Internet blockchain technology and multi point practice of nurse
whether from the perspective of information transmission efficiency and resource consumption, or from the perspective of nervous system evolution, blockchain cannot become the mainstream architecture of the Internet, let alone the subversive and revolutionary of the future Internet.
at present, Tencent, a domestic Internet giant, has entered the field of blockchain health data. On April 13, Tencent officially released wechat smart hospital 3.0. The new version of wechat smart hospital integrates all medical information into the blockchain, which is supervised on the real-time chain and traceable in the whole process.
① a very important component of "network routing" blockchain system structure is a peer-to-peer network without centralized server. The specific advantage of blockchain technology in the medical field is that hospitals no longer need to establish a centralized patient information management service platform, Centralization of the flat, then very bad thing, once the network "stuck, delay" the whole hospital patient management system will run slowly, but also affect the efficiency of the whole treatment
② the use of blockchain technology can better deal with the speed of seeing a doctor and solve the financial problems of many patients, and "easy financing" is a good example.
take the PPT big health protection ecological platform on the market as an example:
five applications of blockchain in the medical field:
1. In the aspect of EHR medical treatment, the main application of blockchain is the preservation of personal medical records, which can be understood as the electronic medical records on the blockchain. If you think of the medical record as an account book, originally it is in the hands of various hospitals, and the patients themselves do not master it, so the patients have no way to obtain their own medical records and historical information, which will cause great trouble for the patients to seek medical treatment, because the doctors can not fully understand your medical records. But now, if we can use blockchain technology to save, there will be historical data of personal medical care. Whether we see a doctor or plan for our own health, there will be historical data to use. The real master of this data is the patient himself, not a hospital or a third-party organization
2. DNA wallet gene and medical data can be safely stored by using blockchain technology and obtained by using private key, which will form a DNA wallet. This enables healthcare providers to share and count patient data safely, and helps pharmaceutical companies develop drugs more efficiently. And this model is graally being established
3. The development of bitcoin payment blockchain technology promotes bitcoin payment and gives patients more choices for insurance payment. Although it also depends on the development of bitcoin in the market, the insurance companies that provide this way also have greater advantages than their competitors. For health insurance companies, blockchain is being established as a part of financial services
4. Drug anti-counterfeiting is similar to coding anti-counterfeiting technology. For drugs using blockchain technology, there is a scraped surface on the surface of drug packaging box, and a special verification label under it, which is compared with blockchain technology to ensure the legitimacy of drugs
5. Protein folding e to the rapid process of protein folding, Stanford University previously relied on very expensive supercomputers to simulate the protein folding process. This approach is obviously expensive and has a single point of failure. By using blockchain, they can choose to use a huge distributed network for high-speed computing. This example will greatly attract other companies that use expensive supercomputers. With the development of medical technology, medical data is playing a more and more important role in the aspects of patient identity background, past medical history, and medical payment records. Medical data may be a person's most private data, but e to network operation errors or hacker attacks and other problems, in the past, these personal privacy data were leaked on a large scale. For example, anthem once leaked 80 million patient and employee records, and UCLA health once leaked 4.5 million patient data. The medical convenience brought by blockchain includes: as more and more health and preventive care are provided in a virtual environment, such as at home, at work and so on. Open and viable tracking, validation, and care delivery will become very important for patients, payers, suppliers, scientists, and regulators. The development of these new ohh blockchains in the clinical community will prepare for the study of patients' behavior, and for the important data access of supplier reimbursement, rule compliance, security monitoring and patient compliance in the future. Blockchain is a near perfect technology (not necessarily implemented at present). It can easily and safely access ooh data while protecting the maximum privacy, and rece the interest risk of all patients, including patients themselves, families, caregivers, clinics, suppliers, insurance companies and all stakeholders related to patients' health.
1) patient information can reflect the patient's information more truly
2) it can better show the hospital's qualification, and make clear the diagnosis and treatment process and results of past patients in the hospital
3) it can better sort out medical resources, such as blood group matching, kidney, and even other organ resources
4) make the doctor's qualification certification, the source of medical equipment, and some relevant information more accurate
5) drug anti-counterfeiting can verify the authenticity of drugs (although the blockchain technology can not directly prove the authenticity of real objects, there may be ways to overcome it in the future.)
the above are my personal views, just my personal views. In the future, blockchain technology has great potential in both virtual level and practical application scenarios, but it will not replace traditional technology, but will only combine with each other to learn from each other.
