Medical cloud or the most realistic vision of medical reform

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As we all know, the development of medical care is six words: prevention is more important than treatment. In other words, both the input of community workstation resources and the rise of personal home care awareness, these two parts of resources can reduce the number of times the general public to the hospital, which can reduce medical expenses and improve the quality of life. This is obviously medical informationization , medical cloud, or the vision that medical reform hopes to achieve.

According to the new medical reform plan issued by the state, "Opinions on Deepening the Reform of Medical and Health System", five key tasks include accelerating the construction of urban and rural basic medical security system, initially establishing a basic drug system, improving the urban and rural basic medical service system, and promoting basic public health. Equalization of services and pilot reform of public hospitals. The establishment of a national health record has become the first task.

However, since the launch of the new medical reform program, the national health records in most areas are still on paper, and there are few and few areas that can be implemented, not to mention cross-county areas, even across the provinces and cities. Health file.

“Traditional regional medical care is actually very fragmented. For example, even in a central city like Hangzhou, each county in each district is an independent computer room. It is not only repeated construction investment, but also data sharing for the future. Peng Jun, vice president of Hangzhou Medical Technology Co., Ltd., said that the medical cloud, the author directly swears about the symptoms.

Indeed, for a big country with a population of 1.3 billion, the national health archives are obviously not in line with the actual situation. However, for the people who work across provinces and cities today, it is normal to see the doctors across the province. In order to solve this problem, the most important part is not only policy orientation, but also to build a cross-platform information integration platform to solve the interconnection problem between all business systems technically, and to open up information islands to realize data sharing for the future. Building a medical cloud in the sense of the whole people lays the foundation.

To solve this problem, in my opinion, it can be divided into two paths for parallel exploration. One is the creation of information integration platform, and the other is the construction of regional medical cloud. The regional medical cloud is clearly the first step.

As an example, the Guangdong Provincial Health Department's new rural cooperative medical system has achieved a large concentration of data on the new rural cooperative medical system in the province, benefiting more than 40 million farmers in Guangdong Province, with an annual management fund of 10.3 billion yuan.

“The medical insurance policy is changing every year, or changing several times a year. The hospital is very distressed and often needs to change HIS. We have already achieved the docking of HIS and our platform. HIS can directly upgrade without modification. We have already done this. Li Zhihua, CEO of Guangdong Ruiqi Software Technology Co., Ltd. said that the new rural cooperative data management system has achieved three unifications, including a unified architecture, unified specifications, and unified system software.

According to Li Zhihua, Ruiqi Software has cooperated with the Guangdong Provincial Health Department for nine years, and the research has always been closer to the grassroots. He believes that in the past, the government invested a lot of manpower and resources into the grassroots, from the hospital to the community, the government helped the community design what to do, and then according to the list to assess, the community is very busy, but the public does not feel, do not know what the government has added Services, or what costs are reduced in medical care. The new rural cooperative data management system built by Ruiqi Software hopes that medical resources will enter thousands of households. Community doctors are family doctors, and family doctors can enter the public family to meet family health and medical service needs anytime and anywhere.

In Li Zhihua's view, China has entered an aging society. In particular, many children do not live with their parents. Children can make reservations for free government services through our platform, or purchase services that the current community can provide. The community doctors use the work smart phone to record the process of serving the residents, fill out the standard work form, including taking pictures, and then automatically upload it to the cloud platform, complete the work handed over to him by the government, and complete the assessment.

"It is true that some governments want to speed up medical informatization in the form of buying services, especially the pace of public health informatization, which will actually promote the development of public clouds." Peng Jun believes that from the hospital's point of view, the first is The various systems within the hospital were opened, and Hangzhou Medical Hui has helped some cooperative hospitals in Zhejiang and Xinjiang Autonomous Regions to initially open dozens of systems within the hospital and realize cloudization within the hospital.

“We have some partner hospitals, from the hospital director and department head to the general doctors and nurses, who can open the smartphone or tablet to log in through ID, remotely carry out medical activities or monitor the hospital's operation status.” For example, Peng Jun said that in the PC department of the functional department, it is also possible to monitor the business status of the entire department in real time through a visual monitoring platform.

According to Peng Jun, in the past, patient information and medical information in the HIS system were invoked through interfaces. However, there are more than forty or fifty business systems in a top three hospital, and there may be hundreds of interfaces. The practice is to develop a unified standard interface. All interfaces only need to be connected to the information integration platform once, so that subsequent information interaction and sharing can be realized.

"For example, electronic cases are very professional, and there are many specialties, such as orthopedics, pediatrics, and gynecology. Some very small companies can be very professional, but it is difficult to enter the hospital's threshold with their own strength. With such a cloud platform, the technical entry barriers for business systems are reduced, and more energy can be placed on specialization."

In fact, Medical Information's information integration platform is a typical industry PaaS. Although the medical cloud is still in its infancy, both the medical doctors in Hangzhou and the medical cloud built by Guangdong Ruiqi Software have already shown important value in helping medical institutions reconstruct medical processes and improve medical efficiency.

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