[Summary of views]
● By restructuring the hierarchical management system of the hospital, the hospital is classified into research, clinical and general department type. According to the actual medical needs and disease spectrum of the people in various regions, medical resources are reasonably allocated to ensure effective use of resources, improve the overall efficiency of medical services, and reduce resource waste.
——Wang Yan, deputy to the National People's Congress and president of Xiamen University Cardiovascular Hospital
● The integration of medical services and artificial intelligence is inseparable. In the field of medical services, many advanced technologies have quietly played a huge role in the background, providing efficient and accurate service support for hospitals.
——Yang Qi, Vice President of Beijing Chaoyang Hospital affiliated to Capital Medical University, Director of Radiological Interventional Imaging Center and Radiology Department
The 2024 government work report proposed to "improve the medical and health service capacity", "deepen the reform of public hospitals" and "improve medical services by focusing on patients".
At present, the people have more expectations for a better life and new demands for health. How to improve the ability of medical and health services? Promote the supply side structural reform of public hospitals? Use new technologies such as artificial intelligence to improve service quality?
Recently, Wang Yan, a deputy to the National People's Congress and president of the Cardiovascular Hospital affiliated to Xiamen University, and Yang Qi, vice president of the Beijing Chaoyang Hospital affiliated to Capital Medical University, director of the Radiological Intervention Imaging Center and radiology department, visited the 2024 Two Sessions Moment in the People's Meeting Hall to talk about the high-quality development of medical services.
Promoting supply side reform of public hospitals through management
In Beijing Chaoyang Hospital affiliated to Capital Medical University, a diagnosis and treatment island has become a "online red card punching point". When patients come to see a doctor, they can carry out joint internal and surgical diagnosis and treatment, ultrasonic examination and ECG examination simultaneously for a certain disease. Through the service mode of "doctors around patients", patients' "difficulty in seeing a doctor" can be alleviated.
"Hospitals need to strengthen the research on special diseases, meet the personalized medical needs of patients and solve the problem of difficult and expensive medical services for ordinary people. At the same time, they also need to protect the enthusiasm of medical staff. How to balance the two to achieve a reasonable balance is the core of supply side structural reform." Yang Qi said.
The 2024 government work report proposed to deepen the reform of public hospitals, improve medical services centering on patients, and promote mutual recognition of inspection results.
This year, Wang Yan brought "Suggestions on the Reform of Hospital Grading Management System". He suggested that the current hierarchical management system of hospitals should be comprehensively reformed to meet the objective needs of the development of the new era and achieve high-quality development of medical and health services. Through restructuring the hierarchical management system of hospitals in the new era, hospitals are classified into research type, clinical type and general department type, and medical resources are reasonably allocated according to the actual medical needs and disease spectrum of the people in various regions. Ensure the effective use of resources, improve the overall efficiency of medical services, and reduce resource waste.
This year's government work report mentioned that we should focus on promoting hierarchical diagnosis and treatment, guide high-quality medical resources to sink to the grass-roots level, strengthen the coordination and linkage of county and rural medical services, and expand the types of drugs for chronic and common diseases in grass-roots medical and health institutions.
How to "strengthen the basic level" of medical and health services? Yang Qi believes that it is necessary to strengthen the linkage between basic level hospitals and top three hospitals. Through the establishment of sub centers or regional centers, the "group" can provide health security for residents, open up the "last mile" of hierarchical diagnosis and treatment, and allow medical resources to flow into the community and benefit the people.
Enable accurate and efficient diagnosis with new technology and new application
The world's first robotic minimally invasive transcatheter mitral valve surgery was successfully implemented, a new generation of minimally invasive vascular interventional surgery robot completed multiple clinical trials, and the "Da Vinci" surgical robot was launched... With the development of new technology, artificial intelligence is increasingly used in medical scenes.
"More and more clinical data, clinical information, big data, including images, ECG and other data are processed by artificial intelligence to help us with diagnosis and treatment," said Wang Yan.
"We have applied AI to clinical trials to quickly communicate the patient's medical history and collect information, and make preliminary judgments and guidance." Wang Yan said that the application of AI is conducive to improving the accuracy and efficiency of diagnosis, reducing communication costs, and allowing patients to enjoy more "intelligent" and "intimate" services.
Yang Qi said that the integration of medical services and artificial intelligence is inseparable. Continuous breakthroughs have been made in the field of artificial intelligence, especially the newly emerging large model technology and video generation technology, which have been widely and deeply applied in many fields. In the field of medical services, many advanced technologies have quietly played a role in the background, providing efficient and accurate service support for hospitals.
"Artificial intelligence cannot completely replace doctors. We hope it can help us simplify processes, improve efficiency, and treat more patients." Yang Qi said that we should adhere to the core concept of relying on the leadership of party building, adhering to high-quality development and serving the people, and continue to strengthen the training and construction of medical professionals. "In the future, the medical service will be more precise and professional. We will always focus on patients, provide the best medical service for the masses, and meet the health needs of the masses to the greatest extent."
"With the continuous progress and improvement of modern medical technology, we should strengthen humanistic care and deep psychological communication for patients while pursuing superb technology. This is not only the proper meaning of medical service, but also an important direction of our future development. It aims to provide patients with more comprehensive and detailed medical services, and achieve the harmonious unity of medical technology and humanistic care. " Wang Yan said. (Intern Chen Xu also contributed to this article)
