The era of "smart hospital" is coming “Smart Healthcare †is derived from the “Smart Planet†concept proposed by IBM in 2008. It aims to use advanced Internet and information technology to improve disease prevention, diagnosis and research, and ultimately benefit all components of the medical ecosystem. In the ideal smart medical system, there is a regional medical information platform for residents' personal health records, and the use of the most advanced Internet of Things technology to achieve interaction between patients and medical personnel, medical institutions, and medical equipment . Smart healthcare consists of three parts: the smart hospital system, the regional health system, and family health. Traditional digital hospitals refer to the use of information technology such as computers and digital communication networks to digitally collect, store, read, copy, process, retrieve and transmit voice, images, text, data, graphics and other information. Digital medical equipment systems mainly include: Hospital Information System (HIS), Picture Archiving and Communication Systems (PACS) and Office Automation (OA). Its main features: paperless, no film, wireless network. Smart hospital is a new stage in the development of digital hospitals. It is based on the development of computer network technology, using computer, communication, multimedia, network and other information technologies to break through the time and space restrictions in traditional medical models to achieve disease prevention, health care, diagnosis and treatment, nursing and other services. Management and administration manage automated digital operations. Full digitalization in all medical processes, including On-Line Transaction Processing (OLTP), Hospital Information System (HIS), ClimcalInfoimation System (CIS), Internet System (Intranet/Internet) ), Tele medicine, intelligent building management system. Its characteristics: full network. The core concept of Wisdom Hospital is “patient-centeredâ€, using various information methods to facilitate patients to seek medical treatment, simplify the medical treatment process, reduce the cost of medical treatment, and finally achieve self-medication for patients. In every work link of the smart hospital, it should be based on information technology as much as possible, and the management system and hospital culture should also be digitally integrated with the hardware foundation to realize the organic combination of hardware and software. The biggest feature of smart hospitals is the ability to actively sense and intelligently control the medical staff and patients. China's smart hospital development is getting better At the beginning of the 21st century, some hospitals with a high degree of informatization in China have carried out attempts to build smart hospitals on the basis of the original digital hospitals. With the maturity of information technology and the deep-rooted concept of “smart planet†and “smart medicineâ€, the central government and some local governments have also proposed design plans and implementation plans for smart medical care. The state has issued relevant documents on the implementation of smarter planets, provided macro guidance for the implementation of smart medical care, advocated the flexible use of information technology to implement the “new medical reform†policy, and implemented synergy and integration in the entire process of medical services to establish efficient and transparent A smart medical system accessible to Huimin to solve the problems faced by the medical industry . At the beginning of December 2012, the Ministry of Housing and Urban-Rural Development (hereinafter referred to as the Ministry of Housing and Urban-Rural Development) officially issued a notice on the pilot work of the national smart city, and issued the “Interim Administrative Measures for the National Smart City Pilot†and the “National Smart City (District) , town) pilot indicator system "two documents. On January 29, 2013, the Ministry of Housing and Urban-Rural Development announced the first batch of 90 smart city pilot lists in China. At the same time, some cities have put forward the construction concept and implementation plan of smart medical care, which provides practical opportunities for the abstract concept of smart medical care, accumulates the experience of implementation, and promotes the application of intelligent medical information system in China's medical industry. development of. In October 2013, the State Council issued the “Several Opinions on Promoting the Development of Health Service Industry†(Guo Fa 201340), pointing out that “the gradual expansion of digital medical equipment deployment, exploration and development of portable health data collection equipment, integration with the Internet of Things and mobile Internet, Improve the automation and intelligent health information service platform.†It laid a policy foundation for the development of smart hospitals. In 2014, the National Health and Family Planning Commission proposed the “Top Project Design Plan for National Health and Family Planning Resources Integration – “4631-2 Projectâ€. Try to establish an electronic health record database, an electronic medical record database and a database of all the population cases, and create a comprehensive and three-dimensional national health and family planning resource system. In the project, “4†represents the level 4 health information platform, namely: national population health management platform, provincial population health information platform, prefecture-level population health regional information platform and district and county-level population health regional information platform; 6†represents 6 business applications: public health, medical services, medical security, drug management, family planning, and integrated management; “3†represents three basic databases: electronic health record database, electronic medical record database, and The database of all members of the