Li Yuefeng: Future medical care will develop towards the top ten trends

"In the era of 'Internet +', it is the industry + the Internet or the Internet + industry. There is a lot of controversy. In any case, informationization has profoundly changed the lives of everyone. What is the future of science and technology? Everyone thinks.” Li Yuefeng, Director of the Health Card Management Division of the Statistical Information Center of the National Health and Family Planning Commission, said in the forum on the theme of “Beyond Storage, Visionary Future Medical ”. Here is his wonderful speech:

The current situation and dilemma of the existing model: three major improvements and shortcomings

He said that in recent years, the level of domestic hospital information construction, regional business collaboration and information sharing, and government investment have all improved significantly. First, the level of hospital informationization has gradually improved. Initially, we have built a comprehensive integration platform from the simple financial system of the hospital, and some large hospitals have already built corresponding integration platforms. Such a development process is also a process of improving hospital service efficiency and management efficiency; Second, the coordination of regional business and the improvement of information sharing level, especially after the establishment of regional information platforms at various levels, effectively supported the application of hospitals and the exchange and sharing of data. Third, policy investment is also gradually improving, especially in some innovative models. From 2010 to 2012, for three consecutive years, China’s fiscal investment of 9.3 billion was used for all levels of medical and health information construction. Inciting the financial input of local governments, including the input of informationization needs of medical and health institutions at all levels, the overall level of hospital informationization has been greatly improved.

“At the same time as all aspects are gradually improving, we still need to recognize the shortcomings and shortcomings.” Li Yuefeng said that there are still many aspects in the three aspects of information utilization and big data big normal, integrated platform construction, specialized talents and knowledge spillover effects. Big enough. Everyone is talking about big data, and there are many companies that are constantly exploring and exploring in the field of big data, but there are not many big data technologies that are really strong and mature. Excavation of data generated through social and health or health services is far from enough.

In addition, Li Yuefeng also said, “For some large and medium-sized hospitals, there are dozens or even hundreds of self-built systems in hospitals. Under the construction of integrated platforms, the data in the hospitals are still in an isolated island and cannot be interconnected. Interoperability, data is still difficult to share. At the same time, there are major deficiencies and areas for improvement in terms of standardization and information security.” The construction of medical informatization requires compound talents who understand both information technology and medical and health-related needs. For the time being, such professionals are still in short supply. In addition, we must use the sharing of information to exert the knowledge spillover effect.

Future trends and thinking: Ten trends in the medical industry

The development of information technology, the strengthening of people's attention to health and the increase of economic payment capacity, the policy drive of new medical reform and other factors have undoubtedly brought new opportunities for hospital information construction and future development. In the face of these opportunities, how we should deal with it becomes very crucial. Li Yuefeng said, “Human health factors, informational differences, and regular understanding have brought us severe challenges. I think future medical care. The industry should be an all-round, intelligent, personalized and precise development from birth to the end of life.

At the same time, Li Yuefeng believes that the medical industry will develop towards the following ten trends in the future. The first trend, card and personal information collection and big data, we now have a disease number in each hospital, and each patient enters the hospital to produce a No. However, because different hospitals produce N number for a patient, there is no way to collect this patient information. If there is no uniform microcosm, what should I do? Then I need a card or a carrier. This carrier is used for identification. The collection of your information.

The second trend is the era of cards, the era of no cards, and the mechanism of trustworthiness and traceability. Some experts once told me that the future may be a card-free era. The future development trend is likely to be a card-free era, but the card-free era must consider the trust mechanism. I think this is a question that needs to be considered.

The third trend, precision medicine , including robotic surgery, robot diagnostics, etc., and some chips, will be more accurate.

The fourth trend, visualization and network medical, through network technology, clearer images make visualization possible, or we are more clearly used for diagnostic medical processing.

The fifth trend, the knowledge base, this future must be paid attention to, especially many knowledge bases are already three-dimensional dynamic, and are expandable, the knowledge base is very complete, such as a heart bypass surgery, can be done in 3D animation, you can simulate Do and so on, even partial enlargement, such a knowledge base, can be a knowledge base of learning, but also can be treated, such as some knowledge base electronic medical records, clinical pathways are all done by knowledge base. There is also a self-learning, everyone's study, doctor's study, patients are also learning, through the network to understand health knowledge. There is machine learning, and it is getting smarter. We support many of our business services through machines. The more different environments you enter into your machine, the more scientific it is to make the analysis. I think machine learning is also of concern. . There is also a parallel system, the so-called parallel system, which is to test the parallel system before the operation, and it is not feasible to judge the operation through the test results.

The sixth trend, the ubiquitous Internet, healthy people, patients, doctors, equipment, everyone is connected through the Internet, the equipment is sophisticated, making digital devices more accurate, image resolution, clarity and other aspects are more high Precise diagnosis, results and value.

The seventh trend, standardization, or the construction of a modular hospital system, many things are like a car. If a component is broken and the part is replaced with a new one, it is built in a modular way. In addition, data mining, especially the application of other data mining technologies, how to use this data. There are also time and space analysis, for example, some have already added the chip, I can accurately locate through this chip, accurately locate by positioning at any time, effectively understand the whereabouts of mental patients or children in the hospital, and prevent the loss of children.

The eighth trend, cloud as a service, platform construction.

The ninth trend, the ubiquitous mobile APP service , allows people to obtain information and obtain relevant resources through various APP applications in their mobile phones.

The tenth trend, cloud hospital and future hospital (O2O) model, medical association, learning effect, information technology support, I think that the establishment of cloud hospital at least to grasp three systems, the first need online system, The second requires online knowledge base support. The knowledge base consists of two, one is the real doctor, the second is the knowledge base of machine learning, and these two must be supported. Why? If you have so many patients, for example, I am in your system. If you assign this patient to a doctor or to a doctor, you must first break down the machine and break down the symptoms provided by you. First, learn with the machine, support the machine knowledge base, and then go to the physical doctor for the triage. This is the online two systems, including an information system to establish an online information system. The most important thing is that the standardized data acquisition system under the line should be very good. Otherwise, the data collection under the “cloud hospital” is not standard, which leads to the doctor not being able to conduct standardized diagnosis.

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