In January 2022, the Guangdong Provincial Health Commission released the list of the first batch of "Internet + medical health" demonstration hospital construction units, and 30 hospitals located in 12 cities such as Guangzhou, Shenzhen, Zhuhai and Shantou were selected.
As of the end of December 2021, there are 251 Internet hospitals in Guangdong Province, what are the outstanding features of these 30 demonstration hospitals? Nandu Internet + medical research group combed the latest situation of 30 hospitals and found that the "Internet + medical health" service function is being widely extended to the hospital's specialties, information systems, science popularization and other fields, but the online reception service volume of each hospital still has a large room for improvement, guiding doctors to use the existing Internet hospital platform and tools, so that patients can truly enjoy the convenience of Internet medical treatment, is still a continuous challenge.
Cloud free clinics and popular science live broadcasts are more popular
There is no doubt that the construction of Internet hospitals has been valued by the "head hospitals" in the province. According to preliminary statistics, among the 30 hospitals, there are already a special APP developed by The First Hospital of Zhongshan, the Sun Yat-sen Memorial Hospital of CUHK, and the First People's Hospital of Foshan City; more hospitals have opened medical insurance settlements, such as, in the CUHK Sun Yat-sen Memorial Hospital, the Guangzhou medical insurance class "Mente", and patients with chronic diseases and common diseases within the validity period can directly follow up in the Internet hospital and use medical insurance to buy medicine; Internet + nursing services are also more popular, CUHK Sun Yat-sen Memorial Hospital, CUHK Zhongshan Eye Center, The Second Hospital of Guangdong Medical College has been opened.
The launch of online "cloud free clinics" is a new area that hospitals have generally relied on the Internet hospital platform to expand in the past two years. Due to the impact of the epidemic, the volume of routine offline free clinic activities in various hospitals has been reduced, and free clinics and health science popularization have been moved to the Internet hospital platform, for example, the Second Hospital of Guangdong Medical University organized a cloud free clinic activity of hundreds of experts that lasted for several months last year, conducting online "scheduling" and online reception for experts in various departments of the hospital; Guangzhou First People's Hospital organized multiple departments such as neurology, gastroenterology, and traditional Chinese medicine departments to hold online free clinics, receiving nearly 500 free consultations.
Public welfare live broadcasting is also a new field that many hospitals continue to develop, such as the Second Hospital of Guangzhou Medical University and Zhujiang Hospital, which have opened regular live broadcast services for medical experts.
Pearl River Hospital opened a health live broadcast room in May 2021, and carried out 16 live broadcasts in the 9 months of the launch, covering a number of hot topics such as children's growth and development, scientific management of diabetes, prevention of cardiovascular and cerebrovascular diseases, sports injury treatment, etc., with a total of 550,000 views and nearly 40,000 interactions.
Promote more doctors to go online
Promoting the online reception of doctors has always been the key to the operation of Internet hospitals dominated by public hospitals, and at present, some hospitals have achieved great results.
For example, Zhongshan First Hospital, by the end of 2021, a total of 1120 experts in the Internet hospital, accounting for 70% of the deputy high; the online consulting service of guangdong Provincial People's Hospital has covered all specialties of offline hospitals, with a total of 72 specialties and 1027 online doctors. In addition, the online doctor team of the Second Hospital of Guangdong Medical University, Guangdong Provincial Hospital of Traditional Chinese Medicine, Zhanjiang Central People's Hospital and Affiliated Hospital of Guangdong Medical University has also reached 300 to 500 people.
The Internet hospital business of the Second People's Hospital of Guangdong Province was carried out earlier, and its business leader Zhou Qiru introduced that in 2021, one of the transformation directions of the network hospital is to encourage all specialties to go online, rather than having a small number of doctors in the past to receive treatment online, "the launch of specialties is the future development direction, and it is also ready for future chronic disease services."
Hospitals are taking various ways to encourage doctors to actively participate in online hospital reception activities on the Internet. For example, at the beginning of this year, Nanfang Hospital released the top ten doctors of the Internet Hospital in 2021.
Extended to more specialties and informatization fields
Overall, the diversification and personalization of the service content of Guangdong Internet Hospital are more prominent. At the same time, the functional development of various Internet hospitals is also more integrated with the construction of smart hospitals and medical informatization.
Guangzhou Women's and Children's Medical Center recently upgraded the electronic health code application, the public can brush their faces to do cards, upload paper medical information, with the electronic health code to open up the whole process of online and offline medical treatment, including appointment registration, check-in, doctor scan code to see the doctor, appointment inspection, payment, printing inspection reports and electronic invoices and so on. At present, its cumulative issuance of codes has exceeded 1.46 million, and in the future, it will also rely on electronic health cards to develop innovative medical applications for women and children such as maternal and child health management, and create intelligent medical service systems such as AI intelligent consultation and guidance systems.
