物联网连锁医疗（IOTCS）宣传片解说词—中英

“物联网连锁医疗（IOTCS）”视频的解说 IOTCS video Description

和全世界一样，中国也为看病难看病贵问题困绕，民生幸福与经济效率常常难以两全；但中国人用他们的方法，讲述医疗改革的故事。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.

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中国西部医改的一段故事

A Story on Healthcare Reform in Western China

物联网连锁医疗服务

IOT CLINIC SYSTEM

1、医疗之痛 Suffering of Healthcare

中国存在的城乡差距，让中国政府决心要实现医疗服务均等化。但最稀缺的医生资源，像其他资源一样，自然聚集在大城市；医生又不能像过去那样，靠行政命令配置到基层。中国政府又不能像西方那样，用培养全科医生来解决基层医疗服务问题。但是，全科医生培养非一日之功；而且，在城乡差距存在的背景下，当人有了全科医生人力资本后，又未必留在基层和乡下。政府愿景遭遇严重挑战

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.

医保资源错配，形成医疗资源制度性短缺，也逐渐形成道德和财政黑洞。中国基层医疗机构多为的私人诊所，由于监管成本无穷大，医保资源主要配置到国有医院。医保制度安排，是医疗市场最重要的价格制度，它引导和决定了人们的选择。于是，无论大病小病，人们都涌向城市，涌向医院，形成中国每座城市的每个医院都拥挤如超市，四川华西医院创造了日均门诊量一万五千人之多的世界记录。今年4月，在中国三个城市，一月就有3个医生被患者杀死，反映了医患供求紧张的极端情形。医保资源错配，在医疗资源制度性短缺的同时，还诱发严重的道德风险。由于住院报销比例较高，诱导人们住院；过度治疗和伪造病历已经制度化，许多病床已经不是治疗的场所，而是医患之间大摆免费午餐的地方。这种情形已成为国情，既无民生，也无效率。

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、用新的方式满足需求 Use a New Method to Make Needs Meet.

两年前，在各级领导支持下，在中国西部、在中国人口最多的一个省——四川，开始尝试用一种新的方式，满足医疗需求（习主席与省市领导在双流南新村试点照片、省市卫生部门试点文件、省市领导和省市卫生部门、医保、药监领导到研究院照片）。

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乡群众身边，设立一连串投资远远小于医院的信息化程度较高的专科诊所，将通常在医院的有资历和执业证书的专科医生，用市场化方式分离到诊所；然后，集成远程协同通讯技术、IT技术、现代检测技术，将一家家专科诊所连锁起来；不同地点的专科医生在线相互协同，构成物联网连锁综合医疗服务。 We call it IOTCS.（IOTCS）。也就是说，在物联网连锁诊所的任何一家诊所，都能为附近患者提供在线综合医疗服务；而在此之前，只有医院才能提供这种医疗服务。5月25日，世界第一家物联网连锁诊所已在成都开始运营。

物联网连锁医疗（IOTCS）在城市聚集起来的专科医生们，不仅通过通讯协同技术为每一个诊所的患者提供综合性医疗服务，还可为遥远的农村卫生室提供在线服务，较好实现城乡医疗服务均等化；双流县准备用一年时间，为全县200多个村卫生室提供这种服务。聚集在城市的医生，也可不再被行政方式组织起来，下乡搞慈善和宣传性行医；他们在城里诊所、或自己家里就可以为患者提供医疗服务。

物联网连锁医疗还在双流自主研发了健康舱、家庭医生平板电脑；这两个全新的医疗终端，让医生行医和患者看病都更加便利。健康舱目前已获得国家3项专利发明权，家庭医生平板电脑已申请国家专利。群众利用这两个终端，可以在家附近和家里，选择连锁诊所在线的任何一位医生，享受视频健康卫生咨询服务；预约医生上门诊疗和送药服务；享受接送和急救服务，以及健康监护管理服务（使用者需佩戴体征监护仪）。

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).   

