Author: Xiang Haiquan
"Use Google to search for 5G, and 790 million pieces of information will appear - it can be seen how popular 5G is at present." He Guozhang, honorary chairman of the Asian Chinese Medical Management Exchange Society, said, "For the medical industry, the arrival of 5G is both a crisis and a turning point."
As Guozhang said, even though he has just entered the "first year", the application of 5G in the medical field has blossomed everywhere, and has played a unique value in improving medical quality, improving patient experience, improving resource allocation efficiency, empowering clinical and education.
On December 7, in the 5G special session of the "8th Cross-Strait Hospital Deans Forum and the 150th Anniversary Series of Academic Activities for the Second Affiliated Hospital of Zhejiang University School of Medicine", experts, hospital managers and related industry practitioners from both sides of the Taiwan Strait shared the opportunities and challenges brought to medical care by new technologies such as 5G and artificial intelligence.
New concept of hospital development
Vice President of Zhejiang University Second Hospital Ding Kefeng
◎ Distance education
◎ Vice President of Zhejiang University School of Medicine (hereinafter referred to as Zhejiang University Second Hospital), Ding Kefeng's speech title is "The 5G era opens up a new concept of hospital development".
He described the application scenarios of 5G in medical activities such as medical care, hospital management, patient services, teaching and training, and clinical research, and showed the participants a wonderful imagination space. "5G will change many medical and management processes." He particularly values the application of 5G in teaching, because telemedicine is a low-frequency event after all, while remote operation training and surgical guidance are high-frequency events, which can be more valuable.
Zhang Mao, Director of Emergency Medicine, Second Hospital of Zhejiang University,
◎ First aid
Zhejiang University Second Hospital is at the forefront of the country in its exploration of "5G+First aid", and has won the first prize of the Ministry of Industry and Information Technology's "Bloom Cup" twice. The plan began in 2017, and in April 2019, it was the first hospital in the country to conduct practical 5G ambulance drills, and it began to be used at the Internet Conference in October of the same year.
At the sharing site, Zhang Mao, director of the Department of Emergency Medicine of Zhejiang University Second Hospital, also had video connections with Director Wang Xuanding, Director of the Department of Respiratory Medicine of Zhejiang University Second Hospital, ambulance, and the first hospital to use 5G mobile phones, and the ICU of Guizhou Taijiang Hospital, assisted. The picture quality was clear and stable.
Zhang Maochangi, 5G can run through the entire emergency medical treatment: pre-visiting through daily intelligent monitoring when not sick; remote home medical treatment and consultation are conducted in the early stage of the disease; 5G emergency command and dispatch system and ambulance can play a role when the patient is on the disease, and the remote system equipped on the ambulance can realize remote consultation, visitation and examination operations; the patient is sent to an intelligent resuscitation room, ICU or ward based on 5G technology when he arrives at the hospital.
"This way, from the initial application of ambulance to a line, forming a closed loop of the entire process," said Zhang Mao.
Xu Quanguang, Director of the Information Office of Wanfang Hospital, Taipei City, Taiwan,
◎ Humanistic Care
For new technologies, people pay more attention to improving and improving medical processes and business and hospital management. Xu Quanguang, director of the information room (equivalent to the information center), who was a nurse at Wanfang Hospital in Taipei City, Taiwan, has brought new technologies to help humanized services, which is refreshing.
Wanfang Hospital and its corporate partners have launched a ward lighting system, which will automatically simulate the outdoor environment from 7 a.m. to 7 p.m., including brightness and temperature, and the lighting color temperature ranges from 3000K to 8000k. Studies have shown that two hours of lighting between 8:00 and 12:00 in the morning is equivalent to drinking 4 cups of latte, which is conducive to the secretion of sleep hormones at night. Therefore, in the ward of Wanfang Hospital, the lights are often brighter at 10:00. Since using this system, "some middle-aged and elderly patients are very at ease because the ward is no longer so dim."
patient consultation involves a lot of manpower. Can social platforms be used to interact? Wanfang Hospital designed a cartoon image called "Wan Xiaofang" on Line (equivalent to WeChat). The public can interact with it by scanning the code and adding it as a friend. Wan Xiaofang provides functions such as "what department should I see", "I want to register", "inquiry/cancel registration", "patient progress query", and "telephone consultation".One day before the date of the appointment for
, Wan Xiaofang will send a reminder to see the doctor; she will also ask the patient questions such as "Where is uncomfortable in the body" and "How long has the pain lasted", and these information will enter the hospital's electronic medical record system in advance to facilitate the doctor to view it when the doctor is in the diagnosis; the doctor can view the instructions in the dialog box; the system is also bound to the payment system...
Xu Quanguang revealed that in the future, Wan Xiaofang will also provide weather forecast, traffic information, city navigation, parking space remaining query and other functions. "The doll links up the warm interaction between humanity and medical care. We must actively embrace technology, because technology also comes from humanity," said Xu Quanguang.
