Internet initiative gives patients net profit
China’s hospitals are increasingly turning to online technology to provide better services, as Wang Xiaodong reports.
Like many patients, Huang Li (not her real name) used to get up early and wait in line for two hours or even longer at big hospitals to see a senior doctor.
But recently she discovered a better alternative, one that allows her to sit in front of her home computer chatting with a doctor from the hospital via a video link and paying her bills online. A day later, the drugs prescribed by the doctor are delivered to her home.
Huang, a resident of Hangzhou, Zhejiang province, who has chest pains related to heart disease, had her first online diagnosis on Dec 10 with a doctor from the Second Affiliated Hospital of Zhejiang University’s School ofMedicine.
“Her condition is stable and she can continue to take the same medicines as before,” saidWang Jian’an, a doctor specializing in cardiac disease at the hospital, after checking the test results that Huang scanned and uploaded. Wang had previously diagnosed Huang and prescribed drugs for her in person.
“It used to take about half a day for me to go to the hospital and finish seeing a doctor,” Huang said. “Now I can just sit at home and finish the entire process in just a few minutes.”
According to the Zhejiang Provincial Health and Family Planning Commission, the 59-year-old was one of the first patients to use online medical services after the Wuzhen Internet Hospital, China’s first Internet hospital, opened on Dec 7.
Clinical services have increased rapidly since the WIH, based in Wuzhen, Zhejiang province, opened, according to Zhang Guimin, amarketing director for theWe Doctor Group, which operates the hospital.
By late January, the WIH had linked with more than 1,900 hospitals— including the Second Affiliated Hospital at Zhejiang University’s School of Medicine — across China which provide more than 4,400 online diagnoses on average every day, Zhang said.
At the brick-and-mortar Wuzhen Hospital, dozens of doctors from different hospitals provide remote consultations and diagnoses on the Internet. But its major function is that it acts as a platform that links doctors and patients across China via the Internet, so registered patients and doctors from across the country can communicate directly online, Zhang said.
“We are planning to work with local health authorities so a similar Internet hospital can be set up in every provincial area of China to help patients undertake all the work it is possible to conduct online,” Zhang said.
Encouraged byChina’s top leadership, Internet-related technologies have rapidly been utilized to boost the development of various sectors, including health, in recent years. Hospitals have also welcomed these technologies, aiming to improving services for patients. Intensifying the merger of health services and Internet technologies has become a popular trend, according to officials and analysts.
“The Internet is becoming more involved in medical services and the integration of the Internet and medical care services offers great potential,” said Song Shuli, spokeswoman of the National Health and Family Planning Commission, China’s top health authority.
“The use of new technologies can help us to improve management and services. We will continue to expand and improve services and promote ‘remote’ and ‘mobile’ medical care.”
According to a report released by the China Internet Development Foundation in January, mobile Internet technology was widely adopted in medical care services in major cities in China last year, helping residents to access services such as clinical registration, pay medical bills, check medical reports and interact with doctors online.
Last year, nearly 400 hospitals connected with Alipay, a popular online payment platform, according to the report. The hospitals have provided more than 50 million online services, such as making appointments and paying for clinical registration, since the project was established in May 2014. The move has reduced the time patients need to see a doctor, the report said.
Before the WIH was set up, several other hospitals, including Guangdong No 2 Provincial People’s Hospital, had already started offering partial online services. But unlike the WIH, the other hospitals usually provide online services individually and are not linked with other establishments in a network.
For years more big hospitals, mostly in larger cities such as Beijing and Shanghai, have been offering services, such as staff training and technical guidance, to smaller hospitals in less-developed regions. For example, the China-Japan Friendship Hospital in Beijing has been offering such online services since 1998 to grassroots hospitals in the west of the country, according to the hospital.
In January, an online hospital, jointly established by Wuhan CentralHospital, inWuhan, Hubei province, and AliHealth— which has the e-commerce giant Alibaba as its majority shareholder — opened for service, according to a report in Economic Information Daily. Doctors from Wuhan Central Hospital conduct online video diagnoses and provide electronic prescriptions whereby the drugs will be delivered to patients, the report said.
More online hospitals, mainly aimed at patients living in remote villages inHubei, maybe built by the company in the future, the report said.
WIHshares online resources with guahao.com, a popular Internet service that allows patients to register and consult doctors online and is also operated by the We Doctor Group. This means the number of registered patients and doctors for the Internet hospital could reach more than 110 million, said Zhang, from the group.
In addition to offering patients greater convenience, such as shortening diagnosis times, the Internet hospital also has anumberof advantages that traditional brick-andmortar hospitals cannot provide, he said.
“Doctors with different types of expertise can form groups and share their expertise online when giving diagnosis and treatment to gravely ill patients, which is difficult to achieve at traditional hospitals,” he said.
Patients can register by logging onto the Internet or via a mobile phone app. Once registered, they can choose doctors and make reservations, consult a doctor via a video link and receive electronic prescriptions.
Once patients have paid the bills online, they wait until the drugs are delivered to their homes by courier companies, according to instructions on the hospital’s website.
In addition to connecting hospitals nationwide through the Internet, the hospital also has offline operations, such as operating and testing centers. The hospital’s first operating center was set up in Xiaoshan Hospital in Hangzhou, Zhejiang province, on Jan 17, so those who need surgery after preliminary online consultations can be transferred for treatment, Zhang said.
“We are building more such centers to meet the demand from the patients,” he said.
“The online hospital can really help people in less-developed areas, where high-quality medical resources are scarce, so they can also get high-quality medical care by talking with doctors from top hospitals, just as long as they are connected on the Internet,” Zhang said.
