The examination and approval was completed in 11 minutes, and the national health and Health Commission required vigorous development. How does Internet diagnosis and treatment service support the demand of epidemic prevention and control?

Author: Zhang Xiaoxu twice in 4 days! The national health and Health Commission encourages the development of Internet diagnosis and treatment for epidemic prevention and control It requires that Internet diagnosis and treatment consultation be carried out for the respiratory department, infection department, emergency medicine department, critical medicine department, mental health department and general practitioners of fever patients, so as to accurately guide patients to seek medical treatment in an orderly manner and relieve the pressure of hospital treatment Novel coronavirus pneumonia Advisory inquiry, home quarantine observation guidance, science popularization rumor, slow disease consultation service were launched by all platforms before the operation Among them, it is the most common practice to treat different diseases or different scopes The epidemic isolated the space distance between people Internet medical treatment can break this distance Its advantages of high efficiency and low risk are more obvious than before We investigated 13 internet medical enterprises that had recently launched free clinic, and combined with other public channel information, observed the changes of Internet Medical in the epidemic test This paper will analyze from the following parts: 1 three pain points of medical resources under the middle line of the epidemic; 2 five values of Internet Medical in the epidemic; 3 recognition of Internet Medical by four subjects; 4 difficulties and solutions in epidemic prevention and control; 5 overall trend of the industry after the epidemic; and outlook on three pain points of offline medical resources Novel coronavirus pneumonia advisory service platform has been opened to more than 200 Internet hospitals and related enterprises and institutions in China, according to statistics from the Internet hospital branch of the Chinese research society We have combed out the overall timeline: the progress of the epidemic and the progress of Internet diagnosis and treatment policies The data source: the official website of the national health and Health Commission, above the mapping timeline of the arterial network, means that under the background of the overall shortage and imbalance of medical resources, when the epidemic comes and spreads, it becomes more tense Novel coronavirus pneumonia is mainly reflected in these aspects: first, the serious epidemic in Hubei requires not only a large number of medical staff to treat patients, but also the use of several general hospitals as a designated hospital for new crown pneumonia, and other medical resources of the disease are also squeezed Two, medical personnel from all over the country have been helping Hubei, causing the medical resources of other regions to decline Third, no matter in Hubei or other areas, in order to prevent the further spread of the epidemic, strict social management measures have been implemented, ranging from not going out during the Spring Festival to working at home after the festival, to closed management in various communities and communities, and limiting the number of times to go out If there is no serious disease, people will hardly go to the hospital or are afraid of cross infection In order to solve these problems, it is imperative to break the limitation of doctor-patient space and improve medical efficiency Internet medical treatment is undoubtedly the most important way to have these two functions During the outbreak of novel coronavirus pneumonia, the internet medical platform launched a series of online consultation and consultation services for fever, respiratory or new crown pneumonia The psychological intervention of patients and the public increased gradually At present, the main business types of Internet health care are as follows: the main business types of Internet health care during the epidemic period, and various types of services of arterial network mapping are quickly launched, which fully reflects the high efficiency and versatility of Internet health care Specifically, Internet health care has five values in epidemic prevention and control Value 1: home observation management, patient screening as of February 8, in addition to more than 30000 confirmed patients and more than 20000 suspected patients, we have tracked 371900 close contacts and 188100 people still under medical observation There are still 21000 people in hospital, 123800 close contacts and 70400 people under medical observation in Hubei Province In the early stage, the understanding of virus transmission is limited, and the ability of reception is insufficient In order to effectively control the source of infection, from February 2, Wuhan began to centralize the treatment and isolation of "four categories of personnel", that is, to take corresponding measures for the confirmed patients (including patients with mild illness), suspected patients, fever patients who can not be excluded from infection, and close contacts, in addition to the treatment in designated hospitals and fangcang hospitals, or stay in the fever clinic, or be placed in hotels for isolation 。 A large number of medical observers and isolation personnel in the above data need to receive professional intervention However, due to the shortage of medical staff in Wuhan, medical teams from all over the country have come to support, and the overall offline medical resources are even more strained More and more patients are seeking help online Source: according to our survey in dingxiangyuan on February 9, the concentration of users is roughly the same as the severity of the epidemic Hubei has the most serious epidemic situation, the largest demand for online consultation, and a large number of users in Zhejiang, Hunan and other places After novel coronavirus pneumonia was introduced by doctors in spring, the number of patients in Wuhan and its surrounding areas increased more than 10 times before the outbreak The problems mainly included respiratory medicine, infectious diseases and psychology Novel coronavirus pneumonia is not widely diagnosed in the Internet It can not directly diagnose the new crown pneumonia, but can monitor and guide the health status of all kinds of isolation personnel During the dynamic tracking process, we can find suspected patients and guide the patients under the line In view of isolation, gooddoctor has opened free online care service for home isolation personnel and established a special medical team composed of clinicians and nurses from infection department, respiratory department, pediatrics department and internal medicine department of the top three hospitals Novel coronavirus self testing form is required to be filled daily by the medical team The guidance is provided according to the actual situation of the users until the isolation is finished The Medical Association also