Application: From “walking wire†to “precise treatmentâ€
Zhang Haitao, director of the Department of Surgery, Department of Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, compares the treatment of critically ill patients to "straight-wire", with particular emphasis on "stable" and "quasi". "If the 'wire' of the mild patient is 50 cm off the ground, the critically ill patient may reach 5 meters from the ground. If the fall is not good, the consequences will be very serious. If you can use big data, the effect will be completely different." Zhang Haitao said that for a long time, doctors have relied on personal experience and literature for the diagnosis and treatment of critically ill patients. If there is big data, using artificial intelligence technology, it can be based on the patient's gastrointestinal nutritional status, white blood cell count and Other vital signs monitoring results for disease prediction. “For example, if you know in advance that there is a great chance of infection, you can use antibiotics in time to achieve twice the result with half the effort. The application of health care big data will have a breakthrough in the medical model.â€
The reform and development of national health care, especially for everyone's health management, has greatly promoted. "The establishment of China's 1.3 billion population electronic health record will be the world's unique and largest health big data, which is of great significance to international health and health research." Li Lanjuan said, recording the big data of the people from birth to dying life cycle Not only can you manage yourself, but you can also find the relevance and regularity of the disease and perform precise treatment.
“The complete and accurate recording of the digital medical footprint of the people’s medical treatment is conducive to the construction of an electronic cloud service that integrates prevention, treatment, rehabilitation and self-care management. When the people go to see a doctor or have uncomfortable feelings, the minor illness is in the community. Can solve the problem, some difficult and serious diseases can be classified and treated through telemedicine ." Zhang Feng, deputy director of the Planning and Information Department of the National Health and Family Planning Commission, described the application model of big data in the health field.
Development: both "step on the gas pedal" and "step on the brakes"
With the advent of the era of big data, how to strengthen privacy protection in the context of medical big data has become the focus of public attention. The "Opinions" proposes to promote and standardize the application of big data. On the one hand, it is necessary to promote the construction of a network credibility system, including strengthening the digital identity management of health care, building a nationally-identified medical and health personnel and medical and health institutions, digital medical identity and electronic real name. The certification and data access control information system actively promoted the application of electronic signatures, and gradually established a new model of health care management in which service management traces traceability, medical data is safely operated, and multiple parties cooperate. On the other hand, it is necessary to strengthen the health care data security, carry out the reliability, controllability and security evaluation of the big data platform and service providers, as well as the application security evaluation and risk assessment, and establish security protection, system interconnection and citizen privacy protection. Such as software evaluation and security review system.
The application of big data requires both “stepping on the gas pedal†and “stepping on the brakesâ€. The privacy protection of patient information in China is scattered among many rules and regulations and regulations, and should be as open as possible without infringing the fundamental interests of interest owners.
Interconnection: Let the information of "sleeping" move
At present, medical institutions at all levels have their own information systems, but they face bottlenecks such as insufficient overall planning, poor data integration and sharing channels, and weak industrial independent innovation. It is urgent to gather the strengths of all parties, adapt to the new normal, and explore new models. Create new formats and build new mechanisms.
How to make the information lying in the hospital "sleeping" live? To achieve unified authority, the pressure is still very large, because the diagnosis and treatment data, social security information, etc. are managed by different systems, and it is necessary to realize information sharing and business collaboration between different systems through the platform. The information platform functions like a multi-function socket, and it can be powered regardless of the plug.
The state must vigorously strengthen the construction of infrastructure, resource catalogues, standards and standards, etc., in order to achieve joint construction, sharing and interconnection. It is not enough to rely solely on government promotion. The rights and responsibilities of producers, users and information parties of health information should be clearly divided. Health and medical big data should be promoted and applied in important fields to form a demonstration to show how big data can improve the efficiency and cost of medical services, how to support clinical decision-making, how to provide data for government decision-making, and then Organization and implementation.
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