First, the concept of smart hospitals
Smart hospital is a concentrated embodiment of the application of Internet of Things technology in this specific place of the hospital, which is a new type of hospital based on Internet of Things technology and built with various application services as the carrier, integrating diagnosis and treatment, management and decision-making. The first area is "smart healthcare" for medical staff. It mainly refers to the construction of informatization with electronic medical records as the core, as well as the interconnection of electronic medical records and other systems such as imaging and testing. The second area is "smart services" for patients. For example, the all-in-one machine and self-service machine in many hospitals, as well as services such as appointment **, appointment diagnosis and treatment, and information reminder, make it more convenient and fast for patients to seek medical treatment. The third area is "smart management" for hospitals. "Smart management" includes more intelligent hospital logistics management and office automation systems, as well as more refined cost accounting. Managers can see the operation status of the whole hospital with their mobile phones or on the computer in the office, so as to realize the refined and information-based management of the hospital.
2. 5G smart hospital scenario
The development of smart hospitals is highly dependent on network bearing, and the low power consumption and large connection characteristics of 5GMMTTC support the concurrent access of multiple devices in smart hospitalsIt provides communication guarantee for the integration of multiple systems and will accelerate the development of smart hospitals. On the one hand, it is reflected in the effective integration of data in the original information system of the hospital by using components, API SDK interfaces, distributed, virtualization, cloud-side collaboration and other technologies to realize the integration and sharing of various information in the hospital.
On the other hand, it is embodied in the use of wireless communication, sensing equipment, Internet of Things, intelligent terminals and other data acquisition technologies to build a holographic cloud integrated development of medical and health business support systems such as smart hospital medical service system, medical collaboration system, management system and logistics support system, so as to realize hospital networking, comprehensive perception of medical information, comprehensive coordination of medical services, medical data assisted decision-making, and personalized medical services. It includes three core elements: first, to achieve all-round automatic information collection, that is, medical ubiquitous network; the second is to achieve efficient instant communication, that is, medical connection; The third is to realize intelligent processing and analysis decision support, that is, medical artificial intelligence.
Smart hospitals include physical hospitals and virtual hospitals, and the service scope covers various aspects such as in-hospital medical services, inter-hospital medical sharing, and out-of-hospital medical collaborationIt mainly includes application scenarios such as cross-department consultation, centralized diagnosis of medical examination, wireless ward rounds, wireless nursing, wireless ICU monitoring, wireless positioning, and wireless device managementDay-to-day services involve a wide range of tasks, complex work content, high repetition rate, and strict requirements for network performance and security, which are the core application scenarios of 5G in medical commercial use in the future, with huge market capacity.
3. "Smart medical care" for medical staff
(1) Mobile medical care
Mobile medical care is to extend the diagnosis and treatment care services of doctors and ** to the patient's bedside. 5G mobile ward rounds are based on daily ward rounds and nursing, and medical staff realize mobile collection and high-speed transmission of image data and sign data through 5G technology, mobile high-definition consultation, solve the problems of unstable WiFi network and poor security, and improve the quality and efficiency of ward rounds and nursing services. In addition,In special wards such as radiology wards and infectious disease wards, medical staff control medical assistance robots to move to designated beds through 5G positioning technologyProviding patients with remote ward rounds and nursing services reduces the risk of infection for medical staff and improves the ability of medical risk early warning and management.
(2) Smart clinical
With the continuous progress of computer technology and medical artificial intelligence technology, medical examination and examination have gradually developed from auxiliary examination methods to the most important clinical diagnosis and differential diagnosis methods in modern medicine. 5G smart clinical diagnosis and treatment is based on multi-dimensional data such as HIS, LIS, PACS, genomics, physiological characteristics, and physical examination of patientsThrough the 5G cloud-edge collaborative network, the analysis and processing of medical data can be realized, a complete and comprehensive auxiliary decision-making and diagnosis and treatment plan can be formulated, and an AI-assisted diagnosis and treatment application can be builtImprove the efficiency and quality of medical care to solve many problems such as insufficient and uneven distribution of medical resources in China's medical and health industry.
Medical informatization has enabled hospitals to accumulate a large amount of medical imaging data, but the number of radiologists is insufficient, especially the scarcity of high-level radiologists with rich clinical experience, resulting in long-term problems such as misdiagnosis of diagnostic results and high rate of missed diagnosis. In order to solve the above problems, major hospitals have joined forces with Internet companies to test the waters, and at present, medical artificial intelligence technology has blossomed everywhere in the field of imaging for pulmonary nodules, retinopathy, lung cancer, esophageal cancer, pancreatic cancer and other specialized diseases.
