With the development of the mainland economy, nutrition and lifestyle have improved rapidly, and the prevalence of chronic metabolic diseases such as obesity, diabetes and chronic kidney disease has soared, and there is a clear trend of rejuvenation. Therefore, in the macro context of the "Healthy China 2030" Planning Outline, some innovators have begun to jump out of the cured thinking limits and look for medical optimal solutions to metabolic diseases.
In 2016, initiated by Academician Ning Guang of the Chinese Academy of Engineering and managed by the National Clinical Research Center for Metabolic Diseases/Shanghai Institute of Endocrine and Metabolic Diseases, it began to build a standardized metabolic disease management center (MMC) nationwide to promote the standardized management system for metabolic diseases.
With the multi-point implementation of the MMC project across the country, this innovative chronic disease management model is benefiting more and more people with metabolic chronic diseases. In order to better serve the people and help the cause of healthy China, on February 26, 2022, the MMC First Smart Chronic Disease Management President Summit Forum jointly sponsored by the National Standardized Metabolic Disease Management Center (MMC) and the Shanghai Medical and Health Development Foundation was successfully held in Shanghai. The conference was also supported by China Europe International Business School, Novo Nordisk, Omron and Zhizhong Medical.
With the theme of "Smart Medical Care, Healthy China", the forum joined hands with Academician Wang Weiqi of the Chinese Academy of Engineering, Academician Fan Xianqun of the Chinese Academy of Engineering, Academician Huang Hefeng of the Chinese Academy of Sciences, Academician Teng Gaojun of the Chinese Academy of Sciences and Academician Ning Guang of the Chinese Academy of Engineering, and leaders of the China Europe International Business School, attracting the participation of more than 100 presidents of top three hospitals across the country to jointly discuss the new model of chronic disease medical treatment in the mainland.
Chronic disease management is inseparable from intelligent means
Mr. Wang Xingpeng, Secretary of the Party Committee and Director of the Development Center of Shanghai Shenkang Hospital, delivered a speech first. He said: "Chronic diseases represented by diabetes have had a serious impact on the mainland's social economy. However, from a statistical point of view, if patients with chronic diseases are intervened in a timely manner, their quality of life will be qualitatively improved. The innovative chronic disease management model represented by MMC, combined with advanced diagnosis and treatment technology and digital technologies such as the Internet of Things and big data, is an effective tool to intervene in metabolic chronic diseases such as diabetes, and for public hospitals, MMC can also be used as an important carrier for the fine and standardized governance within the hospital. ”
Mr. Wang Xingpeng, Secretary of the Party Committee of the Development Center of Shanghai Shenkang Hospital
Wang Hong, dean of China Europe International Business School, said that China Europe International Business School has been working in the field of smart medical care for many years and has the responsibility to support experts and professors of medical schools to carry out the construction of smart medical care. With the increasing aging trend of the mainland, the necessity and urgency of health management are enough to be seen. Chronic disease management is truly centered on human health, through accurate detection and tracking, to achieve effective control of diseases, thereby improving people's quality of life. "We sincerely hope that more and more medical workers can disseminate ideas and wisdom, improve the lives and quality of life of Chinese people, and create a new peak for 'Healthy China'."
Dean Wang Hong, China Europe International Business School
Academician Ning Guang of the Chinese Academy of Engineering believes that technologies such as artificial intelligence, Internet of Things, and data algorithms have been effectively penetrated in the medical field, and are an important force to promote the digital transformation of hospitals and build smart hospitals. In his view, the purpose of building a smart hospital is to meet the "three degrees": first, the patient experience, so that patients can enjoy satisfactory and comfortable medical services; second, the doctor's sensitivity, to help doctors improve the medical level; third, the control of the hospital, so that the hospital's managers can control potential risks.
Academician Ning Guang of the Chinese Academy of Engineering
MMC project landed nationwide,
The 2022 national "1+X" model was officially launched
"In the MMC model, doctors achieve accurate follow-up and management of patients through real and comprehensive continuous data inside and outside the hospital, which can be said to be a national hierarchical linkage of chronic disease prevention and control network in the field of endocrine metabolism." Professor Wang Weiqing, director of the Department of Endocrinology and Metabolism of Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, gave a detailed introduction to the MMC project.
Professor Wang Weiqing, Director of the Department of Endocrinology and Metabolism, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
If we want to truly understand MMC, we must first know the core connotation of MMC, that is, "one center, one-stop service, one standard".
MMC in-hospital and out-of-hospital closed loop
Specifically, "one center" refers to the establishment of a center in the hospital for the integration of screening, diagnosis and treatment and management of metabolic diseases and complications, "through the Internet of Things and Internet technology, to provide intelligent solutions in each diagnosis and treatment of patients, and finally realize that patients can complete the entire process from chronic disease detection to treatment to management in a physical space." “
"One-stop service" is to provide MDT patient management services, through intelligent hospital collaboration, the detected serious complications or comorbidities patients, through consultation, referral output to the relevant departments, to achieve integrated diagnosis and treatment cooperation, truly realize the patient's disease management.