In the future, the Internet Hospital of Zhongshan First Hospital will launch more functions, such as establishing a multidisciplinary MDT online consultation group chat service, supporting patients and medical staff to call and consult with multiple parties on audio and video, supporting multi-language and font switching in Internet hospitals, generating a big data prediction model for specialized diseases to derive patients' specific disease health index, and supporting patients to renew medical insurance payments online.
In addition to online consultation, free free consultation, public welfare live broadcast, online prescription delivery services, etc., the Second Hospital of Guangdong Medical University has also opened online testing appointments, online payment services for medical insurance chronic diseases, as well as doctor-patient interactive health management platform, Internet + nursing services, abdominal dialysis full course information management, scientific research follow-up and other Internet medical services.
The First Affiliated Hospital of Shantou University School of Medicine also has outstanding achievements in the operation of Internet hospitals, and has carried out "Internet +" services with different characteristics, such as obstetrics has set up a three-to-one service team of obstetricians, senior-year subsidized obstetricians, and health housekeepers to provide pregnant women with one-stop health management services for maternity examination program customization, doctor appointments, examination appointments, and report interpretation.
List of the first batch of "Internet + medical health" demonstration hospital construction units
The First Affiliated Hospital of Sun Yat-sen University
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Affiliated Cancer Hospital of Sun Yat-sen University
Zhongshan Eye Center, Sun Yat-sen University
The Affiliated Stomatological Hospital of Sun Yat-sen University
Southern Medical University Southern Medical Clinic
The First Affiliated Hospital of Guangdong Pharmaceutical University
Guangdong Provincial People's Hospital
The Second People's Hospital of Guangdong Province
Guangdong Provincial Hospital of Traditional Chinese Medicine
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou First People's Hospital
Guangzhou Women and Children's Medical Center
Shenzhen People's Hospital
Shenzhen Second People's Hospital
Shenzhen Maternal and Child Health Hospital
Zhuhai People's Hospital
Zhuhai Maternal and Child Health Hospital
The First Affiliated Hospital of Shantou University School of Medicine
Shantou Central Hospital
The First People's Hospital of Foshan
North Guangdong People's Hospital
Meizhou People's Hospital
Huizhou Central People's Hospital
Dongguan Municipal Hospital of Traditional Chinese Medicine
Jiangmen Central Hospital
Affiliated Hospital of Guangdong Medical University
Zhanjiang Central People's Hospital
Chaozhou People's Hospital
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Doctors' online time is affected by offline work
There are many more hospitals that have not explicitly announced the number of doctors on the line. In fact, as far as the actual operation of most Internet hospitals is concerned, the service time and number of on-line doctors are mostly arranged according to the spare time of their own offline work. Promoting doctors to actively go online to receive medical treatment in Internet hospitals is still a difficult task.
Zhou Qiru pointed out that the Internet hospital is actually a resource integration tool for doctors, "reasonable diversion of their own patients, for example, so that the continuation of chronic patients do not need to come to the hospital, patients who need to be examined directly online to make an appointment, and then bring patients who really need to offline, which is the goal to be achieved in the future."
There is still a lot of room for improvement in the amount of diagnosis and treatment
By the end of 2021, Zhongshan First Hospital had provided diagnosis and treatment services for 239,000 patients, and 75,000 cases of online follow-up consultations and prescriptions. On average, it serves more than 10,000 patients per month, an average of more than 300 patients per day, and prescribes drugs for about one-third of them.
Since 2019, the Internet Hospital of the Second Hospital of Guangdong Medical University has served more than 50,000 patients and an average of 100 consultations per day, which is not low.
On the whole, the Guangdong Internet Hospital, which has published diagnosis and treatment data, has an average daily service volume of more than 100, and many hospitals receive dozens of visits per day.
According to its public data, Shanghai's 36 municipal hospital Internet hospitals will serve 2.45 million people in 2021, about 36% of consulting services, about 63% of diagnosis and treatment services; more than 1.47 million online prescriptions, on average, each hospital serves an average of 5671 person-times per month, an average of about 810 person-times per day.
It can be seen that the hospitals with higher online services in Guangdong public Internet hospitals are not as good as the average level in Shanghai, and Guangdong Internet hospitals still have a lot of room for improvement in mining the capacity of stock reception.
Written by: Nandu reporter Li Wen intern Wu Xinyu