物联网连锁医疗，正尝试重新构造基层医疗组织，促进目前的医院集中式治疗向分布式医疗转换，以此来提高医疗保险基金资源的使用效率。美国明尼苏达州医院原来有2000多张病床，现在只有200张，患者都分布在基层诊所和全科家庭医生那里去了。丹麦全国原来有271家医院，目前下降到只有23家，由于基层诊所和家庭医生的兴起，住院率比原来下降到60%。这是一个惊人的效率。据了解的情况，四川全省如果住院下降一个百分点，医保支出就减少一个亿；而根据推算，成都降低住院率一个百分点，医保支出减少大约一千万左右。

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.

物联网连锁医疗，还尝试了将医疗保险分离到诊所，因为连锁诊所采用的就诊记录、电子病历、电子处方、远程通讯等电子信息技术；卫生部门、医保部门很容易与之建立连接，便于获取监管信息，从而大大提高政府和医保基金的管理效率，让众多诊所变得易于监管，套保骗保易于防范，从而为重新塑造基层医疗机构提供医保制度支持。

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.

另外尝试的一个分离，是通过建立第三方药品配送实现医药分离。物联网连锁医疗利用诊所集群的规模优势，直接与药品制造厂家建立购销关系，消除药品流通环节的丑陋和过高的流通费用，让人们消费到最质优价廉的药品和配送服务。

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、物联网连锁医疗为世界医疗贡献中国经验

IOTCS Presents Global Healthcare Chinese Experience

物联网连锁医疗的故事，正在国内外广泛流传。2011年中央电视台长篇报道了双流的故事（央视视频）；被誉为世界最好医院——美国梅奥诊所集团，它的个性化医疗总裁、美国防癌治癌之父弗兰克说，要和物联网连锁医疗一起奋斗，给世界留下一份有分量的遗产； 美国临床化学之父盖伦访问成都后表示，要把他40年在实验室研究的技术用在物联网连锁医疗的探索和实践上；  3M执行总裁说，物联网连锁医疗故事，是他见到听闻的最好的医疗服务模式，他们在华的10000多名员工是这个实践的强大后盾；美国医疗信息技术标准委员会主席会见双流代表，说这是个聪明的主意，他已联系哈弗医学院著名的“4人小组”给予跟踪帮助； IBM首席医疗智囊、以患者为中心组织（PCPCC）主席博士，不仅向他上千家会员机构推荐了物联网连锁医疗模式，6月19日还在美国白宫召开的医疗健康信息技术讨论会上，向奥巴马总统介绍了这个故事，并建议作为中美医疗合作项目；澳大利亚卫生部官员听闻保罗博士介绍后表示，澳大利亚正考虑以亚太国家身份参与合作，说双流故事体现了超级综合诊所思想。世界银行首席经济学家、副行长林毅夫博士在华盛顿会见了双流代表，并帮助联系世行中国局，要求他们为这个模式给予帮助支持。

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、物联网连锁医疗的未来不是梦

Promising Future of IOTCS

四川，正以双流物联网连锁医疗服务为模式，展开跨国合作，建设全球在线医疗服务中心，世界第一片医疗云；它们是由连锁诊所群、健康舱群、众多手持平板电脑、基层卫生站所为终端，以大数据分析和云计算技术为后台；其间浑然一体联系，由物联网连锁医疗、笫三方药品配送、医疗影像智能分析、基因测序预防疾病、医保笫三方支付与防欺诈等等可在线提供的创新服务来实现。其中的每一项服务，分别与有比较优势的跨国公司合作。四川出售的将是无人可竞争的大智慧医疗系统。阿里巴巴在线购物，吸引的更多是年轻人，但目前年收入超过了上海市的GDP；物联网连锁医疗针对的是所有人群的健康需求，这个产业发展起来，必然是一个巨无霸产业。

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.

物联网连锁医疗的故事，在为世界贡献中国医改经验和全新的基层医疗组织的同时，还将为世界贡献一个＂医疗班加罗尔＂。

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

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