Resonating with rural revitalization, digital doctors send a "golden key" to primary medical care

2022-03-01

In 2022, the No. 1 central document, the CPC Central Committee and the State Council, issued a proposal to comprehensively promote the key work of Rural Revitalization in 2022. The document points out that we should strengthen the overall planning of basic public services at the county level and further promote the construction of a compact County medical and health community. County Hospital Development welcomes good With the continuous promotion of the hierarchical diagnosis and treatment system, the county hospital undertakes the reception task of a large number of rural population, which has become the key to ensure that "serious diseases do not leave the county", and the construction of diagnosis and treatment service capacity has been put on the agenda. The obvious gap between county medical resources and big cities highlights the value of AI technology. In the action plan for promoting the high-quality development of the health industry (2019-2022) released in 2019, the state clearly wants to accelerate the application of artificial intelligence technology in medical image aided interpretation, clinical aided diagnosis, multidimensional medical data analysis and other aspects, and actively explore the application of artificial intelligence assisted technology in areas with weak medical resources and grass-roots medical institutions to improve the quality of diagnosis and treatment. The law of the people's Republic of China on basic medical care and health promotion issued in the same year also clearly will promote the application and development of health care big data and artificial intelligence, and use information technology to promote the popularization and sharing of high-quality medical and health resources; People's governments at or above the county level and their relevant departments shall take measures to promote the application of information technology in the field of medical and health care and medical education. Increment of "digital doctor" Build county hospitals according to the standards of tertiary hospitals, namely hardware construction (facility conditions) and software construction (service capacity). Medical equipment, inpatient beds and other facilities can be solved through policy support, but it is not so simple to determine whether talents with service ability can sink to county-level hospitals. Taking medical imaging examination as an example, the amount of medical imaging data in China is increasing at a rate of about 30% per year. In sharp contrast, the number of doctors in China is only increasing by 6% per year. High level imaging doctors often need more than ten years of training, and there is a long-term shortage of senior talents in grass-roots hospitals. Due to the lack of manpower and experience, even if the county hospital purchases advanced medical imaging equipment, it is difficult to make full use of it. Therefore, it is undoubtedly an important breaking direction of county medical treatment to use AI products integrating top expert knowledge to empower grass-roots hospitals and bring incremental medical resources to them. The "digital doctor" product portfolio continuously launched by Shukun technology based on AI has helped the imaging departments of many county hospitals achieve breakthroughs in diagnostic efficiency and quality. In March 2021, Sichuan Dechang County People's hospital introduced digital chest products of Shukun technology into clinical use, which can automatically detect various types of pulmonary nodules in patients' lungs, judge the benign and malignant of pulmonary nodules, and assist doctors in CT image diagnosis. Under normal circumstances, it takes more than ten minutes for imaging diagnosis doctors to read a lung CT, and it takes even longer for complex ones. However, the AI assisted diagnosis system only takes one minute. It is very difficult for human flesh eyes to find small lesions with a diameter of less than 1-3mm, but it can identify them in an instant. The detection rate of early lung cancer is as high as 80%, reducing the missed diagnosis of pulmonary nodules, It has greatly improved the quality and efficiency of pulmonary nodule diagnosis in Dechang County People's Hospital, and brought a new technical upgrade for pulmonary nodule screening in the whole county. Gongyi people's Hospital of Henan Province, which ranks among the top 100 county hospitals, has also introduced Shukun technology cardiovascular and cerebrovascular AI products. "Cardiac examination is a high threshold and difficult examination. With the assistance of AI, doctors have faster image post-processing and film reading efficiency, and faster, accurate and standardized report." Li Zhanji, director of the medical imaging department of Gongyi people's Hospital, said. In addition, AI can also help doctors in county hospitals connect with the image data of rural health centers, and deeply integrate AI technology, doctors and villages. The use of AI technology is expected to change the current situation of lack of talents in County medical treatment in China and lead the development of county medical treatment into the fast lane. According to the latest data, the "digital doctor" product portfolio of Shukun technology has been adopted and installed in more than 1600 hospitals in China, including many county-level hospitals in China in addition to the top three-level hospitals. "Digital doctors" poured into hundreds of cities and counties like the spring breeze to help primary health care achieve breakthroughs from 0 to 1 and from 1 to n. AI can also help early screening The disease is shallow, traditional Chinese medicine. Early detection and treatment of major diseases such as tumors, cardiovascular and cerebrovascular diseases are very important. At present, China's rural population generally lacks the awareness of physical examination. They don't go to the hospital until they have obvious discomfort symptoms. If they unfortunately suffer from critical diseases such as tumors or cardiovascular and cerebrovascular diseases, they are easy to miss the opportunity of treatment. From the perspective of medical insurance, early screening and early diagnosis are also cost-effective. Professor Liu Shue of China Japan Friendship Hospital has calculated an account: the average cost of a patient with advanced gastric cancer from diagnosis to death is more than 200000 yuan; If 100000 yuan is invested to screen a case of early gastric cancer, more than 100000 yuan can be saved for the local government, and more health resources can be saved. In addition, many places across the country have carried out health examination and early screening of diseases by CT vehicles to the countryside. Through on-board CT examination, AI assisted diagnosis and 5g real-time transmission to hospitals, it has not only provided convenience for the majority of rural people, but also improved the efficiency of treatment. Rural Revitalization needs wealth, life and health. With the help of AI and the cooperation of government, medicine, industry and other forces, the goals of "healthy countryside" and "healthy China" are expected to be accelerated. (Xinhua News Agency)

Edit:He Chuanning    Responsible editor:Su Suiyue

Source:Xinhua

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