Zhang Xuegao: How to “informate” hospitals in the era of big data

From the steam age, the electrical age to the information age of today, the pace of human exploration of technology has never stopped.

Today, the “gold mine” of big data is attracting widespread attention, especially in the field of medical and health, big data mining is becoming the key to people's future medical care. Zhang Xuegao, director of the Statistical Information Center of the National Health and Wellness Committee, believes that “the hospital informationization construction of most tertiary hospitals is currently in the data-oriented stage and is moving from data-oriented to intelligent-oriented.”

Witness: Medical informatization plays a supporting role for the reform and development of public hospitals

In order to effectively alleviate the burden of medical expenses for residents and effectively alleviate the current situation of “difficult to see a doctor and expensive to see a doctor”, the reform of public hospitals has continued to advance. Up to now, all types of public hospitals at all levels have comprehensively pushed forward comprehensive reforms, and initially established a management mechanism and governance mechanism for mutual coordination, mutual checks and balances, and mutual promotion of “decision-making, implementation, and supervision”. Informatization plays an important role in this process.

The "Nineteenth National Congress" clearly stated that to promote the deep integration of the Internet, big data, artificial intelligence and the real economy, medical informationization has ushered in an important period of rapid development. At present, informatization construction has been improving the health care service process, improving service efficiency and service quality, ensuring patient safety, improving the quality management ability of medical institutions, improving the scientific management and decision-making level of the health administrative department (strengthening administrative management), It is convenient for the masses to see a doctor for medical treatment and improve service convenience.

Looking back over the past 30 years, hospital informationization has been moving forward in the process of “cost-oriented-application-oriented-data-oriented-intelligent orientation”. “Today, the hospital informationization construction of most tertiary hospitals is in the data-oriented stage, and is moving from data-oriented to intelligent-oriented stage.” Zhang Xuegao believes that, unlike the application-oriented free growth, the hospital in the data-oriented era Informatization is inseparable from the scientific top-level design and rigorous standard system, so as to ensure the effective collection, analysis and utilization of data resources. Up to now, the Health and Welfare Committee has established 283 information standards and officially released 224 items, laying a good foundation for hospital information construction and medical data utilization.

Thinking: constantly trying to make mistakes, constantly correcting mistakes, medical informationization faces new challenges

In the context of China's new medical reform, medical big data has received much attention because of its great value. At the same time, there are many challenges in releasing the value of medical big data. Zhang Xuegao said that the barriers in the medical industry are high. Therefore, the personalization of medical big data is also very strong. The construction of medical informatization must formulate development plans and practice them in combination with medical characteristics. Therefore, continuous trials and constant revisions are the norm in the process of medical information construction.

With more medical big data services, medical informatization is facing new challenges:

Talent team can't meet development needs

At present, the medical information construction team generally has problems of insufficient quantity and low quality. The lack of leading talents, the shortage of compound talents, and the low proportion of senior professional titles are all important reasons for the talent team not meeting the development needs.

Data quality is not high, standard execution lags

The quality of medical data is generally not high and the guarantee mechanism of data quality is lacking. In addition, the implementation and application of existing standards are lagging behind, and the data standards are not perfect. This is another challenge faced in the current information construction process.

Lack of stable funding mechanism

At present, the funds for hospital information construction mainly come from three aspects: hospital self-raising, government investment and commercial investment. More than 80% of the informationization investment comes from the self-raised by the hospital, and the government's investment in the region, development status, financial status and other aspects of the image, fluctuations, resulting in a lack of stability mechanism for the investment in information construction.

Information security protection system needs to be improved

With the development of medical informatization, medical data has shown increasing value. Therefore, many lawless elements have begun to target medical data. As far as the current situation is concerned, the data security system of medical institutions is still not perfect, and the privacy structure of patients still poses a great threat.

Outlook: To move toward intelligence, take more measures and plan next

Intelligentization is an inevitable trend in the development of the health care industry. Zhang Xuegao believes: "The development of the intelligent medical industry must be top-down and top-down design, and promote the development of information technology in a down-to-earth manner. It is necessary not only to give full play to the resource advantages and technological advantages of hospitals and enterprises, but also to Jointly organize various departments, unit associations, institutions and other related institutions to jointly promote the development of informatization construction."

For the next key work of informatization construction, Zhang Xuegao emphasized the following points:

1. Promote hospital integrated information platform construction and system integration

2. Promote the construction of medical complexes based on the national health information platform

3. Strengthen information communication and data reporting

4. Actively promote standard application: interconnection and maturity standardization maturity evaluation

5. Breaking the difficulty of artificial intelligence in the development of medical health applications

6. Strengthening the construction of network information security system

“Data is a resource that is more and more abundant and more optimized.” Zhang Xuegao pointed out: “In the upsurge of information construction, our minds as constructors should be calm, active, and operationally reasonable. Experience, strengthen the combination of government, industry, research and research, and work together to make information construction work better and better."

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