(3) Remote monitoring
Telemedicine monitoring uses modern communication technology to support critically ill patients in primary hospitals to receive remote monitoring services from experts at the bedside in real time. The 5G remote monitoring application supports bedside ventilators, monitors and other monitoring devices to collect vital sign data such as heart rate and blood oxygen of patients, and transmit them in real time to achieve 24-hour uninterrupted continuous and dynamic observation of the condition. The combination of remote monitoring and a video conferencing system covering the bedside realizes remote interactive high-definition communication between experts and applying doctors, applying doctors and patients, and patients and their families, and supports consultation experts to remotely view patient monitoring**, data, images and signs and other information in real time. At the same time, combined with AI technology, real-time intelligent monitoring and calculation of vital signs and monitoring information are carried out through the monitoring platform, and timely alarm is given in case of abnormality, providing patients with efficient, convenient, safe and reliable telemedicine monitoring services. 5G remote monitoring reduces the work intensity of doctors and patients, improves the unified management level of hospitals for critically ill patients, and ensures the life safety of critically ill patients to the greatest extent.
(4) Patient follow-up
Patient follow-up is the specific application of the "patient-centered" service concept, which can reduce patient attrition, increase patient attraction, and accumulate scientific research data. Patient follow-up has become an important means for medical institutions to improve patient satisfaction and enhance market competitiveness. In order to solve the follow-up problem of a large number of outpatients and inpatients, many hospitals have developed patient follow-up systems to improve the management level of clinical research and improve the efficiency and accuracy of statistics. Traditional follow-up requires medical staff to call patients one by one, ask about the condition after surgery, and make records, which brings a huge follow-up workload to the hospital.
5G will support the development of the artificial intelligence follow-up robot industry, and the intelligent follow-up system can formulate personalized follow-up plans according to the discharge records of patients with different types of surgeryThrough the terminal, you can call the patient with one click, simulate the human voice and communicate with the patient for postoperative follow-up, and effectively collect the information of the patient's answer, and automatically transcribe the voice of the patient's answer into a text record. The intelligent follow-up robot can achieve uninterrupted and full-coverage follow-up every day, and can complete the follow-up work of 400 to 1000 people in one day. In addition, the intelligent follow-up robot supports statistical analysis of the massive information collected from patient follow-up, providing accurate data support for clinical and scientific research work.
Fourth, "smart services" for patients
Smart services use the Internet, the Internet of Things and other information means to provide patients with intelligent guidance, appointments, report inquiry, intelligent pharmacy, mobile payment, health management and other services, to achieve prevention, one-stop medical and health services, so as to improve the medical environment and improve patient satisfaction.
(1) Intelligent guidance
About 1 3 out of every day of outpatients in the hospital go to the consultation desk or consult a medical staff for help. Most of the hospital-related public information lacks in-hospital navigation and self-service guidance function modules, and cannot provide patients with a complete set of online self-service guidance services. It has become an urgent need for hospitals to improve their service levels by using modern medical information technology to optimize the medical treatment process and make it easy for patients to seek medical treatment in an orderly and easy manner.
With the development of 5G communication technology, intelligent guidance starts from the actual experience of patientsThe interactive mode with symptom Q&A as the core is used to help patients complete the initial triage and determine the best department. The hospital has deployed a 5G intelligent guidance robot system that combines cloud-network-deviceIt improves the service efficiency of the hospital, improves the service environment, reduces the workload of the hall guide desk, and improves the guidance efficiency and patient experience.
(2) Make an appointment** for medical treatment
In the future, the 5G ubiquitous network, which focuses on data collection, will support the intelligent terminal monitoring and improvement of information upload data, and the system will carry out intelligent triage accordingly, and provide functions such as expert recommendation, appointment, and payment. On the one hand, patients can choose experts to make appointments according to the list of departments; On the other hand, patients can also customize the search to select experts to make appointments, search for departments or doctors or diseases by keywords, select experts, and complete the appointment.
