物聯(lián)網(wǎng)連鎖醫(yī)療（IOTCS）宣傳片解說詞—中英

“物聯(lián)網(wǎng)連鎖醫(yī)療（IOTCS）”視頻的解說 IOTCS video Description

和全世界一樣，中國也為看病難看病貴問題困繞，民生幸福與經(jīng)濟(jì)效率常常難以兩全；但中國人用他們的方法，講述醫(yī)療改革的故事。Like other counties in the world, China is obsessed by the problem of hard and expensive to see a doctor, and it is usually really hard to satisfy both people’s livelihood and efficiency. However, Chinese tell the healthcare reform story in their way.

片名：

Title:

中國西部醫(yī)改的一段故事

A Story on Healthcare Reform in Western China

物聯(lián)網(wǎng)連鎖醫(yī)療服務(wù)

IOT CLINIC SYSTEM

1、醫(yī)療之痛 Suffering of Healthcare

中國存在的城鄉(xiāng)差距，讓中國政府決心要實(shí)現(xiàn)醫(yī)療服務(wù)均等化。但最稀缺的醫(yī)生資源，像其他資源一樣，自然聚集在大城市；醫(yī)生又不能像過去那樣，靠行政命令配置到基層。中國政府又不能像西方那樣，用培養(yǎng)全科醫(yī)生來解決基層醫(yī)療服務(wù)問題。但是，全科醫(yī)生培養(yǎng)非一日之功；而且，在城鄉(xiāng)差距存在的背景下，當(dāng)人有了全科醫(yī)生人力資本后，又未必留在基層和鄉(xiāng)下。政府愿景遭遇嚴(yán)重挑戰(zhàn)

The remained disparity between urban and rural areas makes Chinese government determined to realize healthcare service equalization. But the scarcest resource of doctor is concentrated in big cities naturally just like other resources. Government can not allocate doctors to grassroots area by politic force like before any more. Chinese government can not follow Western counties to solve problem of primary healthcare service by training general practitioner neither. Since training and cultivation can not achieve in several days. Moreover, with the background of disparity between urban and rural areas, when one could master the skill of general practitioner, nobody can guarantee he would choose to stay in rural and primer place. So, the government’s will about healthcare services equalization encounters a serious challenge.

醫(yī)保資源錯(cuò)配，形成醫(yī)療資源制度性短缺，也逐漸形成道德和財(cái)政黑洞。中國基層醫(yī)療機(jī)構(gòu)多為的私人診所，由于監(jiān)管成本無窮大，醫(yī)保資源主要配置到國有醫(yī)院。醫(yī)保制度安排，是醫(yī)療市場(chǎng)最重要的價(jià)格制度，它引導(dǎo)和決定了人們的選擇。于是，無論大病小病，人們都涌向城市，涌向醫(yī)院，形成中國每座城市的每個(gè)醫(yī)院都擁擠如超市，四川華西醫(yī)院創(chuàng)造了日均門診量一萬五千人之多的世界記錄。今年4月，在中國三個(gè)城市，一月就有3個(gè)醫(yī)生被患者殺死，反映了醫(yī)患供求緊張的極端情形。醫(yī)保資源錯(cuò)配，在醫(yī)療資源制度性短缺的同時(shí)，還誘發(fā)嚴(yán)重的道德風(fēng)險(xiǎn)。由于住院報(bào)銷比例較高，誘導(dǎo)人們住院；過度治療和偽造病歷已經(jīng)制度化，許多病床已經(jīng)不是治療的場(chǎng)所，而是醫(yī)患之間大擺免費(fèi)午餐的地方。這種情形已成為國情，既無民生，也無效率。

The misallocation of health insurance resource produces the healthcare resources institutional shortages and black holes of moral and finance gradually as well. Primary healthcare institutes in China are mainly private clinics. For the cost of supervising those clinics is very high, the insurance resources mainly allocate in hospitals. Medical insurance institutional arrangement is the most important price system in healthcare market. It leads and determines people’s choices; and causes one phenomenon that no matter a patient’s illness is serious or minor, he’ll go to city and the hospitals. As a result, every hospital in every city of China is as crowed as a supermarket. West China Hospital has created a world record for its large daily outpatient volume which is about 15 thousand. This April, totally 3 doctors were killed by patients. This kind of criminals reflects the tension and extreme relationship between patients’ needs and the supplements of doctors. The misallocation of medical insurance leads the institutional shortage of healthcare resource. This shortage firstly causes moral risk. Since the percentage of reimbursement is higher for inpatient, so patients will try their best to be hospitalized for the higher reimbursement. Overtreatment and producing fake health records have been institutionalized. The beds in hospital are no longer a place for treating and curing but to have free lunch for both doctors and patients. This situation has leveled to a national condition which has neither livelihood nor efficiency.

