In the book Internet and Healthy, difficulty of getting medical service, high cost of getting medical treatment, low quality, the trouble of seeing doctor, low quality and deep contradictions are five pain point. If the difficulty of getting medical service and high cost of getting medical treatment are global problems. Then the trouble of seeing doctor and deep contradictions are peculiar phenomenon in our country to some extent. It takes long time and it difficult to cultivate high-level expert doctor. But these doctor resources can not get effective use for various reasons. Medical resource allocation is not reasonable. Hierarchical diagnosis mechanism is not sound. And hospital process optimization cause inefficient. It is insufficient medical resources and local waste phenomenon.

    Through more than 20 years developing of Hospital informatization, optimizing treatment process and improving medical efficiency have played a huge role. According to a Beijing top three hospital’s statistics. From 2008 to March 2010, with the increase of outpatient visits, and unchanged of taking medicine and charging window, average of taking medicine reduce from 9.76 minutes to 1.6 minutes, and average of waiting time for paying reduce from 7.66 minutes to 4.6 minutes. After a hospital in Shanghai use“one-stop”self-help service system, the average of waiting time for paying reduce from 17.21±3.23 minutes to 1.04±0.60 minutes, and total time of outpatients reduce from 277.40±25.21 minutes to 183.09±24.01 minutes.

 

    This years, using hospital clinical information system and mobile medical applications improve work efficiency of the medical workers. Mostly embody two aspects. For the doctors, they can check patients’ clinical information during their doctor's visit and write advise. For the nurse, according to a hospital in guangzhou, the hospital can save 176.8 hours per day after using MNIS. Combine MNIS with Intensive care system, the hospital can save 24.4 hours for typing vital signs.

    The combination of internet and treatment can improve medical efficiency and optimize treatment process. The internet can connect anything. What will happened if the patients, wearables, doctors, hospital and intelligent robot appear. 

    The first is to change medical model. Mobile medical will provide humanized service for front treatment and recovery. Mobile medical fits with demand of Chronic Disease Management. From control of bridge health database to taking medicine and a range of exercise, mobile medical can provide good management mode. The patients can control their health well with doctors’ help. So the main medical business scope is save the patients and turn into participating in the whole life cycle of health management, disease management, treatment, recovery and so on.

    The second is to remodel service form. The patients go to cloud hospital through internet. Then doctors write list online. The patient can go to check the inspection agency. And doctors can see the result and give patients advise. The patients can get the medicine at home. The mobile medical have main features as follow: Firstly, accessibility. The patients can see doctors across regions. The patients from remote mountainous areas can see doctors through internet. Secondly, convenience. Chunyu doctor respond within four minutes and it much shorter than entity hospitals. Thirdly,effectiveness. The doctors can collect real time and more exactly information through internet and build electronic health record. Fourthly, cooperativity. Multinational medical collaborative interdisciplinary will be possible. Fifthly, pertinence. The patients and doctors can build point-to-point relationship. Sixth,administrative. EHR have gene, health, test, pathology, environmental health care spending and so on. Any doctors can save patients by using archive data all over world. EHR will be central and the link of doctors and patients. Seventh,intelligent. Internet, wearable Devices and electronic health record will have medical big data. Doctors, medical big data and robot can provide high quality medical service for the patient. Eighth,high-usage. Intelligent and effective doctor-patient matching can develop doctors’ resource. Internet can help doctors manage more patients. EHR, medical big data and robot can provide high quality work for the doctor.

   The third is refactoring working relationship. Internet can rebuild product modality. Hospitals are no longer entity hospitals. The clinic are no long the only medical service providers. Tele medicine can develop and appear cloud clinic. Mobile medical platform will make from online service to  offline and start to have hospitals. Their offline layout change hospital capital configuration and operating mode.

    The fourth is reengineering service process. In the past, the patients need to wait for registration, test, taking medicine when they go to hospital. Mobile medical can change it. The patients do not need to wait any more. They can use their phone to complete it. Service platform will send information to tell patients their position and how many people before them.