, have a physical hospital offline or cooperate with a physical hospital to conduct business online. In this regard, the layout of offline hospitals will become a key development area for telemedicine platforms. Specific to the construction of the provincial telemedicine center, Li Shujun suggested that the government should encourage and support the comprehensive hospitals and third-party partners in Hebei Province to participate in the telemedicine business operations through policy guidance, and promote the telemedicine business to scale. Normalization development.
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