From the opening of the one-stop service of "online follow-up consultation, prescription issuance, and delivery to home" in June 2020 to the present, the development of the Internet Hospital of the Capital Pediatric Research Institute (hereinafter referred to as the "First Children's Institute") has continued to accelerate, and today, the Internet Hospital of the Hospital has registered nearly 600 doctors, nurses and pharmacists online, covering all clinical specialties and opening 64 online outpatient clinics. Up to now, the First Children's Institute Internet Hospital has served 238,000 patients. On the morning of April 7, the Press Conference Room 600 of the Research Building of shou'er held a press conference of the Internet hospital, at which Gu Qinglong, deputy director of the shou'er institute and press spokesman, introduced the construction of the Internet hospital, functional settings, receiving doctors and patient usage.
Do a good job in normalizing epidemic prevention and control The construction of Internet hospitals is accelerated
The "Outline for the Development of Chinese Children (2021-2030)" and the "Guiding Opinions on Promoting the Construction of Child-Friendly Cities" propose: the use of the "Internet + digital medical" service model, improve children's health big data, strengthen information interconnection and sharing, realize the informatization and intelligence of the whole process of management and services of children's health, and strengthen children's health security and medical security. In recent years, according to the spirit of the document, Shou Children's Institute has taken solving the actual problems of the hospital, helping clinical diagnosis and treatment, innovating convenient measures, and supporting the high-quality development of the hospital as the starting point, and provided patients with a full range of three-dimensional diagnosis and treatment services through the construction of an Internet hospital intelligent integration platform. After the outbreak of the new crown epidemic in 2020, Shouer'er Institute coordinated the normalization of epidemic prevention and control and the high-quality development of the hospital, minimized the impact on the normal medical treatment of the people, and accelerated the pace of Internet hospital construction.
In June 2020, Shou Children's Institute passed the Internet diagnosis and treatment review and opened a one-stop service of "online follow-up consultation, prescription issuance, and delivery of medicines to home". In October, it passed the "Internet +" medical insurance qualification review and became the first children's specialized hospital in Beijing to settle the medical service fee online in real time. In April 2021, the First Children's Internet Hospital was approved and completed. There are nearly 600 registered doctors, nurses and pharmacists online in internet hospitals, covering all clinical specialties, and 64 online clinics are opened, including 11 expert teams and studios, and 3 special outpatient clinics.
Up to now, the First Children's Institute Internet Hospital has served 238,000 patients and 145,000 cases of drug distribution, covering 31 provinces and 328 prefecture-level cities across the country, and the daily diagnosis and treatment volume is about 1,000. At the same time, medical institutions such as medical associations, specialist alliances, and counterpart support units of shouhe children's institutes have simultaneously carried out various forms of remote services, including remote joint outpatient clinics, remote consultations, remote multidisciplinary joint diagnosis, 5G+ remote surgery teaching, and remote training.
Breaking the time and space restrictions puts the masses at their fingertips
In June 2020, Shou'er's "Beijing Medical Pass" WeChat platform and Shou'er's APP opened the "Internet Follow-up" function. Patients with chronic diseases and common diseases who meet the requirements can make an appointment online, and medical insurance patients enjoy medical service fees and medical insurance reimbursement. On the day of the consultation, the patient enters the cloud clinic, the doctor diagnoses and treats online, prescribes, tests, treatments and other items for the patient, and helps to make an appointment for the time of examination and treatment, and can also issue an inpatient certificate online. After the patient pays the fee online, the medicine is couriered to his home, or directly to the hospital for examination and treatment. The organic integration of online and offline services not only reduces the cost of patients' medical treatment time and economic costs, but also improves the efficiency of medical treatment and the experience of medical treatment.
In March 2022, in order to meet the medical needs of first-time patients, especially patients from other places, Shou children's institute opened the "expert consultation" function. Patients can upload relevant medical records online, and the receiving doctor can provide a question-and-answer consultation within 48 hours.
Combined with the advantages of the hospital to create specialized services
Shou children's institute combines its advantages to carry out specialized medical services in Internet hospitals, and extends more high-quality medical resources to the internet. Pediatric inflammatory bowel disease, hypertension, diabetes and other chronic disease outpatient clinics have effectively promoted the patient's compliance with the treatment and helped doctors to carry out the management of the patient's whole course; 18 nursing clinics such as children's respiratory rehabilitation, asthma management, and newborn nursing have met the needs of children's home care and continuous nursing after discharge, and accelerated the recovery speed of patients; genetic counseling, anesthesia assessment and other specialized outpatient clinics highlight the advantages of scientific research and clinical combination, reducing the back and forth of patients before admission.
In addition, in order to reduce the time for patients to travel to and from the hospital and wait on the spot, the hospital has opened the express delivery of Western medicines, proprietary Chinese medicines, herbal tablets, copying and mailing of discharge medical records, remote visits to inpatient newborns and critically ill patients, etc., so that the Internet hospital has become more warm on the basis of wisdom and inclusiveness.
The sinking of high-quality medical resources promotes the landing of graded diagnosis and treatment
At present, Shou children's institute carries out remote consultation and training based on the telemedicine platform, and the cooperative institutions include a total of 60 medical associations, counterpart support and technical cooperation units in North China, Northwest China, Southwest China and the counties of the far suburbs of Beijing. The hospital arranges experts from advantageous disciplines to carry out remote training on common and multi-morbid diseases in children, and builds a platform for daily Q&A and communication with grass-roots doctors. The telemedicine platform overcomes the obstacles caused by time differences and spatial distance to seek medical treatment and study in different places to the greatest extent, so that high-quality medical resources are shared, and the level of pediatric diagnosis and treatment is homogenized, which better promotes the landing of hierarchical diagnosis and treatment.
