Can a large hospital open a “cloud clinic” to “see a doctor at home”? Expert: Telemedicine can't completely replace face consultation

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At 11 o'clock noon, the person in Liuhe (sunny name) of Liuhe entered the Jiangsu Provincial Hospital of Traditional Chinese Medicine APP Zhongyun Waiting Channel. She was the third patient of the Department of Nephrology, Sun Wei, Director of Cloud. After 30 minutes, Director Sun Wei connected with her video.

In the "Internet +" era, more and more hospitals in Nanjing have launched Internet hospitals, network hospitals, and cloud clinic services like Jiangsu Provincial Hospital of Traditional Chinese Medicine. A mobile phone can see a doctor, and telemedicine brings tangible convenience to patients. . The General Office of the State Council recently issued the "Opinions on Promoting the Development of "Internet + Medical Health"". The opinions are clear. Some common diseases and chronic diseases can be reviewed online, and prescriptions are allowed online, and patients are gradually reviewed at home.

I can see a doctor at home in the future. This kind of good news will undoubtedly make many people jump! However, some experts said that telemedicine can only be used as a supplementary means and cannot completely replace the face consultation.

Witness: 1 hour at noon, seeing 5 patients

Sun Yun is the second time to see a doctor with a cloud clinic. "It's very convenient." Sun Yun said that she had seen the disease here at Director Sun Wei. Because kidney disease is a chronic disease, it is necessary to return to the clinic regularly. Many times, it is only a drug to be re-examined. The expert number is difficult to hang, and it is necessary to come from Liuhe. It is also time consuming and labor intensive. Since I know that Director Sun Wei has opened a cloud clinic, it is not an important follow-up visit. She will usually register at the cloud clinic and communicate with Sun Wei through the video. If you need to prescribe medicine, Sun Wei will open the application directly after Sun Wei’s prescription, and the hospital will send the medicine to her, which is very convenient.

On the day of the cloud clinic, 1 hour at noon, Director Sun Wei had a total of 5 patients. Behind Sun Yun was a patient far away from Liaoning. The patient heard the director Sun Wei from the local doctor, but he had to go to Nanjing to see the doctor from Liaoning. He couldn't make up his mind, so he communicated with Sun Wei through the cloud clinic. In the video, Director Sun Wei had a preliminary understanding of the patient's general situation and gave some suggestions. The patient said that he would choose to come to Nanjing to see Director Sun Wei's clinic.

Group: referrals, trial patients mainly

Tang Ziwei, a nurse in the Department of Nephrology, said that various departments of Jiangsu Provincial Hospital of Traditional Chinese Medicine are gradually carrying out cloud outpatient services. Experts use non-outpatient time to open a cloud clinic. Each hour, you can see 3-5 patients.

Patients can register in the “cloud clinic” on the Provincial Hospital of Traditional Chinese Medicine. After completing the appointment in “Cloud Appointment”, they can see their name in the “Cloud Waiting” next to them. On the day of the cloud clinic, a video connection will appear in the cloud waiting room, waiting for the expert to initiate a connection. The registration fee is the same as the expert number.

Director Sun Wei introduced that there are two main types of patients targeted by the cloud clinic. One type is therapeutic. For example, in addition to Nanjing, there are more patients from the provincial hospitals, and even more from neighboring provinces, even Yunnan, Hainan, and Xinjiang. These patients are chronically ill, and they need to be in two or three months. It is very difficult. It is a pity that many patients in clinical practice are unable to persist and interrupt treatment. The patients who have been treated now, within one or two months or even half a year, through the cloud clinic, adhere to the treatment, the effect is very good.

Another type of patient is a trial, just like the patient in Liaoning mentioned above, who has not seen the disease, does not understand the doctor, through the cloud clinic, to see a question, to the hospital to have an understanding of the experts, and then Decide whether you want to see a doctor. Or the patient has been worried about the doctor's plan after seeing it in other hospitals. Through the cloud clinic, please take a look at the experts and authorities here to strengthen the confidence of seeing a doctor.

“The cloud clinic brings not only convenience.” Sun Wei said that the cloud clinic can radiate the level and technology of experts to a wider range, reduce costs for patients, reduce rushing, and adhere to continuous treatment. “To some extent, Communication between the clinic and the patient is more adequate than face consultation."

Experts can only help, can not lose the "soul"

Hu Xiaoxiang, vice president of the Jiangsu Provincial Health Law Society, said that the General Office of the State Council had previously issued the "Opinions on Promoting the Development of "Internet + Medical Health"", and the opinions clearly allowed the development of Internet hospitals based on medical institutions. “Nanjing has opened a network medical service similar to the cloud clinic in many large hospitals. It is not only appointment registration, waiting for treatment, report review, etc. It is legal and compliant for doctors to prescribe and pay patients.”

It is understood that the opinions clearly define the behavioral norms, fees, medical insurance payment and other policies for online consultation, and the online services will be widely provided by the hospitals above the second level by 2020.

However, Hu Xiaoxiang pointed out that the opinions also clarified that "some common diseases and chronic diseases can also be reviewed online." That is to say, Internet medical services can only be used as an auxiliary supplementary means, and cannot completely replace the face consultation.

"We know that Chinese medicine pays attention to it, and Western medicine pays attention to it. This is the 'soul' of medical technology. The remote consultation technology can only complete the 'question' and part of the 'visual', can't cut it, can't smell it, can't make it, touch it. To, it is like losing the 'soul'." Hu Xiaoxiang said, therefore, if the returning patient of chronic disease is not convenient to go to the hospital, you can try the expert video consultation, but the premise must be that the doctor has a comprehensive grasp of your health information.

Hu Xiaoxiang said that mobile medical care is a new thing. As a medical branch, it is very promising, but it cannot replace traditional face-to-face diagnosis and treatment. "There are experts who say that mobile-remote medical advantage is in health management. I think this is right."

(Source: Jinling Evening News Editor / Li Yao)

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