"One standard" refers to the unified management through meticulous standard operating specifications (SOPs), such as the standardization of MMC center construction and the standardization of medical quality control, so as to ensure medical quality and improve the efficiency of medical management. At present, MMC has successively established 492 SOPs and 19 core technologies.
After years of development, MMC has now spread across 31 provinces/municipalities and municipalities directly under the central government, more than 1500 hospitals have officially joined, more than 900 have officially begun to treat patients, and more than 800,000 diabetic patients are managed nationwide.
"With the promotion of MMC throughout the country, MMC has achieved obvious results, such as the saccharification compliance rate (HbA1c<7%) significantly increased from the baseline of 18.65% to 45.46%, and the comprehensive compliance rate of metabolic indicators has increased significantly from 6.2% to 17.94%, which has exceeded 14% in Europe and the United States, which has greatly reduced the disability and fatality rate caused by diabetic complications in mainland China." Professor Wang Weiqing said.
As an important part of this forum, the 2022 national MMC "1 + X" model was also launched under the witness of all the participants, which will extend MMC to every county and township and radiate more community health centers.
MMC's "1+X" model is an important part of MMC's overall layout, referring to more than 3 primary hospitals linked by a regional center. The advantage of this model is that it can be led by the free combination of higher and lower hospitals or government support, and truly achieve the standardized hierarchical diagnosis and treatment of common diseases and the two-way referral of in-hospital and out-of-hospital chronic disease management mode, reduce complications and improve the effectiveness of residents' medical insurance costs.
MMC four-level architecture
Up to now, the 2022 national MMC "1+X" model has been piloted in more than 20 cities such as Shanghai Songjiang, Jiading and Chongming, Zhejiang Yuhuan, Jiangsu Qidong, and Beijing Tongzhou. "MMC hopes to achieve the ambitious goal of reducing the incidence of diabetes and reducing complications by 10% in China in 10 years." Professor Wang Weiqing said.
Academicians express their opinions,
Find the optimal solution for the modern management of chronic diseases
In the morning "Academician Forum" section, Academician Wang Weiqi of the Chinese Academy of Engineering and Academician Ning Guang of the Chinese Academy of Engineering served as the moderator, and Academician Fan Xianqun of the Chinese Academy of Engineering, Academician Huang Hefeng of the Chinese Academy of Sciences, Academician Teng Gaojun of the Chinese Academy of Sciences and Academician Ning Guang of the Chinese Academy of Engineering made wonderful reports from the perspective of their own medical professions as special guests.
Academician Fan Xianqun: Artificial intelligence has unique application advantages in the field of ophthalmology
Academician Fan Xianqun of the Chinese Academy of Engineering has long been committed to the clinical treatment and basic research of orbital diseases and eye tumors, and made an in-depth analysis of the integrity, correlation and differences between endocrine and ophthalmic diseases at the forum. Academician Fan Xianqun said that by constructing a multidisciplinary diagnosis and treatment model such as ophthalmology and endocrinology, the diagnosis, treatment and management of endocrine-related eye diseases can be further improved. "At the same time, artificial intelligence has also shown significant charm in the field of ophthalmology, and under the dual blessing of artificial intelligence technology and remote management of the Internet, the screening process for endocrine-related eye diseases can be further improved."
Academician Fan Xianqun of the Chinese Academy of Engineering
Academician Huang Hefeng: The clinical screening and intervention time of gestational diabetes should be moved forward
Academician Huang Hefeng engaged in clinical and basic research in obstetrics and gynecology and reproductive medicine, and discussed the pathogenesis of diabetes from the perspective of developmental origin and epigenetics. Academician Huang stressed that the early warning of gestational diabetes is more important than diagnosis, and the time of clinical screening and intervention should be moved forward. At present, Academician Huang Hefeng has carried out gamete-embryonic period management in the clinic, and innovatively included perinatal management, screening and intervention in the clinical pathway, which greatly reduced the incidence of GDM and macrosomia. In addition, the theory of gametogenesis-embryonic disease proposed by Academician Huang's team has been conducted in the "Healthy Life Trajectory Program" research around the world with the support of the WHO.