In the past two years, under the background of normalization of epidemic prevention and control, the telemedicine platform of Shou children's institute has made two-way efforts, on the one hand, to provide high-quality diagnosis and treatment services for remote areas and patients with difficult and serious diseases, and on the other hand, to provide technical assistance and guidance to grass-roots units. Remote joint outpatient clinics have realized the "same screen" diagnosis and treatment of patients by grass-roots doctors and experts of the First Children's Institute; multidisciplinary consultation has formulated the best treatment plan for patients with difficult diseases on the basis of comprehensive opinions of various disciplines; remote surgical teaching and remote ultrasound diagnosis guidance based on 5G technology have further promoted the construction of digital medical system.
According to the parents' registration habits, an online small night class clinic is opened
How does the hospital provide corresponding services according to the characteristics and needs of the patient group? Faye Wong, director of the medical department of the First Children's Institute, said that the groups served by the First Children's Institute are mainly people under the age of 18, of which children under the age of 6 are the most common, and in the process of building Internet hospitals, the first thing to face is the change of parents' concept of online medical treatment. Parents are mainly worried about the inconvenience of communicating with the doctor's condition and the incomplete online medical service, so they are willing to take their children to the hospital for treatment. Through a series of process transformations, through the support of information technology, most of the diagnosis and treatment links can be completed online. Parents can not only fully inquire about the condition through audio and video online, follow-up consultation and prescribe drugs, but also directly issue applications for examination and examination on the Internet, and even solve the problem without going to the hospital. In the process of diagnosis and treatment, if the doctor finds that the child's condition has changed, he can arrange offline treatment or hospitalization in time, avoiding the parents taking the child between home and the hospital many times. At the same time, online diagnosis and treatment has also reduced the gathering of hospital personnel.
"The introduction of personalized medical services with pediatric specialties is also one of the challenges faced by first children. For example, after the analysis of online medical data, we found that there are more children under 1 year old, and the parents of these children are not familiar with medication requirements, post-illness diet, nursing methods, etc. The hospital has opened a joint medical clinic to help parents solve problems hand in hand, which is very popular. At work, we found that most parents' time on the Internet is concentrated at 5 to 7 pm. After paying attention to this situation, the hospital opened an online night class clinic, which was extended from the original 17:00 to 22:00 to facilitate parents to conduct online diagnosis and treatment. In addition, the needs of various specialties are different, and there are many patients who visit departments with large numbers of patients, such as dermatology, respiratory medicine, gastroenterology, health care, endocrinology, and chronic diseases. In order to ensure that the child receives timely diagnosis and treatment, the hospital adopts flexible number release measures to dynamically adjust the doctors who visit online and offline to meet the needs of diagnosis and treatment to the greatest extent. Faye Wong said.
Gu Qinglong said that in the future, Shou children's institute will continue to adhere to the original intention and original intention of building an Internet hospital, combine the characteristics and advantages of children's specialties, combine the application of artificial intelligence, big data and other technologies, promote medical services to be more intelligent, more convenient and safer, achieve organic integration of online and offline, complement each other, promote each other, and provide health services for children throughout the life cycle.
【Scene】
Parents communicate online with doctors at home
Today (April 7) morning, a reporter from Beijing Youth Daily visited the Shou'er Institute, and in the clinic of the Internet Hospital, more than a dozen doctors were serving patients remotely at their respective workstations. They either tap the keyboard, reply to the patient's consultation information through text, or provide services to the patient face-to-face through voice calls and videos.
How to register an Internet hospital? Yan Xue, director of the Internet Medical Office of the First Children's Institute, showed everyone the registration method on the spot. Log in to Beijing Yitong, find the homepage of the first children's institute, select the Internet follow-up, select the corresponding department according to the situation of their own diseases, and then follow the prompts to fill in the relevant information step by step for registration. After hanging up, then report according to the time period of treatment, enter the cloud clinic for waiting, and then communicate with the doctor.
In one clinic, two doctors at the Nutrition Clinic are conducting remote online consultations for a young mother, a premature baby who has now been three and a half months old. "My child's current height and weight worry me a little, how is his development?" "Why does the child still throw up after hiccups?" "Do you still need breast milk enhancers for mixed feeding?" ...... In the face of the parent's questions, the doctor patiently answered them one by one, and also explained the correct posture of hiccups for her.
Gu Fei, deputy chief physician of the Department of Dermatology of Shouhe Children's Institute, said that at present, more than a dozen doctors in the department are participating in online Internet diagnosis and treatment services, and each doctor has one to two days a week to visit online. "This service is very convenient for parents, especially those affected by the epidemic, who can come to consult at home, even parents abroad." This service has been running for more than two years, and doctors have adapted to the working mode of online consultation. ”
Yan Xue introduced that internet hospitals, as a new thing, need to enhance patient cognition and willingness, and some patients believe that online diagnosis and treatment is not as direct as offline diagnosis and treatment can directly distinguish the qualifications of doctors, and they are also worried that there are some factors that affect the effect of diagnosis and treatment. Therefore, the hospital in the process of research through three measures to help dispel patients' concerns, the first is to strictly manage the qualifications of online doctors, requiring that after obtaining the doctor's practice certificate, doctors with three years of independent clinical work experience in the hospital are allowed to apply for online diagnosis and treatment services. Secondly, the patient's online and offline diagnosis and treatment processes and medical records are docked to ensure the homogeneous management of online and offline medical service quality. Finally, the supervision of online medical services was strengthened, and the Internet diagnosis and treatment platform of the Beijing Municipal Health Commission was docked, and the data was uploaded, and the supervision and management of the online service quality and safety of the hospital was accepted by the higher departments.
Text/Beijing Youth Daily reporter Jiang Ruojing
Edit/Hairy Feather