According to the data released by the National Health Commission, China's national national health information platform has been basically completed, and the provincial overall regional national health information platform has been continuously improved, and the national, provincial, municipal, and county platforms have been basically connected, and there are currently more than 8,000 public hospitals above the second level connected to the regional national health information platform, and more than 80% of the best hospitals in 20 provinces have been connected to the provincial national health information platform, providing solid support for improving residents' health management capabilities and building a healthy China.
Relying on the national health information platform, what convenient services do the masses get? What changes has the construction of health informatization brought to the masses in seeking medical treatment? The reporter conducted an interview.
Breaking the "data island", the foundation of the interconnection platform has been gradually consolidated
Recently, Mr. Xin, who lives in Lanzhou City, Gansu Province, went to the Second Hospital of Lanzhou University for diabetes.
We learned that the patient had undergone a biochemical examination in Lixian People's Hospital not long ago, and we judged that the results of the last laboratory test in the hospital could be used for reference according to the test time, index, and reference range, which did not affect the determination of the patient's condition, and only the glycosylated hemoglobin of the patient was needed this time. Endocrinology and metabolism doctor Chen Hui told reporters. Subsequently, Mr. Xin completed the examination and follow-up diagnosis and treatment, saving more than 200 yuan.
According to Zhou Wence, President of the Second Hospital of Lanzhou University, Gansu Province has built 1 provincial and 14 municipal national health information platforms, and the five basic data of the whole population, health records, electronic medical records, health poverty alleviation, and health resources have been interconnected, effectively supporting the province's inspection, inspection, sharing and mutual recognition. In 2017, the hospital completed the docking with the provincial platform, and in early 2020, the sharing of medical record information and mutual recognition of examination and test results of patients in medical institutions in the province was launched. "As a pilot hospital, we can provide more than 7,400 mutual recognition projects for patients every day, with a mutual recognition ratio of about 70%, which reduces the repeated examination of patients and saves patients time, money and worry. ”
In November 2022, the National Health Commission, together with the State Administration of Traditional Chinese Medicine and the National Bureau of Disease Control and Prevention, issued the "14th Five-Year Plan for National Health Informatization", proposing to carry out a three-year campaign for information exchange and sharing among medical and health institutions across the country to promote the leap from national health informatization to digital health.
The original intention and purpose of the attack is to solve the problem of non-exchange and non-sharing of information between medical institutions, break down the information barriers between medical institutions, improve service efficiency and reduce service costs. Mao Qunan, director of the Planning Department of the National Health Commission, said that some places have carried out the exchange and sharing of medical examination results within the province in the early stage. According to the data, 25 provinces have carried out intra-provincial sharing and access to electronic health records, 17 provinces have carried out intra-provincial sharing and retrieval of electronic medical records, and 204 prefecture-level cities have carried out the exchange and sharing of inspection results.
Not only that, it is no longer necessary to get a medical card every time you go to a hospital, as long as you have an electronic health card, you can realize the use of different hospitals, which is gradually becoming a reality. Mao Qunan introduced that China has basically built a set of personal health identification systems that can cover 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 basic population information database to promote the collaborative application of electronic health cards and other cards and codes, and solve the problems of "one card for one hospital, multiple cards coexist, and are not common to each other".
Optimize the medical treatment process, and the effectiveness of convenient services has been continuously highlighted
*, inspection, payment ......In the past, I had to queue up to see a doctor, but now the number of queues has become significantly less! Ms. Zhang, who lives in Jinan City, Shandong Province, said. Recently, she went to Shandong Provincial Hospital of Traditional Chinese Medicine for treatment and found that medical insurance patients can settle between clinics, which is very convenient, "You can complete the payment in the treatment department, you don't have to queue up at the window, and the electronic invoice will be automatically sent to the mobile phone, which is too convenient." ”
It is understood that Shandong Province has innovatively implemented smart and convenient measures to facilitate the people, and convenient payment methods have allowed patients to run away less. The number of secondary and above public general hospitals in the province that have achieved outpatient clinic settlement and bedside admission and discharge has reached 231 and 228 respectively, accounting for 231 and 228 respectively3%, 15.59 million outpatients achieved inter-clinic settlement, 9510,000 patients were admitted at the bedside, 9160,000 discharged patients received bedside discharge settlement services.