Academician Huang Hefeng, Chinese Academy of Sciences
Academician Teng Gaojun: Intervention and endocrinology can achieve integration
As a Chinese interventional surgery expert, Teng Gaojun, academician of the Chinese Academy of Sciences, has innovatively used left gastric artery embolization for the treatment of patients with simple obesity, achieving the goals of reducing weight, improving insulin resistance, and regulating glucose metabolism disorders. Academician Teng Gaojun, who has always held an innovative spirit, believes that interventional surgery also has broad application scenarios in the field of diabetes, thyroid and other diseases, "I will continue to promote the cross-integration of interventional and endocrinological disciplines, and promote the close integration of clinical and transformational." ”
Academician Teng Gaojun of the Chinese Academy of Sciences
Academician Ning Guang: Digital medicine gives hospital administrators great control
Academician Ning Guang of the Chinese Academy of Engineering first introduced that under the penetration of advanced technologies such as artificial intelligence and the Internet of Things, Ruijin Hospital has achieved fruitful digital results in recent years, and has become a benchmark for the construction of smart hospitals in the country through digital medical services, digital medical technology and digital hospital management. Academician Ning Guang said bluntly, "Digital medicine gives hospital administrators great control. "At present, applications in the field of digital medicine such as artificial intelligence, 5G, and medical 3D printing have been widely used in Ruijin Hospital. And with the blessing of digital medicine, Ruijin Hospital is steadily advancing towards the goal of a first-class demonstration hospital in Asia.
Dean brainstorming,
Explore best practices for smart healthcare
In order to maximize the depth, breadth, frontier and fullness of resources of the discussion content, the afternoon session of the forum also set up three major sections, focusing on the three major sections of "scientific and technological innovation", "smart hospital" and "Ce-Europe lecture hall", and held a heated discussion on key issues such as accurate management of chronic diseases, intelligent medical treatment and high-quality management of hospitals.
Technological innovation: The power of science and technology is becoming the driving force for hospital managers
Professor Zheng Xingdong of Shanghai First People's Hospital shared the "11531" wisdom hospital construction ideas and the "Nine Communists" model to improve regional medical service capabilities, while Professor Wang Jian'an of the Second Affiliated Hospital of Zhejiang University School of Medicine told the operation experience of the Second Hospital of Zhejiang University in coordinating the health management center and MMC innovation. Professor Wang mentioned that the prevention of diabetes is more important than treatment and the benefits are higher. The health management center can contact a large number of patients for physical examination, and can detect and intervene in potential diabetic patients at the first time. Therefore, the integration of the physical examination link and mmC can achieve the disease threshold forward, cover more patient groups, and serve patients more efficiently.
From the perspective of hospital management, hospital presidents from Shanghai, Gansu province and Yunnan Province shared the innovative difficulties and solution ideas in the field of chronic disease management, as well as how the top three hospitals can cooperate with the grass-roots level in the closed loop of chronic disease management.
Smart hospital: The construction of smart hospitals needs to be adapted to local conditions
Professor Xiao Haipeng of Sun Yat-sen University said from the perspective of medical talents that it is necessary to explore the innovative top-notch talent training model of "medicine + X" in the cross-integration of medical literature, medical science and medical engineering, and inject multidisciplinary genes into medicine; Zhao Zhigang, president of Zhengzhou Yihe Hospital, has created a "one district and three hospitals" system that integrates medical treatment, health management and rehabilitation and old-age care according to different interpretations of medical diagnosis and treatment.
Driven by national policies, market demand and technology, a wave of smart hospital construction has been set off across the country, and many excellent cases of smart hospital construction have emerged. In this link, the presidents of the First Affiliated Hospital of Fujian Medical University, the First People's Hospital of Yuhuan City, the Karamay People's Hospital and the Sheyang Diabetes Hospital shared their understanding and construction experience of smart hospitals according to their respective regional characteristics.
CEIBS Lecture Hall: Looking for innovation opportunities in "integrity"
President Zhu Xiaoming stressed that the premise of innovation is "keeping right", hospitals should pay attention to the positive effects of innovation while preventing the breeding of negative effects, and President Wang Hong of China Europe International Business School explained the research on the development of public hospitals with the soft power of high-quality development of public hospitals.
At the end of the forum, Academician Ning Guang made a concise and profound summary of the forum. The guests of this forum include deans, doctors, investors, innovators, etc., whose work is distributed in and out of the hospital, but they are all consistently looking for the best solution for patients. We are convinced that the efforts of today's innovators in the healthcare industry will open up new paths to more and better medical solutions, which in turn will change the trajectory of everyone's life.
Group photo of the participants
About Shanghai Zhizhong Medical Technology Co., Ltd
Zhizhong Medical is a medical Internet company focusing on the field of chronic disease management, creating a new model of chronic disease diagnosis and treatment management by providing medical institutions at all levels with the overall solution of "patient management platform + data management system + medical testing instrument". The company is committed to building the largest one-stop and standardized comprehensive management platform for chronic disease diagnosis and treatment based on the Internet of Things and big data in China.
At present, Zhizhong Medical mainly participates in the MMC standardized metabolic disease management center project and the intelligent hypertension diagnosis and treatment center project. Among them, the MMC project has been promoted by leading experts, Wisdom Healthcare and partners, and more than 1,500 hospitals have joined and run smoothly in more than 900 hospitals.