2、用新的方式滿足需求 Use a New Method to Make Needs Meet.

兩年前，在各級(jí)領(lǐng)導(dǎo)支持下，在中國西部、在中國人口最多的一個(gè)省——四川，開始嘗試用一種新的方式，滿足醫(yī)療需求（習(xí)主席與省市領(lǐng)導(dǎo)在雙流南新村試點(diǎn)照片、省市衛(wèi)生部門試點(diǎn)文件、省市領(lǐng)導(dǎo)和省市衛(wèi)生部門、醫(yī)保、藥監(jiān)領(lǐng)導(dǎo)到研究院照片）。

With the help of leaderships at all levels, a new method which is used to satisfy healthcare needs had been implementing in Chinese most populous province ---- Sichuan from Western China. (Pictures are about Chairman Xi and provincial and municipal leaders inspecting Site in Shuangliu Nanxin village. The documents issued by provincial and municipal health departments to confer CITTI the right to carry out this trial. Pictures are about leaders from provincial and municipal health departments, healthcare insurance departments and drug administrations visiting CITTI). 

新的方式是首先在城鄉(xiāng)群眾身邊，設(shè)立一連串投資遠(yuǎn)遠(yuǎn)小于醫(yī)院的信息化程度較高的專科診所，將通常在醫(yī)院的有資歷和執(zhí)業(yè)證書的專科醫(yī)生，用市場(chǎng)化方式分離到診所；然后，集成遠(yuǎn)程協(xié)同通訊技術(shù)、IT技術(shù)、現(xiàn)代檢測(cè)技術(shù)，將一家家?？圃\所連鎖起來；不同地點(diǎn)的?？漆t(yī)生在線相互協(xié)同，構(gòu)成物聯(lián)網(wǎng)連鎖綜合醫(yī)療服務(wù)。 We call it IOTCS.（IOTCS）。也就是說，在物聯(lián)網(wǎng)連鎖診所的任何一家診所，都能為附近患者提供在線綜合醫(yī)療服務(wù)；而在此之前，只有醫(yī)院才能提供這種醫(yī)療服務(wù)。5月25日，世界第一家物聯(lián)網(wǎng)連鎖診所已在成都開始運(yùn)營。

物聯(lián)網(wǎng)連鎖醫(yī)療（IOTCS）在城市聚集起來的專科醫(yī)生們，不僅通過通訊協(xié)同技術(shù)為每一個(gè)診所的患者提供綜合性醫(yī)療服務(wù)，還可為遙遠(yuǎn)的農(nóng)村衛(wèi)生室提供在線服務(wù)，較好實(shí)現(xiàn)城鄉(xiāng)醫(yī)療服務(wù)均等化；雙流縣準(zhǔn)備用一年時(shí)間，為全縣200多個(gè)村衛(wèi)生室提供這種服務(wù)。聚集在城市的醫(yī)生，也可不再被行政方式組織起來，下鄉(xiāng)搞慈善和宣傳性行醫(yī)；他們?cè)诔抢镌\所、或自己家里就可以為患者提供醫(yī)療服務(wù)。

物聯(lián)網(wǎng)連鎖醫(yī)療還在雙流自主研發(fā)了健康艙、家庭醫(yī)生平板電腦；這兩個(gè)全新的醫(yī)療終端，讓醫(yī)生行醫(yī)和患者看病都更加便利。健康艙目前已獲得國家3項(xiàng)專利發(fā)明權(quán)，家庭醫(yī)生平板電腦已申請(qǐng)國家專利。群眾利用這兩個(gè)終端，可以在家附近和家里，選擇連鎖診所在線的任何一位醫(yī)生，享受視頻健康衛(wèi)生咨詢服務(wù)；預(yù)約醫(yī)生上門診療和送藥服務(wù)；享受接送和急救服務(wù)，以及健康監(jiān)護(hù)管理服務(wù)（使用者需佩戴體征監(jiān)護(hù)儀）。