However, he added that Internet hospitals cannot completely replace traditional brick-and-mortar hospitals, as in most cases a doctor has to see a patient in person to provide better diagnosis and treatment.
“Online hospitals are primarily aimed at patients with common, chronic illnesses, such as hypertension and diabetes, or those who are familiar with their ailments and have to go to see a doctor for the same problem repeatedly,” he said.
For example, a patient with hypertension who has to visit a doctor regularly for prescriptions, can consult a doctor online and have the correct medication delivered to them instead of going to a hospital, he said.
“A patient must first have been diagnosed at a brick-and-mortar hospital before they can have the online treatment,” he said.
Wang, from the Second Affiliated Hospital at Zhejiang University’s School ofMedicine, said the benefits are manifold: “The Internet hospital is an innovative effort that will greatly benefit both patients and doctors. In particular it’s suitable for patients with chronic diseases who are seeking re-examination. It will be more convenient for them and will also improve the doctors’ efficiency.”
According to the National Health and Family Planning Commission, China’s hospitals and clinics provided nearly 5.7 billion clinical treatments during the first nine months of last year, a rise of 2.8 percent compared with the same period in 2014.
A large number of those patients have chronic diseases, such as diabetes, which require frequent re-diagnosis. That makes big hospitals even more crowded, according to Han Xiaofang, former director of BeijingMedical Reform Office.
Wang said: “I think Internet hospitals will become a trend. In the future, doctors will be able to serve
patients both on and offline.”
Zuo Xiaodong, vice-president of the China Information Security Research Institute, praised the online hospital for offering patients greater convenience, but was concerned about information security.
“Online medical platforms collect a large amount of data about patients, which also attracts insurance companies and other institutions in the medical industry,” he said.
“Leaks of patients’ private information may happen if these online platforms fail to protect the information properly,” he said, urging platform operators to make strenuous efforts to ensure medical websites cannot be hacked.
Ning Fanggang, a doctor who specializes in treating burns injuries at Beijing Jishuitan Hospital, said it is not possible for online hospitals to replace their brick-and-mortar counterparts because the diagnosis and treatment of many diseases cannot be accomplished through online communications only.
Additionally, online medical services may put doctors and patients at risk if disputes arise between them, due to a lack of laws related to the services, he said.
“Online medical care services should complement the brick-andmortar medical care services so they become more convenient,” he said.
Cao Yin contributed to this story.
Contact the writer at firstname.lastname@example.org
The The use use of of Internet Internet technology has technologyhelped the has Beijing helped Children’sthe HospitalBeijing Children’sgreatly ease Hospitalthe burden registeringgreatly ease large the number burden of patients— registering one largeof the number thorniestof problemspatients — the one hospitalof the has thorniestfaced for many problems years, the according hospital to hasNi Xin, faced thefor presidentmany years,of the accordinghospital. to Ni The Xin, BCH,the president established of in the 1942 and hospital.one of the best in China for the treatmentThe BCH,of children’s established diseases,in 1942 providesand one moreof the than best 10,000in China clinical diagnosesfor the treatmentper day onof children’saverage, and more diseases, than provides70 percent moreof the than patients10,000 clinicalcome from diagnoses outside per Beijing,day he on said. average, and more than 70 percent“It used of to the be patients common cometo see from parents outside waiting Beijing, in he line said. overnight before“It usedthe registrationto be common windowto see opened,”parents waitinghe said. in line overnight beforeThe clinicalthe registrationbuilding, designedwindow to serve opened,” 3,000 he patients,said. has been overcrowdedThe clinical for building,years, he designedsaid. to In serve June, 3,000the hospital patients, adoptedhas beena systemthat overcrowded encouragesfor years, all he patientssaid. to makeIn June, reservationsthe hospitalto see adopteda doctor, a system except thatfor emergency encourages conditions,all patientsto relieveto make the reservationsproblem, Ni said.to see a doctor, except for emergencyPatients can conditions,make reservationsto relieve days,the problem,or even months,Ni said. ahead— via the Patients telephone, can the make Internet, reservations WeChatdays, or (a even popular months, instant-messagingahead — via the platform) telephone, or thea mobile Internet, app, he WeChatsaid. (a popular instantmessaging The hospital platform)is reducingor a the mobile numberapp, he said.of registration tickets issued The on hospitalsite, andis reducing eventually theit will be number possibleof registrationto book all reservationstickets online, issued he on said, site, addingand eventually thatWi-Fi servicesit will be are possible availableto bookin the all hospital. reservations online, he said, adding After thatthe introductionWi-Fi servicesof the are measures,available in the the congestionhospital. in the clinical After hall the has introductionbeen greatly of the reduced, measures, he the said. congestion in the clinical “Between7amand8amishall has been greatly a busy reduced, time, he and said. the number of patients “Between waiting7 amin linesand for8 am registrationis a busy often time, reachedand the the number peak,” Ni said.of patients“Now the waiting numberin linesof patientsfor waiting registration during often this period reached has the fallen by peak,”451 Ni per said. day.” “Now the number of patientsThe reduction waiting has during resultedthis periodin betterhas fallen experiencesby 451 per for day.” doctors and patients,The reductionhelped to has lower resultedthe risk in of clashesbetter experiencesbetween them, for and doctors reducedand patients, traffic helped problemsto lower around the the risk hospital,of clashes he betweensaid. them, and reducedBy the trafficend of problemslast year, all aroundmajor hospitalsthe hospital,in Beijinghe said. had opened servicesBy the that end allowof last patientsyear, all to majorregister hospitalsfor onlinein Beijing diagnosis,had opened according to servicesthe Beijing that Municipalallow patients Commissionto registerof Healthfor onlineand Family diagnosis, Planning. according to the Beijing Municipal Commission of Health and Family Planning.