Building a diagnosis and treatment platform and using information technology, Internet medical treatment has released great potential —— from treatment to ＂wisdom＂ treatment.

Online appointment registration makes it more convenient to see a doctor; Experts can consult remotely and enjoy quality medical services at home; Online payment and settlement of medical insurance, and continuous improvement of the comprehensive medical security service system …

With the development of information technology, "Internet+medical care" has released great potential, and new medical service models are constantly emerging, which is not only conducive to the rational use of medical resources, but also provides patients with a better medical experience.

At present, in order to coordinate the prevention and control of normalized epidemic situation and meet the basic medical needs of the masses, the amount of consultation on Internet diagnosis and treatment has been further improved. Internet medical care has broken the time and space restrictions, not only played an important role in epidemic prevention and control, but also enabled other patients to receive medical support in time during the epidemic prevention and control. During this period, how can all localities optimize the Internet medical service model? How to expand the online medical service space? What new medical experience has Internet medical care brought?

Data sources: National Health Commission, National Telemedicine Center, Lilac Doctor Data Research Institute, Analysys Consulting and Zhiyan Consulting.

Optimization process of appointment visit

Online booking time is more accurate, and there is no need to sign in twice after arriving at the hospital.

"You need a minor operation, but before the operation, you must first look at the problem of premature heart beats." After listening to the diagnosis given by the gynecologist of the First Affiliated Hospital of Xiamen University, Ms. Chen, who lives in xing lin cun, jimei district, Xiamen, quickly took out her mobile phone and made an appointment for the number of Cardiovascular Department next Wednesday through "Beautiful Xiamen Wisdom and Health" WeChat WeChat official account.

Enter WeChat WeChat official account, click on the hospital appointment module, select the hospital, outpatient department, experts, and time of visit in turn, and submit the confirmation … In a word, Ms. Chen has completed all the procedures of online appointment and registration.

"It’s really convenient to see a doctor now! After the online appointment is successful, show the gossip health code, and after entering the hospital through temperature measurement, you can sit directly in front of the clinic and wait for the call. " Convenient, fast, smooth and comfortable, it has now become a medical experience for Xiamen citizens.

In order to solve the problem of registration, improve the medical environment and enhance the medical experience of citizens, Xiamen began to build an appointment system in 2009 to support citizens to make appointments by telephone, website and hospital self-service machines. "With the development of information technology, citizens’ demand for multi-channel, efficient and convenient reservation platforms is also rising." Ye Lishan, director of Xiamen Health and Medical Big Data Center, introduced that since 2014, Xiamen has built and launched a unified outpatient appointment platform in the city, and launched a number of online appointment channels such as WeChat WeChat official account and APP while realizing the unified management of hospital appointment sources in the city.

In addition to building more yuan and more convenient online booking platform, Xiamen has also continuously optimized and reformed the treatment process of various hospitals. Ye Wei introduced, "We will make the online appointment time accurate to minutes. Patients can make an online appointment for the hospital number source, and after arriving at the hospital, they can wait for the call directly according to the appointment time, without having to make a second sign-in."

According to statistics, up to now, the online booking platforms for outpatient clinics in Xiamen have served more than 57.95 million people. Among them, since the beginning of this year, 2.3 million people have achieved medical treatment through online appointments.

Remote consultation is efficient and convenient.

Three-dimensional reconstruction of lung CT images by AR technology.

Frontline doctors collect cases, upload image data in real time, and MDT multidisciplinary experts consult to determine the best treatment plan … Recently, the 5G Smart Medical Innovation Center of the First Affiliated Hospital of Kunming Medical University conducted a remote consultation with a COVID-19 patient in Yunnan Infectious Diseases Hospital through the technology of "internet plus Smart Medical".

Tao Bo, deputy director of the outpatient office of the First Affiliated Hospital of Kunming Medical University, introduced that during the remote consultation, many lung CT images were captured from the Internet Cloud Hospital of the First Affiliated Hospital of Kunming Medical University, and the three-dimensional reconstruction was completed by AR technology. "Experts only need to wear AR glasses, so that the two-dimensional picture can be three-dimensional, and the organ, lesion shape and fine structure can be presented in 360-degree HD, and patients can get accurate and personalized diagnosis and treatment."

