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Thoughts on the construction of hospital telemedicine information

Thoughts on the construction of hospital telemedicine information

  • Categories:Industry news
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  • Time of issue:2018-02-06 15:18
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(Summary description)InSeptember2015,theGeneralOfficeoftheStateCouncilissuedthe"GuidingOpinionsonPromotingtheConstructionofaHierarchicalDiagnosisandTreatmentSystem",requiringthatahierarchicaldiagnosisandtreatmentsystemtha

Thoughts on the construction of hospital telemedicine information

(Summary description)InSeptember2015,theGeneralOfficeoftheStateCouncilissuedthe"GuidingOpinionsonPromotingtheConstructionofaHierarchicalDiagnosisandTreatmentSystem",requiringthatahierarchicaldiagnosisandtreatmentsystemtha

  • Categories:Industry news
  • Author:
  • Origin:
  • Time of issue:2018-02-06 15:18
  • Views:
Information

In September 2015, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction of a Hierarchical Diagnosis and Treatment System", requiring that a hierarchical diagnosis and treatment system that conforms to national conditions should be basically established by 2020. At present, due to the uneven development level of domestic medical and health institutions and the uneven distribution of medical resources, how to effectively establish the trust relationship between patients and primary health institutions has become a major problem in the implementation of the hierarchical diagnosis and treatment system. From an information perspective, telemedicine solutions are the core technology to solve this problem.

In recent years, in order to cooperate with the Guangxi Zhuang Autonomous Region Health and Family Planning Commission to accelerate the telemedicine "county-county" benefiting project construction plan, Nanning Second People's Hospital took the lead in carrying out the telemedicine system construction work and was awarded the "Guangxi Telemedicine Center Nanning Branch Center" "The title, with the help of the Guangxi telemedicine platform system, connects with national and provincial hospitals upwards, and radiates county, township and community communities and other grassroots medical institutions to help implement the hierarchical diagnosis and treatment policy. Recently, at the "2017 National Hospital Informatization Construction Salon Nanning Station" event sponsored by HC3i China Digital Medical Network and co-organized by Epson (China) Co., Ltd., Chen Dan, Chief of Information Department of Nanning Second People's Hospital, published "Hospital remote medical information think "building keynote speech, shared the Nanning second people's hospital telemedicine construction and telemedicine implementation difficulties.

There are two main categories of telemedicine applications

· "Gao Da Shang" category-the center-to-center remote consultation business between hospitals, the hospital is equipped with separate rooms for remote medical consultation sites, the network is directly connected to branch hospitals and medical consortia units, and high-end audio, video, and image acquisition equipment , The pursuit of maximizing the effect of simulating face-to-face consultation; the system supports the transmission of video information to the major conference rooms in the hospital, which is convenient for applications such as remote teaching, multi-disciplinary difficult discussions, and live surgery. The limitation is that each hospital needs to have independent centers, dedicated lines, etc., and the equipment is expensive, both parties need to be online at the same time, and consultations need to be booked in advance.

According to Chen Dan, Nanning Second People’s Hospital has carried out a total of 10 cases of remote applications in the category of “tall and large”, which cannot make ends meet in terms of economic benefits. However, from a management perspective, it can remotely supervise the real-time situation of primary medical care and analyze it from the perspective of medical teaching. Gathering experts from inside and outside the province for consultations can effectively improve the professional and technical capabilities of hospital doctors. "The serious output is not high, and the side effects are very huge."

· "Short frequency and fast" category- mainly doctor-to-doctor or doctor-to-patient, mainly to solve the problem of high demand for small consultations, use the convenience of the Internet network, use the doctor's workstation or personal mobile phone as the carrier, and use general communication The equipment can interact without being restricted by time or place, and can conduct offline or online consultations, which requires higher data interconnection for medical equipment or information systems. Its limitation is that it is easily affected by equipment and environment, imaging is limited, not conducive to difficult diagnosis, and the underlying architecture is basically b/s and app, which has certain limitations.

Three difficulties in the implementation of telemedicine

Chen Dan introduced that the main purpose of telemedicine construction is to radiate grass-roots hospitals, improve the level of grass-roots medical care, and achieve hierarchical diagnosis and treatment-the first diagnosis at the grass-roots level. At present, the informatization level of primary medical institutions is the biggest obstacle to the implementation of telemedicine , which is mainly manifested in three aspects:

  • 1. Electronic medical record data-without a system, what source? Without technology, how to interconnect?
  • Primary medical institutions lack complete information systems and information technology, and cannot import, export, and scan medical record information in a timely manner.
  • 2. Transmission standard of medical image data-radiation, ultrasound, pathology: DICOM, ECG: ECG, SCP-ECG, GDF, etc.
  • Those who join the telemedicine platform must be equipped with a unified standard ECG tool to facilitate remote consultation.
  • 3. Storage-private cloud? Public cloud?
  • Where the data is stored, the degree of security, and the degree of application, there are problems.

The second major difficulty in the implementation of telemedicine is the medical resource platform . The promotion of telemedicine must be accompanied by a doctor's resource bank. Whoever can seize the doctor's resources can master the telemedicine. Therefore, a trans-provincial or trans-national telemedicine platform must establish its own medical resource database.

The third major difficulty is the problem of repetitive homework . Since the new medical reform, medical institutions at all levels and localities have implemented telemedicine, which is likely to cause duplication of inter-institutional construction and overlap of functions between applications. It is necessary to make a “retreat” and “pragmatic” choice. Retreat means to do a good job of planning and put the theory first; pragmatic means to consider clearly what effect can be achieved. Therefore, retreat is a pragmatic prerequisite.

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