F.D.N.Y. Close Up - Emergency Medical Service
China [medical revolution] coming sadly
In 2010.10.16. Hefei holds " forum of Chinese number medical " go up, section chief of politics department Jiao Yahui is in cure of Ministry of Public Health tell in the report: Chinese hospital informatization is appearing the 3rd times tide. She is the gradual progress phase from informatization will talk about 3 tide: For the first time, around the financial management of the hospital; The 2nd, expand the comprehensive management of the hospital; The 3rd times the target gets lost clinical, the mark is electronic anamnesis and clinical method.
Current electronic medical record is on general concept or belong to tool property, help doctor moves market data, record of the regulation that finish, individual without occupational of change doctor freedom nature; But the individual nature that clinical method begins to change a doctor on certain level however. Anxious section chief says: Medical treatment behavior of the doctor is individual behavior no longer in clinical method, however the crystallization of group consensus; Doctor individual‘s valuable experience, after classics group is approbated, can add clinical way, become consensus, share by the group. Attention, the author should extend its crucial point here: An individual sex that comes thousands of years works, will turn a group into the job, working basis consensus, network IT delivers consensus each doctors, then, it is difficult that each doctors are a patient to discharge care to solve with common wisdom in daily diagnosis and treatment. A pair of what kind of prospect will this be?
Actually, afore-mentioned viewpoints are not brand-new viewpoint, clinical method is passed into from abroad namely originally, add the medical intelligence system with domestic and international associate with, medicine guideline of medicine of card of classical, abide, disease, can show the concern between individual experience and group achievement probably, reach achievement to share a problem. But the setting that anxious section chief reports and situation but very different: In front, have blame solution anything but but cure corrects a problem; From the back, have a government consummate and next drive quantities; Above, have the hasten general trends of digitlization and informatization; Below, those who have numerous people is ardent expect etc; Have this kind of requirement, you think otherwise make it is difficult. The clinical method model for painting that at present Ministry of Public Health has announced is 112, can add 100 again this year, demarcate of its scope of application is during be in hospital, add what end method because of mutation possibly, of advantage cover a range and not quite wide. Nevertheless this will open to connect thoroughfare highway, have namely at the moment paradigmatic: The national hi-tech research in 925 programs develops the nation (863) plan, had rated medical knowledge base and system of clinical and decision-making support major task, the orgnaization such as Ministry of Public Health, Beijing University, Chinese Academy of Sciences is applying for this one task jointly, final positive result can pervade the square respect aspect of clinical work; Along this passageway, even if handles daily medical treatment, the doctor also can share group fruit through network IT, from the individual hold course of study takes the place of for cure class hour of the feature, march toward share the medical times that is a feature generally, is this a revolution?
Revolution, it is the acting mark content when differentiating, the dividing line that resembles Stone Age and bronze ware period is a revolution, from individual medical treatment the times also can have a revolutionary transition to times of group medical treatment. China is not the country with the bannerest IT, but China is the government carries out the country with the biggest strength. The original intention of medical artificial intelligence, also change a problem to have be mixed with the cure of current China, come 50 years, more than 10 American research and development is successful (blame full name) decision-making system, in using promotion without one exception, be defeated below blast come, among them American doctor association and its member undertake with different kind boycott is one of main reasons. The trend sex that intelligence changes medical knowledge base to always make the doctor feels generally is pair of profession career is minatory, had turned round to consider working quality of the doctor, be system of an information processing? Complete work of the doctor the memory around information, collect, judge and apply spread out. So the doctor does not wish to awaiting system of information of a machine to replace them, doctors of as a result know the advantage that artificial intelligence will bring without time even, strangle its in swaddle. The huge cardinal number of Chinese mouth is mixed now vast rural area and medical treatment of community grass-roots unit, resource of low to be being gotten from IT cost, efficient soft medical treatment has powerful potential demand, adding China is a government present as leading role, politics road be well versed in, the below follow the behavior of the above, the doctor can have sufficient condition and the profit that time knows IT to bring, medical knowledge base and clinical and decision-making the air plant in the practice that waits for support system to will be carried out in the government and application, in the thrive in the soil that the doctor caresses, the career dies young easily no longer, the first sight of morning that the clinical medicine intelligence that rises gradually spends is more than and beamed China, however whole world.
So far, probably doctors had not understood, this is the medical revolution of main target with the doctor, some of what kind of specific profit can you bring to doctors? The author thinks: Artificial intelligence of system of clinical and knowledge base of the clinical method that is based on full name condition to fall, medicine, decision-making support, medicine, clinical thinking mode of the doctor will produce a change, clinic mode also will produce a change. The doctor is in accurate, handy leave the job with huge news position, horizon will taller, wider; The doctor‘s attention is nodded inevitable from case track rise to integral correlation, from section office diagnosis and treatment rises to healthy trend, rise to medical logic from pathology mechanism. Figure ground says, past doctor pays close attention to a few leaves on a branch only probably, henceforth doctor or will watch a leaf instead through whole tree, whole forest. Again a bit more specific, clinical on every encounter illness change, what past doctor can associate is his experience thinking extract, the doctor will call confluence however henceforth the solution of everybody wisdom. Alone its are such, the benefit to the patient also can be treated from what a preeminent group gets over there a doctor. This is a revolution absolutely, but its billows not Jing, when making a report as anxious section chief gentle dialect, sadding silence ground is permeated to the middle of day-to-day clinical work.
(2010.11.29. (2010.11.29..
Center of engineering of health of low cost of Chinese Academy of Sciences is high engineer
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