Introduction of the new method：Firstly, some clinics with lower spending than hospital and highly informationized will be built near residential communities as people’s neighborhood. We adopt market methods to separate specialized doctors with qualifications, experiences and practicing certifications from centralized hospitals to clinics. Secondly, those clinics will be chained together by remote collaborative communication technologies, IT technologies as well as modern testing technologies. IOT comprehensive healthcare service chain, we call it IOTCS, will be formed by the online doctors’ coordination using innovative technology. In another words, every clinic of IOT chain clinic can provide online general healthcare service to patients near by. Before the existing of our model, only can hospital provide such general and comprehensive healthcare service. On May 25^th, the first clinic with online general healthcare service opened.

The specialized doctors gathered by IOTCS in the city can not only provide comprehensive healthcare service to patients in every clinic using communication coordination system, but also support remote village clinic with online services and equalize healthcare service better, to achieve the goal which government encourages on equalizing healthcare. Shuangliu plans to supply this kind of healthcare service to about 200 village clinics in this county after one year’s devoted working. Doctors centralized in cities will not be organized under politic force to go to rural places to practice medicine and do charity or publicity activities any more. They can easily provide healthcare service to patients in downtown clinics or at their own homes.

IOTCS also developed Health Capsule and Family Doctor Pad on its own. These two brand new healthcare terminals not only make doctors feel easier to provide healthcare services to patients, but also make patients feel more convenient to enjoy healthcare services. Health Capsule has owned 3 State invention patents, and Family Doctor Pad has applied for the State patent. Since the existing of these 2 terminals, people can choose any online doctor from Chain Clinic at home or near by. They can get healthcare consultation service via video, make an appointment with a doctor and get a healthcare visit or medicine delivery service, the shuttle and emergency services as well as healthcare monitoring management service (users need to wear vital sign monitoring devices).   

物聯(lián)網(wǎng)連鎖醫(yī)療，正嘗試重新構(gòu)造基層醫(yī)療組織，促進(jìn)目前的醫(yī)院集中式治療向分布式醫(yī)療轉(zhuǎn)換，以此來提高醫(yī)療保險(xiǎn)基金資源的使用效率。美國明尼蘇達(dá)州醫(yī)院原來有2000多張病床，現(xiàn)在只有200張，患者都分布在基層診所和全科家庭醫(yī)生那里去了。丹麥全國原來有271家醫(yī)院，目前下降到只有23家，由于基層診所和家庭醫(yī)生的興起，住院率比原來下降到60%。這是一個(gè)驚人的效率。據(jù)了解的情況，四川全省如果住院下降一個(gè)百分點(diǎn)，醫(yī)保支出就減少一個(gè)億；而根據(jù)推算，成都降低住院率一個(gè)百分點(diǎn)，醫(yī)保支出減少大約一千萬左右。

IOTCS is trying to restructure primary healthcare organization to improve the transition of centralized treatment in hospital to distributed healthcare. In this way, the service efficiency of healthcare insurance fund resource could be developed greatly. Minnesota State Hospital in US had 2000 beds original, while the number reduced to 200. The reason for this kind of change owes to patients’ been distributed to primary clinic and general family doctor. The number of hospitals in Denmark was 271 original, and it has decreased to 23. For the rising of primary clinics and family doctors, the ratio of inpatient has declined to 60%. How efficient it is! As far as I know, if the hospitalization rate decreased by 1%, healthcare spending will be dropped by 100 million RMB. According to the calculation, when the hospitalization rate in Chengdu decreased by 1%, the healthcare spending will be lessened about 10 million.

