1. Promote and standardize the development of health care big data applications that can bring those health dividends to the public?
Jin Xiaotao: In accordance with the requirements of the Party Central Committee and the State Council, the primary consideration for promoting and standardizing the development of health care big data applications is to effectively enhance the sense of gain of the people's reform and build a satisfactory medical and health undertaking. At the State Council executive meeting on June 8, Premier Li Keqiang emphasized: "Developing and applying good health care big data is a major livelihood project", and specifically requires "developing health care big data from the urgent needs of ordinary people." From three levels, the content of “developing smart health care and convenience for the benefit of the people†was put forward:
The first is to continuously enhance the "autonomous health" service experience. The main reason is to let the health data “run more roads†and the people “less run the roadâ€. Based on the family doctor contract service, the urban and rural residents have standardized electronic health records and full-featured health cards, focusing on promoting Internet health consultation, online appointment and triage, medical insurance network settlement, mobile payment, follow-up tracking, etc. Application, change "three long and one short" to "three short and one long".
The second is to effectively amplify the "service supply" of quality medical resources. Mainly because of the superior resources "going down", medical services "high quality", to achieve "seeking medical standards." We will establish a telemedicine application system in an all-round way, promote the development of precision medicine , and improve the mutual recognition and sharing mechanism of inspection and test results in diagnostic services such as consultation, imaging, pathology, and electrocardiogram. At the same time, promote the sharing of data resources and business collaboration between large hospitals and primary medical institutions, general practitioners and specialists, and expand the capacity of medical institutions to optimize the formation of standardized, shared, and mutual trust diagnosis and treatment processes.
The third is to actively promote the development of the health care service model to “integratedâ€. Mainly the health platform "Liantong", the follow-up service "follow up", as far as possible "control combination." Improve the classified medical information system based on Internet and big data technology, explore the Internet health medical service model, and promote integrated health services covering prevention, treatment, rehabilitation and health management throughout the life cycle.
2. How to protect personal privacy and maintain information security during big data application?
Jin Xiaotao: There are two main points: one is “promotion†and the other is “normâ€. It is to grasp the “promotion†of the construction of the population health information platform through unified authority and interconnection, and strengthen the application, integration, sharing and opening of data resources; to grasp the “normative†through standard implementation and security prevention, and to standardize the access standards and strengthen health. Medical digital identity management and security system construction. Specifically involved in three levels of content:
The first is the personal medical information of citizens. This is the most sensitive. It belongs to the personal privacy of citizens. It must be strictly controlled according to law. It must not be disclosed or leaked, and the application security risks must be eliminated.
Second, clinical research data must be “desensitized†and “de-identified†using individual medical data, and then re-aggregated. Risk assessment and security review are also required when aggregating applications, ensuring that no new security issues arise after a large amount of information is aggregated.
The third is to strengthen the security of health care data. Establish a data security management responsibility system, formulate population health information security rules, strengthen national and regional population health information engineering technology capabilities, focus on content security and technical security, and ensure that the country's key information infrastructure and core systems are independently controllable, stable and secure. Establish and improve the "Internet + Health Care" service security working mechanism.
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