determine a medical institution as its main practice institution, and record all practice institutions with the health and family planning administrative department
Taking Chongqing as an example, the registration place of nurses' practice is adjusted from a single medical and health institution to the administrative division of Chongqing. That is to say, after the nurses register in any medical and health institution in the administrative region of Chongqing, the practice registration is valid in the whole city, and they can practice in multiple medical and health institutions in the administrative region of Chongqing at the same time. For nurses registered in this city, their place of practice column of "nurse practice certificate" is registered as "Chongqing city". If the nurse adjusts the practice organization in the administrative region of the city, it is not necessary to submit the application for change of registration
the nurses who practice in the medical and health institutions of this city should determine a medical institution as their main practice institution, and record all practice institutions with the health and family planning administrative department. If a nurse has only one practice organization, it shall be regarded as the main practice organization. Nurses who undertake tasks such as health support, consultation, further ecation, academic exchanges, and government assigned tasks approved by major practicing institutions, participate in free clinics approved by health and family planning administrative departments, and practice in institutions with assistance or trusteeship agreements are not required to go through the record
extended data:
related requirements of nurse multi-point practice:
1. The municipal health and family planning administrative department is responsible for the regional registration management of nurses in the city, and the district and county health and family planning administrative departments are responsible for the registration and supervision management of nurse practice information in each district and county
The basic principles of ensuring medical quality and safety, improving service ability, increasing the supply of nursing service and promoting the development of nursing specialty should be followed in the practice of nurses in multiple institutions3. Encourage nurses from secondary and tertiary hospitals to practice in primary medical institutions, combined medical and nursing institutions, and social medical institutions, provide continuous care, long-term care, home care and other scarce nursing services for discharged patients, patients with chronic diseases, and the elderly, and promote hierarchical diagnosis and treatment, combined medical and nursing, and social medical services
Nurses are not allowed to practice more. Only doctors can practice more
the practice of doctors in more than one place. The qualified medical practitioners are employed to practice in more than two medical institutions after they are registered by the administrative department of health
is a notice issued by the Ministry of health of the people's Republic of China according to the requirements of "steadily promoting the rational flow of medical personnel, promoting the vertical and horizontal exchange of talents between different medical institutions, and studying and exploring the multi-point practice of registered doctors" in the opinions of the CPC Central Committee and the State Council on deepening the reform of the medical and health system "(hereinafter referred to as the" opinions ")
extended data:
1. Doctors' multi-point practice is concive to the balance of medical resources“ The first reason is the imbalance of medical resources, patients are flocking to the city center hospital, big brand hospital. High level doctors are the most important medical resources. If doctors in central hospitals are allowed to practice in lower level or backward areas, it will greatly alleviate the problem; It is difficult to see a doctor; Questions
2. Due to the long-term lack of national investment in medical and health services, medical institutions must "support doctors with drugs". Excluding the income from drugs, the legal income of doctors will not be enough to make them live a decent life in today's society
It is concive to the improvement of the level of doctors in community, primary medical institutions and underdeveloped areas. The arrival of high-level doctors can solve the cases that can not be diagnosed and treated or dare not be diagnosed and treated at the grass-roots level, and can also attract more patients with difficult diseases to come to see a doctor, so that the grass-roots doctors can have a broad vision of diagnosis and treatment, and it is convenient to ask for advice on weekdays, which is of great benefit to their promotionsource of reference: network multi point practice of doctors
1. Lack of scientific planning and policy guidance
when the policy guidance is improper, it will lead to nurses' multi-point practice turning into nursing experts' visiting only in those places with high salary, which makes the high-quality nursing service still stay in developed cities and large hospitals, and thus fundamentally unable to solve the problem of difficult and expensive medical treatment faced by the common people
2. Increase the hidden danger of nurse safety
for example, some online app, e to the lack of strict supervision, on the one hand, the lack of doctor's cooperation, makes the nursing operation increase a certain risk, on the other hand, because our nurses have no prescription right, so there are still some restrictions in the treatment of diseases, which is bound to affect the treatment of patients' diseases. At the same time, our profession, mostly women, go to the patients' home alone for diagnosis and treatment, which may also increase our personal safety risks
3. Affect the quality of hospital management and nursing work
the multi-point practice of nurses may affect the continuous management of the first practice hospital of nurses. Moreover, in order to seek more personal economic benefits in the multi-point practice, nurses allocate more time and experience in this aspect, which may affect the quality of nursing work
benefits
1. Reflect the value of labor, stimulate work enthusiasm
China's nursing service charge standard has not been adjusted for a long time, only about 10% of the nursing cost [2]. The value of our nurses has not been well reflected. Multi point practice, can improve the enthusiasm and flexibility of nurses, use personal time, improve their income, but also enhance their social value. Moreover, multi-point practice requires higher professional knowledge of nurses, which can stimulate the improvement of their professional level< At present, more and more hospitals implement the "contract system", and nurses belong to the "unit person". Multi point practice can realize the change of nurses' role, promote nurses from the hospital to the social environment, and realize their own social value
3. Improve the effective use of nursing resources
multi point practice of nurses can enable more excellent nursing experts to serve from large hospitals to grassroots areas, and improve the effective utilization rate of nursing resources on the basis of solving the problem of insufficient grassroots medical resources
although there are both advantages and disadvantages of multi-point practice for nurses, under the current medical environment in China, it is difficult to implement multi-point practice e to the vast territory, large population and heavy workload of clinical front-line nurses [3]. At the same time, e to the lack of corresponding mature policy support, the multi-point practice of nurses in China is still facing the dilemma of difficult to implement
in fact, whether in the hospital or in the society, the only thing that remains unchanged is the cultivation of our professional ethics and critical thinking
because we are faced with lives, we need to be very cautious in any diagnosis, treatment and nursing operation. Our professional principles should always be based on the law
as a new thing, the first person who eats crabs will always face a lot of doubts and negations. Only by constantly improving their professional quality and ability, and with the support of corresponding policies, can nurses practice more in their own "spring"<
References:
[1] Ji Jingyun, Wu fangqin, Li Jing. Investigation and analysis of nurses' cognition of multipoint practice [J]. Chinese Journal of nursing, 2017 (01): 115-118.
[2] Tang Yuying, Xu Shan, Li Na, et al. Analysis and suggestions on advantages and disadvantages of multipoint practice of nurses [J]. Chinese Journal of nursing, 2017 (01): 119-122.
[3] Zhang Xiaofeng, Gao Ying, Li Ke Na. Construction of multi-point practice mode for nurses based on mobile information technology [J]. China nursing management, 2017 (01): 112-114