We will continue to bridge the digital divide, eliminate information barriers, improve information processing and data governance capabilities, and enrich scenarios such as appointment diagnosis and treatment, two-way referral, and telemedicine, so as to provide more solid support for residents' health management.
Many patients have the experience of going to the hospital for treatment, in addition to bringing the medical insurance card, but also the hospital card. Patients who seek medical treatment in other places must also take a medical card with a stored value function. Since the medical card is not common among hospitals, everyone will accumulate various medical cards in their hands. Different hospitals cannot be "used in one place", and diagnosis and treatment information cannot be shared, which has troubled many people.
Not long ago, the press conference of the National Health Commission revealed that China has basically built a set of systems that can cover the personal health identification of all residents, and support multi-card or multi-code collaborative applications. The next step will be to rely on the national national health information platform and the national population basic information database to build a cross-domain master index service system for electronic health cards, strengthen information exchange, business exchange, and facilitate the use of the masses. Promote the collaborative application of electronic health cards and other cards and codes, and solve the problem of "one card in one hospital, multiple cards coexist, and do not use each other" and other problems in medical treatment, and the relevant reform measures have been well received by the public.
Objectively speaking, in the initial stage of medical service informatization, the medical card has greatly improved the efficiency of diagnosis and treatment. Before having a medical card, patients need to bring their previous paper medical records, examination and test results, and some "old patient numbers" sometimes need to retrieve major medical records and send them to the department by a special person. Once you have a medical card, you can embed a variety of types of data, such as your personal information, your medical records, medical orders, test results, and imaging data, into the card, and you can read it on your computer. However, due to the lack of communication between the electronic information systems of various hospitals, the medical card has gradually become an information island.
In the context of the strong demand for medical treatment in other places and the increasing demand of the masses for convenient services, only the information exchange of medical alliances and medical communities is far from satisfying the demand. Last year, the "14th Five-Year Plan" for National Health Informatization was released, which required to further promote the deep integration of a new generation of information technology and the health industry, give full play to the supporting and leading role of informatization in health work, and at the same time proposed to carry out a three-year campaign for information exchange and sharing among medical and health institutions across the country. Establish the goals and tasks of popularizing and promoting electronic health cards, promoting the exchange and sharing of inspection and test results, establishing a unified health information transmission network, and promoting the upgrading of hospital informatization construction, in order to focus on solving the obstruction problem caused by information inaccessibility in medical services.
Small steps and fast steps, step by step, are pragmatic and effective reformers. It is understood that at present, more than 8,000 public hospitals above the second level have been connected to the regional national health information platform, more than 80% of the first hospitals in 20 provinces have been connected to the provincial national health information platform, 25 provinces have carried out the sharing of electronic health records in the province, 17 provinces have carried out the sharing of electronic medical records in the province, and 204 prefecture-level cities have carried out the exchange and sharing of inspection results. Focusing on the future, we will continue to fill the digital divide, eliminate information barriers, improve information processing and data governance capabilities, and enrich scenarios such as appointment diagnosis and treatment, two-way referral, and telemedicine, so as to provide more solid support for residents' health management.
It is also important to see that it is not easy to completely break the information silos of the medical card. Medical services involve the collaborative work of multiple departments and links, including outpatient, inpatient, medical technology, pharmacy and other business processes. Patient medical data is also a matter of personal privacy. Sharing this information securely and completely is a test for all aspects. Only by coordinating development and security, promoting the establishment of a sound network and information security management system that is in line with the scenarios of medical and health information exchange and sharing, and making every effort to improve the protection capabilities of network and data security, can we prevent information leakage in the whole chain and the whole process.
Looking forward to the future, with the continuous improvement of the functions of the national health information platform, the sharing channel of health care big data will be smoother. Guided by the needs of the masses and driven by specific application scenarios, we can continue to improve the medical experience and continuously enhance the people's sense of gain, happiness and security.
*:People**.