Release date: 2015-03-20
With the advancement of technology, it is likely that German patients will go to the hospital for consultations soon. Instead, they sit at home and face a TV set to complete all treatment.
At the moment, a large number of German start-ups are pouring into the medical field, setting off a digital revolution.
[Next Internet Revolution]
The prestigious Fraunhofer Institute in Berlin has developed an application system called MyRehab that allows patients to undergo rehabilitation at home. The entire system consists of a special camera, a television set and a chest strap with multiple sensors. A virtual character guides the patient through the system to exercise and correct his movements. The system also allows doctors and therapists to communicate with patients in real time via an Internet video connection.
MyRehab is one of many newly developed medical applications, and many believe that they will set off the next Internet revolution: digital healthcare. After smartphones change people's communication, mobile, and shopping methods, medical care will become the next direction.
Internet giants such as Google, etc., have targeted this area and launched large-scale investments. The United States is expected to invest $4.38 billion in start-ups in health care this year. The market is no longer limited to some delicate gadgets, such as health wristbands, Bluetooth toothbrushes and so on. The new app focuses on real healthcare, from child birth to cancer treatment.
At present, many companies in Germany are taking advantage of the rapid advancement of information technology, especially the rapid spread of smart phones, to promote the advancement of digital medical. There are thousands of health care related apps on smartphones. For example, some are used to measure blood pressure, some analyze the child's growth and development, and some can detect autism... An application called "cue" claims to predict the next ovulation period for women in order to make birth arrangements. Another application claims to be able to detect a rare sign of eye cancer by scanning photos.
[Change doctor-patient relationship]
A new era of online medical care is coming, which will bring convenience to doctors and patients, but it also causes a series of problems. For example, ethical issues: Who will be responsible once something goes wrong? Will digital services make treatment more transparent, or make patients immersed in data oceans and become more confused? The most pressing problem at the moment is probably: Is the online service fee paid by the patient or is it included in the insurance system, and is the insurance company wholly or partially responsible?
But one thing is clear: the smartphone app will change the traditional relationship between doctors and patients.
Taking Klara, a skin detection application, for example, a patient takes two photos of a rash or a liver spot with a smartphone and answers a number of questions after uploading. Within two days, the patient will receive a response and the doctor will give a temporary diagnosis. If serious, such as suspected skin cancer, ask the patient to see a specialist within two weeks. The app costs 29 euros and has been downloaded 135,000 times.
Klara's developer Simon Ports said the company has successfully diagnosed 98% of its photos. He believes that a large part of the company's future income will come from outside Germany. At present, about 20% of overseas consultation pictures. To date, insurance companies have not provided compensation to Klara users.
When asked if one day the algorithm would replace the doctor's consultation, Poltz said it was unpredictable. But he believes that soon, doctors can use a tablet to remotely diagnose patients at home.
As for ethical issues, according to current professional guidelines, doctors cannot diagnose through purely “printed materials or social mediaâ€, that is, virtual diagnosis is not a substitute for face-to-face diagnosis. In this regard, Klara uses a vague expression of “medical advice†to circumvent the troubles that may arise.
Franz Josef Bartman, a surgeon at the "General Doctors' Association in the northern German city of Flensburg, believes that it is completely unnecessary to take measures at this stage to stop technology companies from providing virtual consultation services. There are so many excellent doctors around, I believe that few people will "give up the face-to-face consultation and choose a smartphone."
[New generation of patients]
Maybe, Batman is too optimistic. In fact, a new generation of patients has emerged. They discussed difficult diseases in their blogs, uploaded X-rays to Instagram social networking sites, and formed medical discussion groups on Facebook. These are already commonplace. Moreover, a large number of doctors said in the survey that they had searched for specific case data through the Internet, thus avoiding misdiagnosis.
