Telemedicine is a medical activity in which a medical institution or patient invites other medical institutions to provide technical support for the diagnosis and treatment of patients using communication, computer and network technologies. The telemedicine diagnosis and treatment model consists of three parts: an information system consisting of front-end patients and medical institutions, digital medical equipment , computer network platforms and digital medical software, and a back-end medical institution or cloud hospital platform.
Telemedicine can provide patients with better medical services and better cost-effective services, improve the accessibility of medical resources, medical quality, and medical cost performance. Telemedicine saves the cost of medical treatment for patients in remote areas, improves the scarcity and uneven distribution of medical care in remote areas, strengthens the ability of emergency services, reduces waiting time for patients in remote areas and urban areas through online consultation, and realizes effective self-management of chronic diseases. Reduce the number of hospitalizations and emergency visits, and guide more patients to the community to seek medical treatment to reduce overall medical costs.
In Ontario, Canada, for example, the 2013 remote clinical video consultation saved 260 million kilometers of travel for patients; it saved 146 million kilometers of travel for patients in northern Ontario, saving $61.8 million. A survey of patients receiving remote clinical video consultations showed that 92% of patients were satisfied with telemedicine services, 91% said they would continue to use telemedicine services, and 87% thought telemedicine and doctors face-to-face clinics, remote clinical video consultations Save an average of $242 for each patient.
In China, the market size of telemedicine (including remote patient monitoring, video conferencing, online consultation, personal medical care devices, wireless access electronic cases and prescriptions) reached 2.21 billion yuan in 2013, an increase of 20.8% over the previous year. The market size will reach 9.58 billion yuan, including the rapid development of mobile medical terminals, the development of medical Internet of Things, and the increased participation of medical institutions.
Demand policy technology synergy
At present, the major hospitals in the country are overcrowded, and the lack of medical treatment capacity of primary medical institutions faces the problem of lack of interest. At the same time, there are fragmented treatments in the current medical environment, lack of communication between doctors and patients, and serious information islands. Through telemedicine, vertical flow of superior resources can be realized, graded diagnosis and treatment can be established, medical system can be reconstructed, medical resources and patient distribution can be balanced, and information channels between hospitals can be opened to promote the development of graded diagnosis and treatment.
First, telemedicine fits into the current shift in medical models, reducing medical costs and improving medical quality. Future medical models place more emphasis on improving the quality of care, slowing the growth of medical costs, and improving the health of patients and people, and telemedicine is a key factor.
Secondly, the current government attaches great importance to the construction of the medical association, and the core of the medical association is telemedicine. In August 2014, the National Health and Family Planning Commission's Opinions on Promoting Telemedicine in Medical Institutions required local health and family planning administrative departments to develop telemedicine services as an optimized medical resource allocation, to achieve the sinking of quality medical resources, and to establish a grading diagnosis and treatment system. And actively promote the important means of solving the problem of medical treatment for the masses. All localities are encouraged to explore the establishment of a telemedicine service platform based on the regional population health information platform.
Finally, the development of new technologies has also made telemedicine possible. Telemedicine includes three parts: front-end patients and medical institutions, information systems consisting of digital medical devices, computer network platforms, and digital medical software, as well as back-end medical institutions and doctors. With the development of home and medical grade wearable devices, medical smart APP, 4G transmission network, cloud computing and big data, the technical problems currently faced will be gradually solved, and then the development of telemedicine will be promoted.
Experts predict that telemedicine will develop as fast as outpatient treatment in the 1990s, and the number of people receiving telemedicine is expected to exceed the number of people receiving physical care and enter the era of telemedicine.
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