In addition to AR technology, 5G technology is also applied in remote consultation. On January 29th, the First Affiliated Hospital of Kunming Medical University and China Mobile Yunnan Company launched the online free diagnosis and treatment platform for pneumonia in novel coronavirus based on 5G network. More than 20 experts make online diagnosis and treatment every day, and make remote diagnosis for patients to avoid cluster infection caused by a large number of patients.

Shortly after the platform was launched, the First Affiliated Hospital of Kunming Medical University issued a smart diagnosis and treatment list for a critically ill patient in COVID-19. It was a 66-year-old patient who was transferred from the isolation treatment point to Baoshan People’s Hospital because of the sudden deterioration of his condition. After receiving the application for assistance from Baoshan People’s Hospital, the First Affiliated Hospital of Kunming Medical University organized three remote multidisciplinary expert consultations within 24 hours, and successfully rescued the patient from the dying line.

Tao Bo introduced that Internet technology has provided support for the real realization of the Internet medical service mode of "primary examination, superior diagnosis, superior prescription and primary treatment" and the graded diagnosis and treatment mode of "primary diagnosis, two-way referral, rapid and slow division, and up-and-down linkage". "As long as there is a network, we can treat patients anytime and anywhere. For some areas with relatively weak medical standards, remote diagnosis and treatment has broken the time and space restrictions, allowing people to enjoy quality medical services at their doorstep. "

Fine management of online payment

Realization of "internet plus Medical Insurance" Payment Based on Face Recognition Technology

"It’s very convenient. You can pay for it and use medical insurance on your mobile phone, so you don’t have to wait in line at the hospital." Aunt Jing, a resident of Jinan City, Shandong Province, suffers from high blood pressure. It was inconvenient to go to the hospital to prescribe medicine and pay fees every month. Today, she can use her mobile phone to consult, buy medicine and pay in internet hospitals, eliminating the need to travel back and forth.

Aunt Jing is the beneficiary of Shandong Internet medical insurance big health service platform. In April this year, the platform was put into trial operation in Jinan, which realized the integration of online payment and settlement of medical insurance based on medical insurance electronic certificate and face recognition technology.

According to reports, on this platform, after the patient is authenticated by face recognition, the doctor can retrieve the patient’s electronic medical records for the past three months and prescribe online. In the future, the platform will build a comprehensive medical security service system of "internet plus medical insurance+medical care+medicine" to meet the diverse medical needs of disabled people, chronically ill patients, disadvantaged groups and 23 million elderly people in Shandong Province, such as online consultation, follow-up visit to buy medicines, continuation of chronic diseases, medical insurance payment and settlement, and home delivery of medicines.

Other regions are also actively exploring "internet plus Medical Insurance" payment. As early as 2018, Tongxiang City, Zhejiang Province included Wuzhen Internet Hospital in the scope of designated medical institutions for basic medical insurance in the city. Insured patients in this city can use medical insurance for reimbursement when they see a doctor in this hospital. In February of this year, Tianjin Medical Insurance Bureau issued a document to incorporate Internet medical services into the entity designated medical institutions it relies on to implement unified medical insurance agreement management. Since the beginning of this year, many designated medical insurance hospitals in Beijing have opened Internet diagnosis and treatment services, and insured patients can make online follow-up visits, prescribe medicines, and make online real-time medical insurance settlement.

In order to further promote the development of "Internet+medical care" and meet the diverse medical needs of the masses, in March this year, the Central Committee of the Communist Party of China and the State Council issued "Opinions on Deepening the Reform of Medical Security System", demanding the establishment of an effective and efficient medical insurance payment mechanism, innovating the management of medical insurance agreements, and supporting the development of new service models such as "Internet+medical care".

"On the one hand, the payment of’ internet plus Medical Insurance’ solves the problem that people can’t use medical insurance for online medical treatment, on the other hand, it also enables emerging Internet hospitals to get medical insurance support, which is conducive to further developing online medical services." He Bin, a special researcher at the Center for Public Policy Research of China Academy of Social Sciences, believes that some experience has been gained from exploration in various places, but the key to a stable and far-reaching "internet plus medical insurance" is to formulate a standardized charging method for Internet medical services, and do a fine management of medical insurance reimbursement to ensure that every medical insurance expenditure is implemented. (Reporter Shao Yuzi, Li Maoying, Shen Shaotie)