In order to adapt to the new interrogation relationship, some start-ups are committed to creating a comfortable network office for doctors. The Patientus in Lübeck is such a company. The application it developed is a bit like Skype, but it's much more powerful. Founder Nicholas Schulwitz originally planned to be a doctor, but eventually worked for a health insurance company. He was surprised to find that there was no dedicated medical video conferencing system in the market, so he started research and development in 2011.
Shulwitz said that medical staff can pay 100 euros a month to use the company platform for online consultation, which is very effective for absorbing new patients. "Of course, you can pick up the microphone to provide advice to the patient, but it's obviously different to see each other." The virtual consultation space built by the Patientus platform is quite realistic, even in the waiting room, patients must wait here before consulting. . The platform also provides medical examination services for patients, patients can not have a car, and doctors can work anywhere, anytime.
A startup in Berlin is developing a new application that seeks to create a virtual private doctor who can provide services 24 hours a day. If this model is popular, then the algorithm will soon replace the doctor's question, at least in part.
Another new application called "Life" is inspired directly from the delivery room. Developers learned from the clinic that many expectant mothers ask the hospital whether to provide WIFI services when they choose to produce a hospital. “This is a new generation of patients who can't put their phones in production,†said David Schaff, founder of “Lifeâ€.
The “Lifetime†application originally provided a service like “Digital Pregnancy Logâ€. Expectant mothers can pay attention to what she wants to know, such as mood swings, pain levels, etc. There is a 3D ultrasound room on the platform and the results can be shared with friends. The biggest selling point of the software is that the expectant mother can search for various conditions that may occur during the pregnancy according to her own conditions, so as to cope with the potential danger. The software also warns of various emergencies. For example, if a patient finds a bleeding in the lower body, the software will urge her to hurry to see a doctor to prevent premature birth.
Shaf said that the "Lifetime" application will eventually provide a health care service that will cover a person's life, including physical examination, blood tests, surgical details, allergies, etc. The diagnosis will be expressed in plain language, and relevant information will be stored. The cloud.
"The reason we started with pregnancy services is because it is basically a positive result. But why can't a cancer patient use this type of application?" Shaf said.
[Data overload? 】
In the medical field, doing a lot of data analysis is nothing new. The IBM supercomputer "Watson" can search 200 million pages of academic papers in 3 seconds to find the information needed for a particular case. "Because of the super power of the computer, in the near future, it will only provide treatment for patients who really need it, and others will not have to endure the strong side effects of invasive treatment," said Bartman of the "Doctors General Association". .
But is the smartphone's continuous collection of relevant data really making patients healthier? University of Flensburg doctor Giovanni Mayo expressed doubts about this. He said that random access to data often has limited effect. "A good doctor collects only a small but correct amount of data."
It is true that from a medical point of view, those fitness wristbands and smart watches that measure the number of walking steps, measuring heartbeats, monitoring calorie burns, etc. really don’t make much sense, but today’s smartphones are no longer the same, and they are reasonably priced. . They can monitor blood sugar levels, add a small chip to act as a pulse oximeter, and add a matchbox-sized accessory to measure the ECG.
"Any heart patient will be very careful about even the slightest heart discomfort, but you don't want to always call an ambulance," said Jens Berman, founder and cardiologist of the startup Cardiogo. After paying an annual fee of 1975 euros to become a Cardiogo member, the patient can get a mini heart tester that is small enough to break into the trouser pocket. This way, you can do heart tests at any time, no matter where you are, and pass the results to your cardiologist.
After receiving the electrocardiogram from the patient, the doctor can quickly access his medical records for analysis and judgment. Patient data can also be provided to on-site medical staff if necessary. Members receive two free calls per year, after which they charge EUR 95 per service.
Sana's company has dozens of chain hospitals throughout Germany. Board member Marcus Muschenich is seen as a thought leader in the German medical start-up business community and has established a federation to support the application of digital technology in the healthcare sector. He said: "I have no doubt that the future excellent medical services will join hands with the Internet." Online services are cheaper and have wider coverage. He stressed that another important reason for making digital health unstoppable is: "Patients need it."
Source: Xinhuanet
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