Look at the picture: What kind of spark will Apple ResearchKit and Xuanwu Hospital have?

The symbolism of Apple ResearchKit and Xuanwu Hospital is greater than the actual meaning. The feeling for practitioners is that Apple, one of the leading players in the Internet industry, has finally announced its full access to the medical/health field. Of course, beyond the symbolic meaning, there are indeed some things worth pondering.

In the second half of 2014 to the present, the second spring called the medical Internet is very appropriate (personally feel that the 2010-2011 stage is the first spring), all the people are coming, what kind of characters, just declare yourself to be healthy, Those who engage in medicine will basically be speculated by the major new media, and investors will be happy to give.

The relationship between medicine and the Internet (IT technology) is by no means "doctors are now starting to use a variety of dazzling hardware/software devices." Whether it is a student's ipad rounds or all kinds of wearable devices (glucometers, blood pressure monitors, heartbeats) involved in clinical diagnosis and treatment, it is impossible to become the future of the medical Internet, and at most it is only a form (means). I don't like the investors in this argument. It is estimated that the practitioners will not be convinced. It doesn't matter, let's first take a look at the first intimate contact between IT technology and medicine.

This first intimate contact with the product, called "Medical Information Systems _ Baidu Encyclopedia" (Hospital Information System, HIS) . Imagine the scene of your childhood illness. Hanging a number to register the person on the medical record to find the one that belongs to you in the massive medical record. After the test results come out, the inspectors must scream and scream for a certain person to take the report and match. A drug pharmacy person must jump up and down in a huge warehouse... From our current point of view, there is obviously a huge transformation possibility here.

The above scenarios all suggest a core problem: inefficiency and resource allocation confusion and waste caused by it. In this case, Laomei has long noticed and reformed, and the corresponding concept of “lean medical care ” was born in the 1980s (the word “lean” is very fashionable recently, actually a very old word). Under this concept, some people have proposed ways to improve the efficiency of medical value streams. The finished products under the guidance of these concepts have just taken advantage of the great growth of IT technology at that time, thus the birth of medical information systems. The above can be seen: Lean Medical (Douban), Lean Medical Practice (Douban), Lean Hospital (Douban), which has a more detailed history and content method description.

Please pay attention to the two words of efficiency and medical value flow. The former points to the efficiency of medical practice, while the latter points to the benefit of patients. This is the value of IT technology in transforming medical practice, and it is not the dazzling and forced of IT technology itself. grid.

What everyone doesn't see is that IT technology or the Internet has already gone deep into the medical field, but it is more about the front end. For example, not long ago, Roche Pharmaceuticals acquired Signature Diagnostics, which is big but unheard of by ordinary consumers. In fact, the company is engaged in gene bank sequencing / analysis, a very typical genetics big data analysis company, what is the use? Of course, it is a possible target gene for big data screening, and the development of targeted drugs! There are quite a few similar examples. It seems that Google has also invested a considerable amount of money in such companies.

On the other hand, what you see is that the domestic founders/investors of the “innovative thinking is full of brains” are boasting. Under their boast, the medical + Internet billions of blue oceans are at your fingertips, but I don’t know how many gimmicks. Qing has already smashed the smoke. There are also companies that have done a good job. Domestically, such as Huada Gene, engaged in biological diagnosis, has a very deep data mining technology, and has also won the favor of many investors. Of course, it seems to maintain a certain distance from our "health health" in the ordinary sense.

Speaking a bit far, let's go back and look at the so-called ipad rounds. This thing is not so much an innovation across the era (there are only a few pilots in the country), but rather a micro-innovation based on the HIS system. The terminal integrates all kinds of information, and the efficiency will of course increase. I thought that in the past, I was in the hospital, I had to push the case car, and I would report the report one page at a time. If I hadn’t arrived, I would like to make a temporary telephone test. They were yelling at the end of the phone: You are in a hurry, we are very busy. ?

But please note that the essence is the wirelessization of HIS, which represents an improvement in efficiency rather than a change in medical practices. The sustainability of such innovations is not enough (but there are markets). Under this premise, it is a speculation rather than an inference to declare that Apple uses hardware to enter the medical and health field. To put it bluntly, it is better to use surface pro. Maybe it is better? !

Therefore, the so-called formal revolution should not be judged as "system reform", and it is farther away from the "subversion". All of this is not as shocking as when HIS first arrived. I still remember the expression of the superior doctor when I introduced the HIS in the past. This time, the turnover rate can be much higher. Anxious, we have a small doctor who is doing things straight.

Ok, let's talk back to Apple's event. Apple has not been able to play wearables for health care, and even if iwatch appears, it has not deliberately promoted its health applications. I think Apple is stupid enough, even grassroots wearable entrepreneurs can't compare? of course not! The answer is in Apple ResearchKit, five first-of-a-kind medical applications for a glimpse of one or two, I try to interpret it.

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