Intelligent medical care, making it easier to see a doctor

In recent years, with the vigorous development of a new generation of information technology such as 5G, cloud computing, Internet of Things, artificial intelligence and big data, smart medical care, smart retail and smart transportation are changing from experts’ prophecy to reality, and increasingly profoundly affecting people’s production and life.

Unlike the traditional medical model, smart medical care is data-intensive and can assist doctors in lesion detection, improve diagnostic accuracy and efficiency through “user-friendly” interaction, big data analysis and artificial intelligence, and play a role in improving medical services and alleviating medical resource constraints. The combination of digital, networked and intelligent facilities and solutions with medical scenarios is accelerating, and smart medical care is coming to us

Ms. Wu, who lives in Changping District, Beijing, is a hypertensive patient with limited mobility but needs regular follow-up visits and medication pickup, and often has to rush to Beijing Chaoyang Hospital, affiliated with Capital Medical University, more than 40 kilometers away for follow-up. At present, a total of 263 doctors from 19 departments, including respiratory medicine, cardiology, endocrinology and gastroenterology, are online at Beijing Chaoyang Hospital, completing online follow-up services for nearly 10,000 people and issuing more than 5,000 prescriptions. “One of the benefits of a high degree of informatization and networking is the shortening of medical process time and distance, which greatly improves the efficiency and quality of medical care and achieves a high degree of resource sharing.” said Zhang Cymbal, a member of the Chinese Academy of Sciences.

From the underlying technology to the upper layer of applications, from the improvement of the treatment capacity to the change of treatment …… In recent years, many patients like Ms. Wu can feel the convenience of intelligent medical care: the network speed is faster, 5G technology latency is lower, remote surgery has become a reality; hardware restrictions are less, cloud computing, cloud storage is no longer subject to server performance The system service is not “lagging”; the software is more “high-powered” and can communicate with experts “face to face” through video, voice, text, pictures and other means.

In the 1980s and 1990s, China began to introduce medical information technology one after another. At that time, a few large hospitals through the purchase of computer hardware and software, the establishment of information systems and databases to improve hospital management processes and promote efficiency. The initial results of medical informatization on the ground mainly focused on the hospital’s financial settlement system, as well as the management system of drugs and other medical supplies.

In the 21st century, with the development of information technology and Internet technology, more and more hospitals began to build their own server rooms and networks, purchase and use hospital information systems, and realize the electronicization of business processes. Electronic medical records and self-service machines began to become popular, and convenient medical services based on mobile Internet were gradually spread. “Today, with the impetus of 5G, artificial intelligence and other emerging technologies, digital, networked and intelligent facilities and solutions are accelerating their combination with medical scenarios, medical informatization has entered another new phase, and smart medical care has truly come to us.” Liu Junwei, deputy general manager of Baidu Smart Medical, said.

“Clinical medicine has experienced from empirical medicine to evidence-based medicine, translational medicine, precision medicine, and then to today’s smart medicine, which is actually the process of continuous digital representation and intelligent computational analysis of life. Smart medicine is the use of the Internet, big data, artificial intelligence and other information technology for medical treatment, gradually forming an alternative to some human work.” Ning Guang, an academician of the Chinese Academy of Engineering, pointed out that “it is both a product of the integration of life sciences and information technology, and an important part of modern medicine and communication technology.”

Smart medicine both allows high-quality medical resources to reach the grassroots and provides new ideas for large hospitals to improve medical services and enhance the medical experience. The Community Health Service Center in Mafang Town, Pinggu District, Beijing, is a typical grassroots medical institution with an average daily outpatient volume of about 300 people. Although the grassroots hospital is tightly staffed, it is busy but not chaotic. With the help of the artificial intelligence clinical assistant decision-making system, doctors can easily and quickly make disease inquiries, examination inquiries, medication inquiries and knowledge inquiries.

Liu Junwei introduced the clinical assisted decision-making system developed by Baidu, which contains seven major sections such as assisted consultation, assisted diagnosis, treatment plan recommendation, similar medical record recommendation, medical advice quality control, medical record connotation quality control, and medical knowledge query, etc. The system enables the optimal knowledge base of many common diseases and the experience of experts to be replicated, through deep learning of massive textbooks, clinical guidelines, pharmacopoeias and high-quality medical records of tertiary hospitals, precipitation.

“In this way, junior doctors who have just graduated can know how to handle rusty cases, and senior doctors can use the templates provided by the system to make medical record entries and improve the efficiency of diagnosis and treatment.” said the head of Mafang Town Community Health Service Center. At present, this system has landed in 18 primary medical institutions in Pinggu District, becoming the right hand of more than 200 primary doctors.

“Medical natural language processing, data annotation, knowledge mapping and other artificial intelligence technologies applied to certain specific disease areas can assist doctors in completing disease screening, diagnosis and treatment.” In the view of Gao Chuangui, chairman of Wave Health, this will significantly improve the efficiency of medical institutions and doctors, while allowing more high-quality medical resources to reach the grassroots, and help hierarchical diagnosis and treatment, to achieve “big diseases, big hospital treatment, small diseases, small hospital treatment”.

Take medicine without waiting, robots instead of pharmacists pick; infusion is not worried, IOT devices to improve the accuracy of care; patients run less legs, so that medical data run more …… This is the scene in Chengdu BOE Hospital, which opened not long ago. In recent years, artificial intelligence has been applied in several fields of medical care, such as medical imaging, medical care robots, drug development, preventive care, and teaching, effectively improving the level of diagnosis and treatment and the patient’s medical experience.

Intelligent medical care is still in its infancy and requires collaborative development in terms of policy, mechanism and technological innovation. Looking ahead, thanks to the continuous development of intelligent medical care, seeing a doctor is expected to become more convenient and faster: genetic testing can detect genetic defects in healthy people and prompt health risks as early as possible; medical big data can be used to establish disease models to help doctors diagnose conditions quickly; orally accessible nanoscale intelligent surgical robots can enter the human body to perform precise and non-invasive surgery; artificial intelligence family doctors as a complement, responsible for the treatment of common diseases and the care of chronic diseases .

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