New technology brings new challenges
Alibaba Damo Hospital Medical Health Director Chi Ying, Director of Medical and Health at the Artificial Intelligence Center,
◎ AI in the current dilemma
The hot artificial intelligence has begun to cool down, one of the manifestations is the slowdown in the number of enterprises in related research reports. Chi Ying, director of medical and health at the Artificial Intelligence Center of Alibaba Damo Academy, listed the current dilemma of AI.
is first reflected in revenue. Currently, more than 90% of AI companies are losing money; AI projects are highly customized, difficult to productize, and have high labor costs; APIs (application programming interfaces) and SDKs (software development data packages) cannot truly meet the needs of industry applications, and can only be sold at a bargain price.
Secondly, there is a huge difference between laboratory public testing and the real world.
Again, there is a gap between mature technology and user needs. "We got 120 real needs from a certain customer. If we meet 20 of them, we can go to the rankings and play competitions, but to meet the other 100 needs, we need to develop and improve them one by one."
Chen Junyou, Medical Executive Director of Information Office, Wanfang Hospital, Taipei City, Taiwan
◎ Why is CDSS not widely popular? Chen Junyou, medical executive of the information room of
Wanfang Hospital, believes that the reason why CDSS (clinical decision support system) is not popular is mainly due to the following reasons: complex systems are difficult to produce, judgment logic is too simplified, and personalized suggestions are not provided; insufficient assessment of the process of using CDSS and the prognostic impact caused; not well integrated with the clinical process, often presented with interrupted warnings, resulting in excessive warnings and fatigue of warnings; ignoring human nature, not paying attention to the interaction between operators and systems, reducing their willingness to use; it is difficult to share CDSS to electronic medical record systems in different institutions.
giants cross-border entry
AstraZeneca (investment) China Chairman Dong Lijun
◎ AstraZeneca Play the Internet of Things
AstraZeneca (investment) China Chairman Dong Lijun introduced that in 2016, AstraZeneca began to become a pharmaceutical innovation platform. In 2017, AstraZeneca China Internet of Things Innovation Center was officially launched, focusing on AstraZeneca's advantageous treatment field and comprehensively carrying out cross-border cooperation on the Internet of Things in Health. In 2019, the "Wuxi International Life Science Innovation Park" jointly built by AstraZeneca and the Wuxi Municipal Government opened, aiming to discover and explore innovative companies around the world to help them incubate and commercial operations. During this meeting, AstraZeneca signed a memorandum of cooperation with Zhejiang Province, preparing to establish an innovation center in Hangzhou.
◎ Alibaba launched the "Health Elf"
Alibaba began to enter the medical industry very early. In terms of "AI+medicine", in addition to in-depth clinical applications, they also made several interesting applications, including a machine translation system that helps doctors translate industry materials, a health elf that helps the elderly recognize diseases, helps doctors learn various guidelines, and a medical and health search platform.
In addition, many experts at the meeting also gave wonderful sharing:
left to right: Cao Yijie, general manager of Zhejiang Smart Network Hospital Management Co., Ltd., and Wang Boyan, special project manager of Maya Information Co., Ltd. Left to right: Li Yanliang, researcher and deputy director of the China Telecom Research Institute in Taiwan, Xin Wei, deputy secretary-general of China's 5G application industry policy,
◎ Deputy Secretary-General of China's 5G application industry array Xin Wei: Remote consultation, surgery, first aid, patient care... 5G can make disruptive changes to many aspects of medical care. This kind of empowerment allows some things that I didn’t dare to think of before to be realized now.
◎ General Manager of Taiwan Far East Medical and Electrical Technology Co., Ltd. Deng Junnan: The combination of 5G and the Internet of Things will make data acquisition channels more diverse and data content more abundant. These data will provide better help for medical staff to make diagnosis and treatment decisions for patients. In this process, you must be very cautious in scientific judgments on data quality and computing models.
◎ Special Project Manager of Maya Information Co., Ltd. Wang Boyan: For the data generated by various devices, the data sources of various devices can be accommodated through intelligent interface integration engines, and the key indicators of various devices can be monitored in a centralized and integrated manner through visual charts to establish a "smart hospital equipment monitoring situation room" to provide support for medical care, administration, quality management, and decision-making.
◎ Researcher and associate manager of Taiwan China Telecom Research Institute Li Yanliang: The hospital extends its own services to the outside through 5G. How to manage and control, how to go hand in hand with various partners, and how to ensure information security are important issues in the future.
◎ General Manager of Zhejiang Smart Network Hospital Management Co., Ltd. Cao Yijie: The wide connection characteristics of 5G provide a lot of room for imagination for medical work. Hospital managers should not only pay attention to the data and management of the hospital, but also look at the medical alliance and region; do not only pay attention to clinical data, but also pay attention to data from different terminals. For hospital managers, 5G has extended the horizon and expanded the space.
Quan Yu, Director of the Information Center of Shengjing Hospital Affiliated to China Medical University, and Zhang Jichang, Director of Yida Dachang Hospital in Taiwan,
The hosts of this forum include: Ding Kefeng, Vice President of Zhejiang University Second Hospital, He Guozhang, Honorary Chairman of the Asian Chinese Medical Management Exchange Society, Taiwan's legal person, Zhang Jichang, Director of Yida Dachang Hospital in Taiwan, and Quan Yu, Director of the Information Center of Shengjing Hospital Affiliated to China Medical University.
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