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China

Let data run more and patients run less -- Observation on accelerating the construction of "Internet plus health care" in central China

2024-06-28   

The central region connects the east to the west and the south to the north, carrying about 1/4 of the country's population. In recent years, many central regions have accelerated the development of health and medical big data applications, opened up the "arteries" and "capillaries" of information sharing, and transformed people's errands into data errands, effectively improving medical service capabilities. Data interconnection is more intelligent. "I didn't expect that the inspection done in my hometown could also be transferred to the provincial capital, saving time and money." Mr. Li from Guoyang, Anhui said. He, who is 58 years old this year, recently went to the orthopedic outpatient department of the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital) in Hefei due to joint pain, but forgot to carry the X-ray taken in his hometown with him. When the attending doctor was preparing to issue an X-ray examination for him, the AI diagnosis and treatment assistant on the Anhui Imaging Cloud System platform on the computer popped up a dialog box to remind him: "There is a related examination.". So, the doctor directly prescribed treatment medication for Mr. Li by retrieving his previous images. "Let the image results go from 'visible to a single household' to 'province wide mutual recognition'." Chai Peiyu, Director of the Information Center of the Anhui Provincial Health Commission, said that in recent years, the province has continuously promoted the exchange of medical imaging examination data information and cross hospital sharing and retrieval throughout the province. Currently, it has covered 2385 medical institutions, accounting for 99%. With the patient's permission, doctors can access the imaging results of the patient in other hospitals within the province. Patients can also check their own imaging results through their mobile devices. Next, we will accelerate the exchange and sharing of results from examinations such as electrocardiogram, laboratory tests, pathology, and ultrasound. In Henan, the pace of smart healthcare construction is also accelerating. Ms. Yang, aged 68, went to the First Affiliated Hospital of Zhengzhou University for medical treatment due to stomach discomfort. When the doctor prescribed a barium meal examination for her as usual, the hospital information system immediately popped up a reminder: the patient has intestinal obstruction, please use barium meal with caution. Originally, Ms. Yang suffered from intestinal obstruction, which was exacerbated by barium meal. It is reported that this information system relies on artificial intelligence technology and can automatically store and analyze various data during the patient's medical treatment and diagnosis process. When there is a contradiction in the patient's diagnosis, medical records, examination results, etc., the system will automatically prompt the doctor, reducing the occurrence of misdiagnosis and missed diagnosis. "One Code Pass" and "One Card" promote more convenient medical treatment. At the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Ms. Lu, who came to see the doctor, successfully completed registration, examination, printing reports, receiving Chinese medicinal materials, decoctions, and express delivery of drugs with the electronic health code she had applied for in advance on her mobile phone. According to Shao Kunbing, Director of the Planning, Development and Information Technology Department of the Anhui Provincial Health Commission, Hefei, Chuzhou, Ma'anshan, Bengbu and other places in the province have achieved a full process of "one code access" for outpatient treatment, including appointment registration, examination and testing, and online payment. At present, the cumulative registration of electronic health codes is about 34.19 million times, with over 610 million people using the codes and an average of 400000 people per day. "By connecting the data interfaces of various links, it can also facilitate the referral between different hospitals, effectively improving the convenience of residents' medical treatment." Shao Kunbing said that it is expected to achieve full coverage of electronic health codes for medical treatment in the province by the end of 2024. At the outpatient hall of Zhengzhou Central Hospital, Ms. Zhang, 58, placed her ID card on the self-service registration machine and followed the instructions step by step. In less than a minute, she successfully registered her expert number. "I used to carry several hospital admission cards in my pocket, which were easy to lose with trouble, but now it's much more convenient," she said. It is understood that the "medical card" service in Zhengzhou refers to citizens using one of their existing identity documents, including resident ID card, resident social security card, electronic health card, electronic social security card, etc., to directly complete the entire process of medical treatment in hospitals. Multiple central regions continuously improve the service capabilities and efficiency of medical institutions through data collection and sharing, reducing the process and time for people to seek medical treatment. Taking maternal and child medical services as an example, Zhengzhou Maternal and Child Health Hospital provides "bedside settlement" services. Nurse carts are equipped with printers, POS machines, etc., making it convenient for hospitalized patients to complete discharge procedures in a one-stop manner in front of the hospital bed. The Anhui Provincial Health Commission, in collaboration with public security, human resources and social security, medical insurance and other departments, has launched the "one thing at birth" service, achieving cross departmental business approvals such as birth medical certificates, newborn household registration, and vaccination certificates through a "one-stop" process. Cloud based diagnosis and treatment promotes the sinking of high-quality resources in Liuyang City, Hunan Province, located on the border of Hunan and Jiangxi. The city's maternal and child health hospital, through the "Cloud based Maternal and Child Health" platform, realizes remote joint outpatient consultations with Hunan Provincial Maternal and Child Health Hospital, making it convenient for patients to seek medical treatment. "By interacting with provincial-level experts' face-to-face ', the original situation of' seeing only the disease but not the people 'has been changed. It can not only develop scientific and appropriate diagnosis and treatment plans for pregnant women, but also help them avoid the labor of long-distance travel, registration and queuing, saving time and economic costs." Huang Qimei, Secretary of the Party Committee of Liuyang Maternal and Child Health Hospital, said that the remote joint outpatient consultation of "Cloud based Maternal and Child Health" is not only a new model for the construction of medical consortia, but also a new measure to sink high-quality medical resources. In recent years, many central regions have explored the use of artificial intelligence technology to fill the gaps in human resources and limited technological level in grassroots medical institutions, effectively improving the level of grassroots medical and health services. Anhui Province has launched the construction of a "smart medical assistant" general practice auxiliary diagnosis and treatment system for grassroots medical and health institutions throughout the province, providing intelligent auxiliary diagnosis, intelligent quality monitoring, and intelligent follow-up services for chronic diseases for grassroots medical personnel. "The 'Smart Medical Assistant' effectively regulates grassroots diagnosis and treatment behavior, enhances grassroots diagnosis and treatment capabilities, and improves the efficiency of grassroots public health work." Chai Peiyu said that as of now, the "Intelligent Medical Assistant" system in Anhui Province has covered 1702 township health centers, community health service centers, and 17000 village clinics, providing 680 million auxiliary diagnoses and serving 680 million residents with chronic diseases. (Lai Xin She)

Edit:He Chuanning Responsible editor:Su Suiyue

Source:Xinhua

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