物聯(lián)網(wǎng)連鎖醫(yī)療，還嘗試了將醫(yī)療保險(xiǎn)分離到診所，因?yàn)檫B鎖診所采用的就診記錄、電子病歷、電子處方、遠(yuǎn)程通訊等電子信息技術(shù)；衛(wèi)生部門、醫(yī)保部門很容易與之建立連接，便于獲取監(jiān)管信息，從而大大提高政府和醫(yī)保基金的管理效率，讓眾多診所變得易于監(jiān)管，套保騙保易于防范，從而為重新塑造基層醫(yī)療機(jī)構(gòu)提供醫(yī)保制度支持。

IOTCS is also trying to separate the healthcare insurance to clinic. Since the character of IOT Chain Clinic’s online service is very special, treatment records, EMR, electronic prescription and remote communication are all natural information technologies. So health departments, medical insurance departments are very easy to build a connection with them together. Information monitoring will be easier to obtain. The government’s management efficient towards medical insurance fund will be developed. To manage such numerous clinic, to keep watch of patients’ fraud for insurance become easier. And then this separation will become an institutional support to primary healthcare organizations.

另外嘗試的一個(gè)分離，是通過建立第三方藥品配送實(shí)現(xiàn)醫(yī)藥分離。物聯(lián)網(wǎng)連鎖醫(yī)療利用診所集群的規(guī)模優(yōu)勢(shì)，直接與藥品制造廠家建立購銷關(guān)系，消除藥品流通環(huán)節(jié)的丑陋和過高的流通費(fèi)用，讓人們消費(fèi)到最質(zhì)優(yōu)價(jià)廉的藥品和配送服務(wù)。

Another separation of our trial is that, IOTCS will realize the separation of medical and medicine by establishing the 3^rd party pharmacy delivery. We’ll build purchase and sale relationship with medicine manufacturers directly with our advantage of big sized and centralized clinic group. The medicine intermediate links and high circulation costs during the medicine circulation will be vanished. Chengdu citizens will enjoy the best quality with best price of medication and delivery services.

3、物聯(lián)網(wǎng)連鎖醫(yī)療為世界醫(yī)療貢獻(xiàn)中國經(jīng)驗(yàn)

IOTCS Presents Global Healthcare Chinese Experience

物聯(lián)網(wǎng)連鎖醫(yī)療的故事，正在國內(nèi)外廣泛流傳。2011年中央電視臺(tái)長篇報(bào)道了雙流的故事（央視視頻）；被譽(yù)為世界最好醫(yī)院——美國梅奧診所集團(tuán)，它的個(gè)性化醫(yī)療總裁、美國防癌治癌之父弗蘭克說，要和物聯(lián)網(wǎng)連鎖醫(yī)療一起奮斗，給世界留下一份有分量的遺產(chǎn)； 美國臨床化學(xué)之父蓋倫訪問成都后表示，要把他40年在實(shí)驗(yàn)室研究的技術(shù)用在物聯(lián)網(wǎng)連鎖醫(yī)療的探索和實(shí)踐上；  3M執(zhí)行總裁說，物聯(lián)網(wǎng)連鎖醫(yī)療故事，是他見到聽聞的最好的醫(yī)療服務(wù)模式，他們?cè)谌A的10000多名員工是這個(gè)實(shí)踐的強(qiáng)大后盾；美國醫(yī)療信息技術(shù)標(biāo)準(zhǔn)委員會(huì)主席會(huì)見雙流代表，說這是個(gè)聰明的主意，他已聯(lián)系哈弗醫(yī)學(xué)院著名的“4人小組”給予跟蹤幫助； IBM首席醫(yī)療智囊、以患者為中心組織（PCPCC）主席博士，不僅向他上千家會(huì)員機(jī)構(gòu)推薦了物聯(lián)網(wǎng)連鎖醫(yī)療模式，6月19日還在美國白宮召開的醫(yī)療健康信息技術(shù)討論會(huì)上，向奧巴馬總統(tǒng)介紹了這個(gè)故事，并建議作為中美醫(yī)療合作項(xiàng)目；澳大利亞衛(wèi)生部官員聽聞保羅博士介紹后表示，澳大利亞正考慮以亞太國家身份參與合作，說雙流故事體現(xiàn)了超級(jí)綜合診所思想。世界銀行首席經(jīng)濟(jì)學(xué)家、副行長林毅夫博士在華盛頓會(huì)見了雙流代表，并幫助聯(lián)系世行中國局，要求他們?yōu)檫@個(gè)模式給予幫助支持。