Not only that, the online medical record copying appointment mailing service has been launched, and patients in the hospital and discharged from the hospital can make an appointment to apply, so as to achieve "zero errands" for medical record copying; Support the public to independently inquire about medical records and carry out self-health management ......By doing key small things well, all localities continue to carry out information-based services for the convenience of the people and the people.
Open the "Jingtong" applet of the Beijing government service platform, and the "Health Service" module integrates the functions of medical treatment, medical insurance and pharmaceutical services, which can make appointments**, report inquiries, outpatient payments, etc., and 24 applications in five major sectors make it more convenient for the masses to see a doctor.
In the process of promoting the construction of health informatization, Beijing pays attention to departmental coordination, highlights the 'three-medical linkage', highlights the three application scenarios of medical care, medical insurance and medicine, and promotes system integration and data sharing. Liu Juncai, director of the Beijing Municipal Health Commission, said. As of January this year, all 110 ** hospitals in Beijing have realized the functions of medical insurance mobile payment, inspection report query, medical image query, etc. Patients can inquire about medical insurance designated medical institutions and various pharmacies, obtain drug delivery services through Internet hospitals, and gradually realize the handheld business handling of the whole process of appointment, medical insurance reimbursement and drug distribution.
Mao Qunan introduced that the three-year action of information exchange and sharing of national medical and health institutions put forward the goal and task of popularizing and promoting electronic health cards, promoting one-stop settlement of medical expenses for commercial health insurance, and promoting electronic health records "cross-provincial inquiry". ”
Protect personal privacy and further strengthen network and data security
Informatization has brought more and more changes to the public's medical treatment, but some patients are worried that there is a risk of leakage of personal information, including disease data. Experts said that in the process of promoting national health informatization, data security and privacy protection still face challenges, and it is necessary to implement data security laws and regulations and standards to further improve data governance capabilities.
In addition to emphasizing good service, we focus on how to further strengthen network and data security, and strengthen the 'leakage-proof' of medical and health data protection. Mao Qunan said that health administrative departments at all levels should establish and improve the network and information security-related management systems in line with the medical and health information exchange and sharing scenarios. Medical establishments should strengthen data security management, implementing full-life cycle security management of data generation, transmission, storage, use, sharing, and destruction in accordance with laws and regulations, to increase the capacity for data security protection and the protection of personal privacy.
At present, many places are using data encryption technology, access control and authorization management to protect patients' right to know and strengthen patient privacy protection.
In Zhejiang, health departments and medical and health institutions at all levels have set up chief cyber security officers, and established a professional team composed of chief cyber security officers, cyber security administrators, and liaisons. Lin Jie, deputy director of the Zhejiang Provincial Health Commission, introduced that data encryption, face recognition, two-factor authentication and other technical means and protective measures are used to ensure the safe flow of data. In the construction of the application, adhere to the principle of "patient informed, authorized access". For example, in the application of mutual recognition of examination and test results, patients have the right to open and close shared access independently, and doctors use dual authentication of medical staff identity authentication and dynamic authorization code on the patient's mobile phone when accessing patients' medical data, so as to ensure security with "one medical treatment, one authorization".
Zhou Wence said that when doctors need to access the patient's examination results or other relevant electronic medical record information, the system will automatically send an authorization access code to the patient's reserved mobile phone number, and the patient can also give the doctor authorization confirmation through the dynamic medical code scanning code authorization access method. After the doctor completes the diagnosis and treatment process and closes the information diagnosis and treatment window, the authorized access will end, and the patient's second authorization is required to check again. (Reporter Yang Yanfan).
*:People**.
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