Release date: 2014-09-10

Telemedicine, a seemingly beautiful fairy tale, is highly accepted by the hospital. What kind of telemedicine technology is best accepted? At present, from the perspective of the development of the US market, the most basic technology of telemedicine, the video communication and video transmission of doctors and patients, has the highest acceptance, and the remote patient tracking and mobile application of the hype are widely sought after by the media and investors. But the lowest.

Recently, the international non-profit organization Healthcare Information and Management Systems Society (HIMSS) conducted a telemedicine survey. According to the survey results, according to the proportion of use, nearly 60% of respondents indicated that they use two-way video (57.8%), followed by video transmission (55.5%) and Email (44.1%), then video. Meetings (35.5%), while the remote patient tracking and mobile phone app apps that were sought after by the investment were still low, only 26.1% and 19.9% ​​of respondents said they used the two technologies.

It must be pointed out that more than 70% of the more than 400 respondents who participated in the survey were hospital administrators, including department heads and managers, and only 10% of the respondents were doctors or nurses. This is because the management and medical functions of American hospitals are separate, the managers are responsible for commercial operations, usually the medical management background, and the doctors focus on medical treatment, which is very different from the administrative functions and medical functions of Chinese doctors.

Of course, the manager's idea may be different from that of the doctor, but since the manager plays a decisive role in the improvement of the hospital's model, its view is still very valuable.

The survey shows that even in the US market where telemedicine is growing at a speed, the hospital's primary consideration for accepting this technology is still to fill the gaps in face-to-face medical care, and the remote patient control and apps that are highly sought after by investment cannot be immediately Solve the problem under the line, ranked behind in the use acceptance.

This is actually the same in China. The primary problem with telemedicine solutions is to save the energy and time of doctors and patients. Offline clinics can be switched to online video. This technique seems to be the simplest, but it is also the most effective as an offline service supplement. Image transmission is also a very practical need. Image transmission services are required between doctors, doctors and patients, hospitals and hospitals. This point is consistent with the needs of the United States and China. The problem faced by the two countries at this point is that the hospital's system is varied, and the patient's data comes from different hospitals. Every time you change to a hospital or a doctor needs to share past medical history and examination data, so image transmission and storage become done. One of the urgent needs.

In addition to these very practical needs, the frequency of remote patient tracking services that have been favored by major VCs is not high. There are several reasons behind this. The first is that there are a large number of consumer-oriented remote health tracking products or apps on the market, but these products lack accuracy and professionalism and cannot be directly used by hospitals as a reference for clinical diagnosis. The products that can really be used as a reference for doctors are very few, so the frequency of use is not high.

Secondly, the hospital's primary consideration for telemedicine is that it is convenient but the learning threshold is not high. Two-way video and file transfer are such functions. Health tracking products require doctors to use the product in addition to long-term tracking and analysis of the data, after which the decision to make a diagnosis can be made. Many doctors don't have the energy to do this. Some large medical institutions, such as the Mayo Clinic, also send special research teams to develop professional apps for certain diseases. For example, the Mayo Clinic's tracking app for rehabilitation after cardiac stent surgery, tracking patient data and analyzing data requires a professional team to assist, not every doctor has time and ability to do it.

Finally, there are remote tracking products. Although there are data in some areas that have positive significance for the treatment of patients, such as the Macao Clinic's cardiac stent follow-up app mentioned above, the study proves that using App can make heart disease recurrence. Sexuality reduced by 40%. However, there are very few data tracking products supported by clinical trials. Although many products are very useful for doctors, due to the short time and limited use of people, the effect cannot be explained by data. Many hospitals are still in the water test stage, and there is still a certain amount of time to apply to a wide range of applications.

However, it is an inevitable trend for telemedicine to actually make up for the lack of face-to-face medical services and to solve the deeper problems. Supporting doctors' decisions is a necessary development process. For telemedicine providers, it is a continuous professional process. The technical thresholds for early video technology and file transfer were relatively low, and there were many market practitioners. However, once the patient tracking and health management are deepened, the requirements for practitioners become higher, the professionalism increases, and the clinical testing of the products is involved. The threshold for entry will obviously become higher. Once the market accepts, the potential for explosive growth is great.

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