launched a home isolation service package, which users in Wuhan can get free of charge and get remote monitoring and scientific guidance from doctors If suspected patients are found in the process of consultation and guidance, some platforms have also established an epidemic reporting process On the doctor side of the free clinic platform, the micro doctor has launched a suspicious case reporting system, and the doctor can directly report to the local disease control department; the good doctor online is fed back to the platform by the doctor at the first time, and the platform immediately reports to the local disease control department; the micro pulse cooperates with the local medical teams to send an early warning to the local disease control center when finding suspected patients Although Internet medical service can not directly participate in the treatment of patients, but through the above services, it can effectively carry out dynamic management of isolation personnel, and carry out suspected patient screening, which means that early detection and early reporting of infectious diseases in the "four early" two links play a key role; it can also be used for offline fever outpatient shunt, to avoid cross infection in offline treatment The novel coronavirus pneumonia is two: timely dredging and relieving panic Besides other close contacts, observers and home quarantine personnel, other users are concerned about the new crown pneumonia We have compiled the novel coronavirus pneumonia problem through investigating the material of the enterprise Novel coronavirus pneumonia is the most widely consulted problem, sources: research enterprises, arterial network mapping research enterprises generally say that many users are only due to excessive tension for the general symptoms of the consultant, if the doctor found that users do have the necessary line inspection, will allow users to go to the hospital With regard to daily protection, although the government has issued guidelines for many times and various internet medical platforms have launched a large number of popular science, it still becomes a high-frequency problem, which also reflects the user's too nervous and eager to obtain information from multiple channels Wei Min, a respiratory physician at Shandong Chest Hospital, found that the public panic was serious, and even many users were confused about whether the body temperature was 36.5 degrees normal, which was certainly not a problem at ordinary times Many users worry about novel coronavirus pneumonia, but they are usually caused by eating too many dried fruits and fried foods during the Spring Festival Doctors only need to provide targeted life advice Miaozhou doctor also launched "7 * 24 hours fever free consultation" to provide users with consultation and consultation on fever, and make timely response 98% of the consultation response speed is within 3-5 minutes, and doctors are required to meet the latest program and guidelines of the National Health Commission At present, the number of skilled doctors has reached more than 30 million, with a maximum of 10000 visits per day There is also a phenomenon that can not be ignored Emotional and psychological problems are also one of the problems that users consult the most In addition, the psychological pressure of front-line medical staff is huge, so the use of the Internet for psychological intervention is also imminent At present, such platforms as expert doctors, JD health and micro medicine have opened psychological consultation services Good mood Internet hospital, a mental and mental health platform, also launched a mental health free clinic for the epidemic As for the psychological intervention in the epidemic situation and the Internet mental health industry, we will write a separate article for interpretation, and will not elaborate here In addition, during the epidemic, rumors kept coming and going, which led to the spread of panic Popular science and disinformation became just needed information for the public Dingxiangyuan uses its multiple new media channels and strict expert audit mechanism to produce popular science and anti rumor content In the anti rumor column of its platform "real-time epidemic dynamics" page, it reveals the truth in the form of simple graphics and text, which can generate posters with one click and improve the transmission rate According to Ding Xiangyuan's rumor ranking, 87 rumors have been refuted Perhaps it is novel coronavirus Park and the rumor of the content of the C side of the influence, and some people use PS fraud to make a Ding Xiang poster, spread the "Lilac doctor team: boy urine can prevent new coronavirus" rumors, Dingxiang garden had to immediately voice this rumor As of 19:00 on February 9, dingxiangyuan had seen 1.7 billion views of the "real-time epidemic situation" page due to its high content reliability and wide spread It can be seen that Internet health care can also solve public doubts and dredge public emotions in a timely manner through various ways, so as to avoid personal health and social problems caused by public psychology or emotions Novel coronavirus pneumonia is three: daily care is guaranteed Of course, the recent online consultation is not directly related to new crown pneumonia Novel coronavirus pneumonia is also the most common problem in our consultation: the common consultation problems outside the new crown pneumonia: Source: research enterprise, the arterial network mapping above, the slow disease consultation consultation is a regular inquiry, but only in special times, the patient is out of order, and the demand for online repurchase is greater It is understood that the majority of users of drug network 1 are chronic patients The Internet Hospital of drug network 1 not only provides free consultation for users in Hubei, but also provides free follow-up for patients with chronic diseases nationwide, relying on more than 200000 cooperative pharmacies offline to serve more patients 1 The drug network warehouse has also opened up a green channel for orders in Hubei, giving priority to sending orders in Hubei The Medical Union, which focuses on chronic disease management, has also launched corresponding services After the free follow-up of patients with liver disease, diabetes, AIDS, kidney disease, tumor, cardiovascular disease, respiratory asthma and children's ADHD, Parkinson's disease, osteoporosis, etc., tens of thousands of chronic disease drugs in the cloud pharmacy of Medical Union meet the needs of patients and are delivered by SF express In addition to the follow-up of chronic diseases, other problems are common at ordinary times, but due to the special social management methods in recent years, it is inconvenient to go to the hospital, or dare not to go to the hospital, plus more free time, so users pay more attention to these diseases Most of the common problems beyond the follow-up of chronic diseases can be solved through online consultation and drug purchase According to the statistics of skilled doctors, in addition to masks in the near future