Chen Zhu: China's medical informatization faces four major problems

Source: People's Network August 20, 2014 "at present, the informatization development of China's medical and health field is still in a relatively" backbone "stage, facing some outstanding problems." Recently, Chen Zhu, vice chairman of the Standing Committee of the National People's Congress, pointed out in a speech at the 2014 China France Health Forum Vice chairman Chen Zhu said that in the past six years, China's health informatization has made great progress At present, health information platforms have been established in 12 provinces, more than 100 cities and more than 550 counties More than 4000 hospitals above the second level use electronic medical records, and more than 800 hospitals have carried out telemedicine 15 provinces began to use residents' health cards By the end of 2013, the filing rate of standardized electronic files of urban and rural residents had reached 83.5% The direct reporting system of epidemic situation covered 100% of disease control institutions, hospitals above the county level, and 88% of township hospitals The Chinese government attaches great importance to the important role of information technology in the health industry, and takes the establishment of a practical and shared medical and health information system as a key pillar into the medical reform plan In the process of medical reform, the administrative department of health has formulated the overall framework of population health information "3631" Specifically, "3" refers to the information platform at the national, provincial, prefecture, city and county levels; "6" refers to six fields, including public health, medical services, family planning, medical security, drug supply security, and comprehensive management; the second "3" refers to three databases, namely, the database of electronic disease records, electronic health records and the whole population; "1" refers to an information network While affirming the achievements of informatization in China's medical and health field, he also pointed out the outstanding problems facing at present: "first of all, the understanding of the importance of informatization is still insufficient It is believed that informatization is just an auxiliary means of decision-making supervision service, or that informatization is to purchase some information equipment and equip several software systems, and mistake computerization for informatization Secondly, the investment in informatization is insufficient According to statistics, China's hospitals currently spend less than 5 ‰ of their revenue on information technology, while the U.S hospitals spend more than 3% of their revenue on information system Third, the participation in informatization is insufficient Although social capital has a vigorous enthusiasm for participating in health informatization at present, due to the problems of relevant systems and mechanisms, this enthusiasm can not be fully released and optimized as an industrial driving force At the same time, due to personal health privacy concerns and other reasons, the degree of social public participation needs to be improved Fourth, the application of information technology is insufficient Information medical services and products emerge in an endless stream, but a considerable number of products are blocked in application due to performance, price, policy and other reasons, so they are not popular " Therefore, he suggested: "first, government departments should take the lead in health informatization and lead relevant development with top-level design Second, medical and health institutions should further optimize the platform and use of information technology to strive for the optimal cost-effectiveness ratio Third, the medical industry and social capital should pay attention to the health information market and seize the development opportunity with innovative and revolutionary application products and services Fourth, every patient and the general public should accept the new things of health informatization with an open and inclusive mind and the spirit of advancing with the times " The China France health forum is sponsored by the Chinese Ministry of health and family planning and the Ministry of social affairs and health of France It is a direct extension of the "medium and long-term cooperation plan" signed by President Xi Jinping during the recent visit to France At the forum, 400 senior experts from China and France had in-depth exchanges and discussions on the four themes of "patient-centered hospital design and management", "elderly care and care for the elderly who have lost their ability to take care of themselves", "prevention and management of chronic diseases" and "prevention and treatment of new infectious diseases and recurrent infectious diseases".