population; "1" represents a converged network, that is, a population health unified network; the last "2" is the population health information standard system and information security protection system. Relying on the integrated public health information system, the primary health care management information system and the medical health public service system of the Chinese and Western medicine to create a comprehensive and three-dimensional national health plan family resource system. In 2014, the National Health and Family Planning Commission requested the documents of the National Development and Reform Commission's “Guiding Opinions on the Healthy Development of Smart Citiesâ€. The Planning and Information Department of the National Health and Family Planning Commission and the Medical Management Service Guidance Center set up a smart medical project team to investigate the development status of smart medical care and look forward to the development of hospital smart applications in the next three to five years. After many project groups and expert meeting discussions, the overall framework of the intelligent hospital evaluation index system and the intelligent hospital evaluation index were formulated, and the wisdom construction and application level of the hospital were evaluated mainly from three aspects: capacity building, application management and effectiveness evaluation. In 2015, the first batch of 12 pilot hospitals in China were announced in November, namely, China-Japan Friendship Hospital, Peking University Third Hospital, First Affiliated Hospital of Zhejiang University, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, and Fudan University. Zhongshan Hospital, Zhejiang People's Hospital, First Affiliated Hospital of Wenzhou Medical University, Second Hospital of Hebei Medical University, Inner Mongolia Autonomous Region People's Hospital, Jiangxi Children's Hospital, Harbin First Hospital, Shenzhen Nanshan District People's Hospital (referred to as “Nanshan Hospital†"). Among them, Nanshan Hospital is the only district-level hospital selected. Smart hospital solves patient pain points Based on the original digital hospital, Smart Hospital passes the Hospital Information System (HIS), the Laboratory Information Management System (LIS), the Medical Imaging Information Storage System (PACS) and transmission system, and the doctor workstation. Partial information integration, the collection, storage, processing, extraction and data exchange of patient medical treatment information and administrative management information. At the same time, innovative use of modern intelligent mobile terminals as an entry point, allowing patients to participate more in the process of diagnosis and treatment, to achieve a "one-stop" service from pre-diagnosis to post-diagnosis. In traditional hospitals, the most common complaints of patients are often: “three long†means long waiting time for registration, long time for inspection report, and long time for payment. In the smart hospital system, the "three long" problem has been fundamentally alleviated.
For the treatment
of diseases of the digestive system:
Many symptoms can
signal problems with the GI tract, including: abdominal pain, blood in the
stool, bloating, constipation, diarrhea, heartburn, incontinence, nausea and
vomiting and difficulty swallowing, according to the NIH.
Among the most
widely known diseases of the digestive system is colon cancer. According to the
Centers for Disease Control (CDC), 51,783 Americans died from colon cancer in
2011 (the most recent year for available data). Excluding skin cancers, colon
and rectal cancer, or colorectal cancer, is the third most common cancer
diagnosed in both men and women in the United States, according to the American
Cancer Society.
Polyp growth and
irregular cells, which may or may not be cancerous, are the most common
development paths for colorectal cancers (also referred to as CRC), and can be
detected during a routine colonoscopy, according to Dr. John Marks, a
gastroenterologist affiliated with the Main Line Health health care system.
[The best news is that, if caught early
enough, they can also be removed during the colonoscopy - eliminating the
possibility that they grow further and become cancer," Marks said.
For those patients
whose cancer has already spread, there are various minimally invasive surgical
options that have extremely good prognoses. It is recommended that asymptomatic
patients without a family history begin getting tested regularly between the
ages 45 and 50, according to Marks. [Symptoms which may suggest that you need a
colonoscopy at an earlier age include rectal bleeding and stool/bowel habit
changes which last for more than a few days."
While CRC gets a
great deal of attention, many diseases and conditions of the digestive system -
including irritable bowel syndrome, diverticulitis, GERD (acid reflux) and
Crohn`s disease - can be chronic and are difficult to diagnose and treat,
according to Dr. Larry Good, a gastroenterologist affiliated with South Nassau
Communities Hospital. [With many of these diseases, blood work and colonoscopies
all looks normal, so there is an absence of red flags."
Many of the
diseases of the digestive system are tied to the foods we eat, and a number of
sufferers can reduce their symptoms by restricting their diets, Good said. [Of
course no one wants to hear that they can`t eat certain foods, but many times,
eliminating acidic things from the diet, such as tomatoes, onions, and red
wine, can have an impact," Good said.
There are a number
of tests to detect digestive tract ailments. A colonoscopy is the examination
of the inside of the colon using a long, flexible, fiber-optic viewing
instrument called a colonoscope, according the American Gastroenterological
Association. Other testing procedures include upper GI endoscopy, capsule
endoscopy, endoscopic retrograde cholangiopancreatography and endoscopic
ultrasound.
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