Release date: 2015-09-09 Why is telemedicine not subversive? But just changing the traditional medical and big health service model? It’s the most appropriate to use the buffet as a metaphor. It changes the way people eat, but it doesn’t change the habits or “rules†of people eating, either with a knife and fork, or with chopsticks or with their hands. Telemedicine is like a buffet. The change is that patients and normal people are gradually changed from a passive “disease to see a doctor†model to their own disease progress; they are concerned about their own tomorrow “no disease to find a disease†or how to enjoy health. This is the progress of society, and it is also the embodiment of the development of modern science and technology and the application of results. Closer to home, let us look at how the US telemedicine changes the medical and health services model. The American Telemedicine Association (ATA) Fall Annual Meeting will be held in Washington on September 16-18. To this end, I talked with ATA president first of the hot spots and highlights of this year's telemedicine conference. The summary is as follows. 1. Change the “face†of medical and big health services (“Lizi†has not changed!) First, more and more medical services “retailers†and “wholesalers†use smart apps to divide or reorganize “patient customer†needs and service areas; but there are no better and more effective new recruits to “stick†customers. Secondly, they are all aiming at the Internet +, or expanding mobile communication value-added services, but still have not found the feeling. Interfaces or pipelines with traditional medical institutions (such as hospitals) and large health service industries (such as home care, rehabilitation physiotherapy, and nutritional care) have not been repaired. For example, if the patient is sick and discharged home, he will return to the hospital immediately if there is any situation, and will not go online for consultation or telephone communication. More realistically, the hospital's existing telemedicine facilities still do not show its advantages. These issues are the topics that the annual meeting focuses on or share experiences. 2. The "empire" of telemedicine industrialization has been formed. Telemedicine along the way, from the hospital to expand business, to the medical insurance company to test the water, and then to the federal government's active promotion, has gradually formed an industrialized "empire" with telemedicine as the core. Compared to traditional medical and health management practices, telemedicine introduces advanced communication technologies and intelligent products, including the Internet+. As defined by the American Academy of Medical Sciences in defining telemedicine: “Telemedicine is not a single technology or a group of discrete technologies; rather, telemedicine is a large, complex collection of clinical medical practices, communication technologies, and operations. Management, etc. "The president of the United States ATA believes that the rise of the telemedicine "empire" is inevitable, not coincidental or artificial, and is the demand for modern social progress and the trend of technological development. 3, change the way or establish an "empire", first set the rules In the process of establishing telemedicine “empireâ€, the forever topic is “the existing medical service can be changed, and the telemedicine empire can be established, but the “rules†must be established first.†There is no remote control of policies and regulations. Medical care will inevitably harm all aspects of the interests and endanger its own sustainable development. The so-called aspects include: medical committees (similar to professional medical associations + a collection of practitioners' unions). Legislatures at all levels, federal health insurance institutions, and professional supervision agencies at all levels of government, etc. Since the industrialization has been formed and the telemedicine empire system has been established, the construction of the medical insurance system in this field, the license for professional licenses for telemedicine services, etc., must be the theme that remains unchanged year after year. Still the same sentence: only when the rules are set, there is a square. This is the case in the country; the industry is the same; the same is true for the telemedicine industry. 4, there is a new ecological environment, there must be new business to do Over the past year or so, the telemedicine service model has taken a big step forward – serving patients directly (from B-to-B to B-to-C). What are the first explorers in the world, dare to break the rules? In fact, they have been practicing there for a long time, for example: Walgreen, a well-known American chain, has become the largest telemedicine service network system in the United States from a daily health care chain. What is their B-to-C success experience and strategic layout? Compared with some domestic Internet + telemedicine or light consultation models, where are the real breakthroughs, we should listen well. 5. Where is the frontier of competition? Telemedicine, as a comprehensive service that integrates modern communication technology and network thinking to serve the society, its frontiers include: 1) How to take advantage of telemedicine compared to existing and traditional medical and health services Expand and extend communication with patients (customers) to capture patient needs. 2) As a supplementary function of the existing medical service system, how to do pragmatic value-added services. From the needs of home health care to automated intelligent decision-making systems, telemedicine should highlight its capabilities, especially how to deliver existing medical services to home patients or anywhere. 3) The most promising telemedicine aids and products, including family disease surveillance systems and mobile intelligent robot systems, so that the telemedicine service market will no longer be confined to the state, the country, and possibly more distant Africa. . 6. Quality and standards of telemedicine services The innovative technologies and innovations driven by telemedicine include online consultation, real-time two-way video consultation, and off-site information storage and transmission consulting services. Not all of them are praised or praised, and there are doubts or concerns. It is also from regulatory supervisors, medical practitioners, professional medical associations, and related equipment manufacturers. Because they are concerned with the telemedicine service process, patient disease information and the safety protection of health records, the quality of the telemedicine service and the implementation of the standardization process are precisely implemented. 7. New synergy alliances and institutions When a new ecological environment is formed, members and institutions are seeking to co-exist and win together. These also promote new, segmented functional synergy alliances in the field of telemedicine services, such as the Imaging Telematics Alliance, which focuses on clinical diseases; telemedicine collaboration organizations that develop and apply cutting-edge technologies, etc. . Their purpose is clear: the use of telemedicine service model, more and more extensively expand market demand services (patient groups), improve medical results and health management quality, of course, hope to lower or relatively affordable. Collaboration and win-win can be achieved through the establishment of effective synergy mechanisms, or by twisting into a rope, including general practitioners, specialists, nurses and assistants, family health management experts, policy regulators, and more. In addition, telecommunications equipment and technology service providers are also support forces that cannot be ignored. 8. Medical insurance and insured: progress or cycle The most critical issue is also the biggest obstacle in the United States: “Who pays? Who provides services?†More and more small and medium-sized commercial medical insurance organizations are beginning to realize that this is a “century opportunity†because maybe not the next one. In the century, no one has ever distinguished the types of insurance for telemedicine services or medical services in clinics and hospitals. 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