The story of IOTCS is spreading widely at home and abroad. CCTV once reported this Shuangliu Story in a long edition in 2011(CCTV video clips). Professor of Pharmacology and Biochemistry/Molecular Biology Franklyn, also the Individual Medical Chief in the best hospital in the world----American Mayo Clinic Group, said he wanted to fight with IOTCS together to leave the world an important heritage. After visiting Chengdu, the Father of Chemistry, Doctor Galen indicated that he was willing to devote the technologies gained from his 40-year laboratory experiment to IOTCS’s exploring and practicing. 3M CEO said the story of IOTCS is the best healthcare service model he ever heard. Their 10 thousand employees in China would like to be the powerful supporters for this medical practice. He also said that have Associated Chairman of America Medical Information Technology Committee met Shuangliu delegates is a very wise idea. He has communicated famous “4 people group” from Harvard University Medical College to follow the tracks of it. IBM Chief Brain Truster, President of PCPCC Doctor Paul has recommended IOTCS model to its over one thousand membership institutes. June 19th, Paul introduced IOTCS story to President Obama at the Health Information Technology Seminar in White House. Meanwhile, Paul suggested that make this project a Sino-US healthcare cooperation item. The officer from Australian Health Ministry is considering how to take part in this cooperation as an Asia Pacific country on hearing Paul’s introduction. This officer also said Shuangliu Story shown thoughts of a super comprehensive clinic. The Chief Economist , Vice President of World Bank Doctor, Justin Yifu Lin met Shuangliu delegates in Washington. He also gave help to connection World Bank China with Shuangliu delegates, and World Bank China was required to support this model.

4、物聯(lián)網(wǎng)連鎖醫(yī)療的未來不是夢(mèng)

Promising Future of IOTCS

四川，正以雙流物聯(lián)網(wǎng)連鎖醫(yī)療服務(wù)為模式，展開跨國合作，建設(shè)全球在線醫(yī)療服務(wù)中心，世界第一片醫(yī)療云；它們是由連鎖診所群、健康艙群、眾多手持平板電腦、基層衛(wèi)生站所為終端，以大數(shù)據(jù)分析和云計(jì)算技術(shù)為后臺(tái)；其間渾然一體聯(lián)系，由物聯(lián)網(wǎng)連鎖醫(yī)療、笫三方藥品配送、醫(yī)療影像智能分析、基因測(cè)序預(yù)防疾病、醫(yī)保笫三方支付與防欺詐等等可在線提供的創(chuàng)新服務(wù)來實(shí)現(xiàn)。其中的每一項(xiàng)服務(wù)，分別與有比較優(yōu)勢(shì)的跨國公司合作。四川出售的將是無人可競(jìng)爭的大智慧醫(yī)療系統(tǒng)。阿里巴巴在線購物，吸引的更多是年輕人，但目前年收入超過了上海市的GDP；物聯(lián)網(wǎng)連鎖醫(yī)療針對(duì)的是所有人群的健康需求，這個(gè)產(chǎn)業(yè)發(fā)展起來，必然是一個(gè)巨無霸產(chǎn)業(yè)。

Sichuan is developing cooperation with multinational companies on model of Shuangliu IOTCS and trying to build a global online general healthcare service center as well as the world’s first healthcare cloud. They will have terminals supporters such as group of clinics and health capsules, numbers of tablet PCs and village clinics, and background supporters as big data analyzing and cloud calculating technologies. The supporters above will coordinate together as an integrated mass. The operation of such whole system will be realized by IOTCS, the 3^rd party pharmacy delivery, medical image intelligent analyzing, disease preventing by gene sequencing, 3^rd party paid and anti-fraud healthcare insurance and some other online supplying innovative services. Any service mentioned will cooperate with multinational company acquiring more comparative advantages. Sichuan will provide a large intelligent medical system that no one can compete with. Alibaba is an online shopping model which attracts young people more. Its annual income is greater than the GDP of Shanghai. The online general healthcare service aims at all walks of life’s needs. When it grows up, it will become a ‘big MAC’ industry.

物聯(lián)網(wǎng)連鎖醫(yī)療的故事，在為世界貢獻(xiàn)中國醫(yī)改經(jīng)驗(yàn)和全新的基層醫(yī)療組織的同時(shí)，還將為世界貢獻(xiàn)一個(gè)＂醫(yī)療班加羅爾＂。

IOTCS Story will contribute the world a Bangalore of healthcare, while it’s contributing experiment of Chinese health reform to the world.

2012、6、13