(3) Report inquiry
The digital hospital has realized the self-service query service of patient diagnosis and treatment data, including convenient query and access to physical examination reports, medical records, inspection and inspection sheets, etc. In the era of 5G medical care, 5G report query supports face recognition to verify the identity of patients, and patients can independently check their own cross-regional and cross-institutional medical history data, and query residents' personal medical records, prescription records, test reports, inspection reports, hospitalization records, physical examination diagnosis and other diagnosis and treatment information, as reference information for diagnosis and treatment. 5G will further promote the unification of medical data standards and the integration of data resources, so that more and more people can fully enjoy the accessibility of medical and health services brought by the new model of "Internet + medical health".
(4) Pharmaceutical services
Pharmaceutical service refers to the provision of reasonable and safe medication regimen and corresponding drug guarantee services to patients. Pharmaceutical services mainly include first-chain services and pharmaceutical services. Nowadays, the most commonly used means of disease is the use of drugs, but there are problems such as irrational drug use and poor drug effect in traditional pharmaceutical services.
With the development of medicine to specialization and refinement, pharmacy professionals can provide professional services related to drug use by virtue of professional and technical advantages, so as to improve the safety, effectiveness and economy of drugs. Under the 5G network, relying on the intelligent pharmaceutical service system, clinical pharmacists actively participate in the formulation of drug regimens through ward rounds and consultations, not only providing patients with rational drug use cloud services in the process of drug use, but also in the early stage of drug ** and non-drug ** stage, they can carry out ** consultation, prescription review and other corresponding pharmaceutical services for the public, so as to truly achieve the goal of improving and enhancing the quality of life of patients.
(5) Mobile payment
Mobile payment is a mobile payment for hospital diagnosis and treatment expenses by binding third-party software such as WeChat, Alipay, and UnionPay to residents through their mobile phones. However, this payment method mainly relies on QR code payment, and the security is low. The advent of the 5G era will improve payment security and support more diversified payment methods such as face payment, fingerprint payment, and voice payment, further protecting the security of patients' personal information and property.
(6) Health management
In recent years, residents' awareness of personal health has been continuously enhanced, and people's demand for diagnosis and health care has begun to undergo qualitative changes, from passive and reactive medical treatment to active and normal preventive health care. The concept of health management first began in the United States. In 1929, the Los Angeles Water Conservancy Department established the world's first Health Management Organization (HMO), which effectively reduced the incidence of disease among its members through a comprehensive health management approach that focused on prevention. Health management refers to the whole process of comprehensively monitoring, analyzing, and evaluating the health of individuals or groups, providing health consultation and guidance, and intervening on health risk factors.
Health management includes three aspects: one is the collection of health information, the second is health assessment, and the third is health intervention. 5G health management supports real-time information sharing, data analysis and conclusion combing, and provides personalized and long-term health management services that integrate health detection, health assessment, health consultation and health improvement for the sick population.
5. "Smart management" for hospitals
"Smart management" for hospitals mainly includes:There are three modules: intelligent management information system, intelligent management service system and intelligent management logistics system. The 5G smart management system can not only digitally record, display and manage the overall operation process of the hospital more effectively, but also refine the operation process of the hospital, improve the service level and management efficiency of the hospital, save medical costs, and facilitate patients and medical staff.
(1) Intelligent management information system
The 5G smart management information system can effectively integrate the smart medical insurance system, hospital infection management, effective management (disease) diagnosis related groups (DRGs), adverse event system, antimicrobial drug management, medical quality management, etc., to help the construction of smart hospitals.
(2) Intelligent management service system
The 5G smart management service system manages the hospital APP, ** and self-service kiosks used by patients, which can ensure that the hardware resources, communication resources, software resources and information resources in the network are effective and controllable, and serve patients safely and reliably in real time. In addition, thanks to the mobile nature of the 5G network, the self-service system is no longer limited by the physical network, and can be conveniently deployed in any area covered by the network, and can be used and managed in the mobile app, which is convenient for the daily management of operation and maintenance personnel. At the same time, patients can also access the hospital self-service system at a richer number of terminals and at a more convenient time.
(3) Intelligent management logistics system
The 5G hospital intelligent management logistics system mainly includes equipment management system, material management system, disinfection management system, high-value consumables management system, equipment benefit analysis system and consumables supervision platform. Through the connection and application of 5G network, it can effectively connect and manage the procurement, use, maintenance, analysis and evaluation of various equipment in hospital logistics, conveniently supervise and control consumables in real time, save costs, and improve the comprehensive supervision level of hospitals.