In recent years, the contradiction between the continuous increase in medical demand and the shortage of quality medical resources has been increasing. On the one hand, the state has continuously explored breakthroughs in policy-level breakthroughs such as grading medical treatment and doctors' multi-point practice through new medical reforms; on the other hand, it also uses information and communication technologies. The Internet platform to improve the efficiency of medical resource utilization, improve service quality, and control the rising cost of medical care has become the consensus of the industry and the main connotation of Internet + medical. A new era has arrived. How to realize the core concept of “better perception, better interconnection, better intelligence†in the smart industry in the medical industry , build an efficient way to balance the needs of all aspects of medical care, optimize the allocation of medical resources, and continue service innovation. The ecosystem, people inside and outside the industry are making unremitting efforts, and the arrival of the Internet+ era will accelerate this process. Smart medical care should be people-oriented The wisdom of medical care in the era of Internet+ is not based on technology, but on "people-oriented", with the focus on people as the core. There is also a doctor-centered or patient-centered debate in the industry. Because of the special nature of medical services, it is not possible to simply focus on one side. People-oriented smart medical services mainly serve three types of people: First, medical practitioners, including patients and their relatives and friends, can obtain higher quality and more satisfactory medical services, and can provide full-process and multi-terminal patient-patient interaction, which can be applied. Data insights to improve the quality of medical services, clinical results and services, can provide personalized medical services; Second, healthy people, through the health data collection initiative to prevent disease and treatment, that is, cure disease, promote health management, through platform synergy The entire medical service operates to provide an integrated and personalized service experience. The third is the medical staff, providing mobile medical systems, providing efficient and flexible operations, supporting cost savings and improving medical benefits, supporting management innovation, and achieving business performance management. Smart medical care should focus on five aspects Because of the complexity of medical business processes and systems, it is a huge challenge to create a human-centered smart healthcare in the Internet+ era. China Telecom's medical industry information application (Shanghai) base believes that it should start from the following five aspects: 1. Realize full coverage of mobile networks and mobile applications The background of "Internet +" is the ongoing mobile Internet revolution. The transfer of applications and services to the mobile terminal (away from the PC to people) has become irreversible, and medical institutions must integrate mobile networks into the unified environment of mobile applications. Network Planning. Because of the need for large bandwidth applications such as converged communications and mobile imaging, healthcare organizations need to strike a balance between deploying WiFi networks and leveraging operators' mobile networks. Mobile applications are no longer used as mobile extensions for PC-side applications, but are increasingly becoming the main portal for people to access medical services and generate data. They should be comprehensively planned in conjunction with the work scenarios of different roles, and select suppliers with continuous service capabilities to achieve . China Telecom Medical Shanghai Base has developed different versions of the handheld medical hospital version, grassroots version, and popular version, and has been applied in nearly 100 hospitals such as Shanghai First People's Hospital, Sichuan Provincial People's Hospital and Inner Mongolia People's Hospital. 2. Realize seamless interconnection of people, things and systems (services) In addition to the medical services provided by doctors, modern medical services also include a large number of medical equipment , medicines, equipment, appliances, etc. In the Internet+ era, these services first appeared in the form of functions and processes in the online system, offline. Provided and managed online. In order to improve the effectiveness of the entire system, people, things, systems, through the Internet of Things technology, open interfaces, cloud platforms to achieve seamless interconnection, so that the demand for medical services and suppliers simultaneously benefit. To achieve such collaborative care, the organization's internal information systems must also be effectively integrated, and some leading hospitals are integrating their data and services by building information integration platforms. According to the strategic deployment of China Telecom Group, China Telecom Medical Shanghai Base has developed a healthy cabin product for enterprises and communities after one year of construction. It was officially put into the market in 2015. The product is regularly collected through health testing equipment and health material gateway. The health and vitality data of the employees or community residents are uploaded to the health cloud platform, and the test report is displayed on the mobile side, and active health management and chronic disease management are carried out. After the platform is connected with the medical institution, the full-closed loop of the medical service is opened. At present, the product has been officially commercialized in many provinces such as Shanghai, Jiangxi and Fujian, and has been welcomed by the market. 3. Building on-demand service capabilities Traditional medical informatization construction pays more attention to service process automation and internal management informationization. However, the Internet+ era is people-oriented smart medical care. The services of medical institutions are opened to the Internet through appointment registration, network hospitals, etc., information system services. The target has expanded from doctors and nurses to the vast majority of medical professionals, and the suddenness of medical needs has brought new challenges to the system and network capacity, including safety. At the same time, the growth of medical demand is accompanied by the evolution of medical treatment technology. For example, the continuous introduction of equipment such as dual-source CT, the storage of various types of images, ECG and other data is growing rapidly. It is difficult for medical institutions to build and self-maintain themselves. On-demand service capabilities are a basic option for smart hospitals, and in recent years mature cloud computing technology has also made industry preparations for this. In 2015, under the guidance of the Group's government and enterprise department, China Telecom Medical Shanghai Base organized the development of medical image cloud to provide medical institutions with image cloud archiving, image cloud diagnosis, regional image cloud, mobile image and other services. Telecom's high-quality network and cloud computing resources provide on-demand storage for the massive data of medical institutions, while meeting the needs of diagnosis and research. This is China Telecom's first large-scale deployment of medical industry cloud products. The base is now deploying medical imaging cloud services to key customers in Shanghai, Jiangsu, Guangdong and other provinces. 4. Build a good operating system The Internet-based era of people-oriented smart medical construction has also changed, because the users of the system have expanded from the inside to the outside, and the availability of the system is not only an internal problem but also a social impact. At the same time, the Internet is also continually infiltrating the medical system, and medical institutions are increasingly talking about operations (if some hospitals have holiday arrangements for appointments on a business day to cause patient complaints). The hospital's App for the public service, the WeChat public account, etc. also need to be promoted, and various Internet promotion methods are also adopted. At the same time, various mobile applications of medical institutions are widely installed on the personal terminals of doctors or patients. The application management cannot follow the management method of the original PC. The relationship between the constructor and the contractor needs to be adjusted accordingly to build a good Operating system. Since 2014, China Telecom Medical Shanghai Base has changed all the original project delivery modes into operational delivery. In other words, the project has no end time. The project acceptance is the time when the operation comes into play, completely seamlessly connected and received medical treatment. Wide recognition of customers. 5. Create an ecosystem of continuous innovation If a medical institution can do a good job in the four aspects of coverage, connection, service, and operation mentioned above, the medical practitioners, healthy people, and medical practitioners can get the desired functions and services as needed, and enjoy good. Operational services, accurate data feedback, organizations and individuals can continuously optimize their behaviors and processes on this basis, and the results of optimization will be further feedback through the system. This is an ecosystem that can be continuously innovated, medical resources and needs. The contradiction will be effectively alleviated, which is the ultimate goal of smart medical care. Of course, this is not the result, but a cyclical process. Under the leadership of the group company, China Telecom Medical Industry Information Application (Shanghai) Base has conducted extensive exploration and practice with experts in the medical industry, and is currently conducting “Internet Plus†with several strategic customers. The cooperation to create a smart medical overall solution, through the cooperation of the industry, to make some efforts to promote the success of the new medical reform, but also for the expansion of operators in the medical industry, to take a new path.
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