Huashan Hospital, which has a daily outpatient volume of 13,000 person-times, is it possible to gradually change the situation of “three minutes of waiting in the queue for a long time†and the crowds in the waiting room? Internet online medical treatment may be a way to go.
Yesterday, the 14th National Hospital Emergency Management Academic Annual Meeting of the China Hospital Association was held in Shanghai. The reporter learned from the meeting that Shanghai is taking the lead in exploring the new model of Internet medical care in the country. This year, it launched an online accurate referral appointment and doctor online triage, and plans to gradually expand the scope of the pilot.
The number of medical practitioners continues to rise
According to the National Health and Welfare Commission's bulletin data, in 2015, the total number of medical treatments in the nation's medical and health institutions reached 7.70 billion, an increase of 100 million people over the previous year, an increase of 1.3%. In 2015, residents visited the medical and health institutions for an average of 5.6 times. Among them, the problem of “three long and one short†in the treatment of large-scale top three hospitals is particularly prominent: long queues, long queues for treatment, long queues for payment, and short time for medical treatment. For example, Huashan Hospital is a well-known large hospital in the country. The daily outpatient volume is as high as 13,000 person-times. In its dermatology, neurosurgery, hand surgery and other brand departments, patients can not wait for an expert number and wait for a few hours after registration.
Sixty percent of patients are "not suitable"
Wang Bing, director of the Huashan Hospital Outpatient Office, told the reporter that in order to change this situation, the hospital is trying to introduce the concept of “Internet +†and become the first “online returning†cooperative medical institution of the Wuzhen Internet Hospital of Micromedicine Group. It is reported that this "online review" system uses a precise appointment method. After the patient logs in to the "micro-medicine" to select the hospital department, the system will automatically ask for the patient's previous disease check report, and then the micro-medicine will assist in big data analysis. Accurately match the condition to an expert implementation. "There are a lot of patients, but 60% are not his symptomatic patients." Zhang Qunhua, dean of Wuzhen Internet Hospital, said that many experts have encountered similar situations. Behind the contradiction between difficult medical treatment and expert observation, "finding patients" is a doctor. A big distress in the party. Zhang Qunhua said that since 2010, micro-medicine has begun to explore the optimization of medical treatment procedures in the hospital, providing patients with convenient medical services such as appointment registration, out-of-hospital waiting, and inter-diagnosis payment. Up to now, micro-medicine has covered 27 provinces and connected with information systems of more than 1,900 key hospitals. It has more than 117 million real-name certified patients and 220,000 key hospitals, with more than 800 million service people. At present, “online review†is still in the water test stage, and then more pilots will be expanded in more top three hospitals in China.
Community referral first "online"
On the other hand, Internet hospitals are also trying to "online triage" for patients who are too concentrated. Yang Lan, director of the Changhai Hospital Outpatient Office, revealed that they are working with micro-medicine to create a “full-time team-level medical referral platformâ€. The team leader of the community family doctor team in Yangpu District joined the expert group of the third-level hospital on the micro-medicine platform, sharing the workload of the online doctors of the expert group, and referral to the experts in the community patient group. The top three hospitals will leave a certain proportion of the source of the community hospitals, and the patients can make appointments through the micro-medicine platform. The specialist clinics and special inspections of the top three hospitals can also be reserved through the community health service center.
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