The “face-to-face” consultation model has been broken, and telemedicine continues to benefit the grassroots patients.

Telemedicine is a large hospital or professional medical institution with good conditions in the background of the Internet era. In order to make full use of its high-quality medical resources, it can be used in remote areas or other areas with poor medical environment through computer networks or telemetry remote sensing technology. Provide appropriate medical services. Methods of diagnosis and treatment include video conferencing, online consultation, remote patient monitoring, wireless access to electronic cases and prescriptions.

China's telemedicine started late, but in recent years, with the continuous development of science and technology, telemedicine has begun to spread rapidly, bringing the gospel to countless patients across the country.

Telemedicine continues to improve primary health care services

Taking Sichuan Province as an example, at present, 1,800 medical institutions in the province have introduced telemedicine systems, with a focus on telemedicine construction in remote areas and poverty-stricken counties. The distance medical coverage of 88 poverty-stricken counties has reached 100%. Such vigorous support and construction directly solve the problem of difficult medical treatment for patients with scarce medical resources.

For example, patients with echinococcosis in the remote Ganzi Tibetan Autonomous Prefecture cannot obtain accurate diagnosis results and appropriate medical plans under the current medical conditions in the region. With telemedicine, experts from Chengdu Specialist Hospital can be used as experts. It diagnoses and communicates with local hospitals, so that patients can solve the problem of treatment without using the waves.

There are still many benefits that telemedicine brings to China's medical industry. In addition to breaking regional restrictions and making up for the lack of medical resources in the grassroots areas, the relevant policies and regulations tailored for telemedicine can further improve the medical and service levels in large cities. Telemedicine has also changed the relationship between traditional medical service providers and patients in hospitals and medical institutions, and promoted healthy competition among medical institutions, which is conducive to the improvement of overall medical standards in China.

In addition to Sichuan, telemedicine construction has been carried out in Ningxia, Guizhou, Yunnan and Inner Mongolia.

Telemedicine needs to be perfected in terms of technology

At present, China's telemedicine construction is also facing the challenges of communication technology and information sharing.

China's telemedicine is currently mainly used for doctors to observe and communicate between patients. This B-C connection does not require too fine communication equipment and technology, but the future telemedicine will gradually develop into B- The information exchange mode of the B-end will increase the requirements for the clarity, transmission speed and accuracy of transmission and display. This requires a very professional, medical imaging transmission device, how to use the current 4K, high-definition camera technology. Popularization into medical care, how to ensure the timeliness and accuracy of information transmission by equipment is the primary problem to be solved in telemedicine in the future.

Telemedicine is another technology challenge when sharing information. Telemedicine relies more on information communication and data sharing between hospitals and hospitals. Different hospitals participate in the treatment of the same patient, and complete information sharing. The platform is conducive to a clear definition of responsibility in the future. The main technical problem at present is how to set up a clinical database to track the opinions, specific operations and feedback of each step. The ability to record each step of clinical operation in a dynamic situation and integrate it into the patient's medical record determines whether telemedicine can be successfully deployed and clearly define responsibility and benefits.

Another problem that needs to be solved in information sharing is that the patient's file is not perfect. At present, the patient's electronic medical record only exists in the hospital's internal system. In the process of telemedicine, the medical record cannot be migrated with the patient, so the other is involved. It is difficult for a hospital or institution to treat a patient to fully understand the patient's medical history data. In the consultation, it is easy to detour due to information leakage, especially in emergency and large consultations, the lack of a complete medical record file will become a major obstacle to telemedicine.

Telemedicine does not completely replace face-to-face consultation

Although telemedicine can break through the distance limit and create a “zero distance” communication platform for doctors and patients, doctors pay attention to “see, smell, ask, and cut”, and remote consultation can only complete the “question” and “visual” parts. The doctor still can't get the whole situation of the patient. Moreover, telemedicine is subject to network communication technology, and information exchange will be delayed to a certain extent, which is insufficient in the diagnosis and treatment of acute diseases.

Therefore, telemedicine is only an auxiliary tool for mobilizing medical resources, and it cannot completely replace face-to-face consultations. However, there is still much to be done in reducing the difficulty of medical treatment and saving manpower and material resources.

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