As 2014 draws to a close, major events in the field of health have continued this year, with controversies, doubts, expectations and appeals. Online sales of prescription drugs "gate" is imminent, how can pharmaceutical e-commerce pry this big cake? After the "Ice Bucket Challenge" roared by, how can the rights and interests of patients with rare diseases be implemented? The "horse babies" who were born together are busy with obstetrics and gynecology doctors and nurses; in the face of the raging Ebola epidemic, Chinese doctors went to the epidemic area to fight side by side with their counterparts in many African countries ...... This year's health field, both global health and medical events, but also ordinary people talk about the topic, at the end of the year, the new network health channel for netizens one by one inventory.
1, the most controversial: online sale of prescription drugs to lift the ban
In July, the State Food and Drug Administration ended the solicitation of opinions on the "Measures for the Supervision and Administration of Internet Food and Drug Operations", and the Internet drug sales regulations were strongly loosened, triggering an industry-wide earthquake. "Online sales of prescription drugs or will open in January 2015" news, spread on the Internet.
The opponent believes that the simple liberalization of the entry threshold and business scope of online drug sales will seriously threaten the safety of people's drug use and lead to the proliferation of fake and inferior drugs. Moreover, the transportation conditions of the online drug distribution process are worrying, which may also endanger the quality of drugs. Opponents also worry that in addition to being third-party platforms, giants such as Taobao and Jingdong are also allowed by the government to buy drugs, both as "athletes" and "referees".
The approvers believe that opening up online drug sales is a major trend, and for physical pharmacies, it is a new opportunity for market reshuffle. In addition, online drugs have price advantages, which is conducive to promoting the separation of medicines, and it is also an important reason why online prescription drugs are favored.
The full opening of prescription drugs online is destined to face many controversies and obstacles. On the one hand, it is difficult for pharmaceutical e-commerce to pry the prescription drug cake when the medical insurance reimbursement problem is not solved. On the other hand, at present, many consumers have not formed the habit of buying drugs online, and drugs account for a relatively small proportion of e-commerce consumption, so it is difficult to change with the expansion of prescription drugs in the short term.
2, the most widely spread: 53 kinds of diseases do not need infusion
The Anhui Provincial Health and Family Planning Commission released the "list of 53 diseases that do not require infusion" in August. Subsequently, a post entitled "list of 53 diseases that do not require infusion" was wildly forwarded by netizens, and social networking sites such as friends, QQ space and microblog can be seen everywhere. The post lists 53 common diseases and frequently-occurring diseases that do not require intravenous infusion in outpatient and emergency departments, which can be called the first official list of no infusion in China.
Many medical experts for the "list" praise, they believe that the list of diseases are caused by viruses, without the use of antibiotics. The widespread circulation of the list can help ordinary people to use antibiotics rationally and avoid the abuse of antibacterial drugs. However, some doctors remind that whether infusion or antibiotic use should not be too solidified. People's individuality varies greatly, and it is ultimately judged according to clinical indications. The heat transfer of the "list of 53 diseases that do not require infusion" marks the attention of the whole people to the rational use of antibiotics.
The most involved: Ice Bucket Challenge
This event is called the "ALS Ice Bucket Challenge" (ALS Ice Bucket Challenge), which aims to let more people know about the rare disease called "gradual freezing" (amyotrophic lateral sclerosis), and at the same time Achieve the purpose of raising funds to help treat.
Microsoft's Bill Gates, Facebook's Zuckerberg and Sandberg, Amazon's Bezos, Apple's Cook and former US President George W. Bush all got wet into the mirror, while Chinese technology celebrities and entertainment stars also joined in. This viral public welfare model has led to a rapid increase in participants. From the end of July to mid-August alone, the ALS Association and its national chapters received nearly $10 million in donations.
The "Ice Bucket Challenge" has achieved great success with its public welfare, openness, gameplay, transmission, sociality, and low cost. The group of "gradually frozen people" has been quickly and widely known, and it has also attracted social attention to rare disease groups. attention. There are gradually frozen appeals, hoping that the enthusiastic attention of the whole society can promote the country's favorable policies in medical technology research and development and patient medical insurance, not limited to entertainment and recreation. This network carnival, in which the whole people participated, was even rated as "the first year of Internet rare disease" by industry experts ".
4, look forward to the most: classic cheap drugs can return
Pagoda sugar, chloramphenicol eye drops, oxytetracycline tablets, tetracycline, Sanhuang tablets... These cheap and affordable "classic old medicine", now replaced by a variety of high-priced new drugs, almost extinct. This year, many media reported that the market for classic cheap drugs is hard to find, pharmacies are unwilling to sell, doctors are unwilling to open them, distribution companies are unwilling to deliver them, and ordinary people want to use them but do not need them.
The State Health and Family Planning Commission and other departments have formulated the opinions on ensuring the supply of commonly used low-cost drugs and the notice on doing a good job in the procurement management of commonly used low-cost drugs, proposing to implement classified procurement management, strengthen the comprehensive supervision of procurement and supply, and carry out monitoring and evaluation of the supply guarantee of commonly used low-cost drugs, so as to ensure the protection of commonly used low-cost drugs.
In addition, various localities are also actively exploring strategies to deal with the disappearance of classic cheap drugs. For example, the Beijing area to implement low-cost drugs "green light" policy, that is, low-cost drugs, shortage of drugs directly linked to the net, no longer to the price level as the basis for winning the bid. Shanghai, Guangdong, Hunan, Shandong, Henan and other places have adopted such policies for low-cost drugs.
When the classic drugs with good effects, cheap and safe will be able to "make a comeback" again has become one of the most anticipated events in the health field in 2014.
5, the most broad prospects: mobile medical a blue ocean
In 2014, combined with the mobile Internet mobile medical, become a hot spot in the capital market competition. Alibaba launched the "Hospital of the Future" plan in May, opening up its platform capabilities to medical institutions through Alipay, followed by Dr. Chunyu's $50 million C round of financing, Tencent's $0.17 billion participation in clove garden and registration network financing, Xiaomi's $25 million stake in Jiuan Medical, Sina Weibo's introduction of Dr. Ai Wen, into the mobile medical field ...... The blue ocean of mobile medical is opening up.
At the same time, "medical care on the fingertips" also has troubles. There is no sufficiently successful profit model, which is one of the biggest obstacles for the investment community and industry to promote Internet medical care. Take Dr. Chunyu as an example. This year's revenue is expected to be around 30 million, while the operating cost is as high as 40 million. The current profit model is mainly membership fees, paid consultation, appointment registration fees, etc. There are still some companies that have entered mobile medical care, and they have not yet figured out what to make a profit, so they can only "cross the river by feeling the stones".
China Mobile's medical supervision work is still in the pipeline, and currently tends to take the Health and Family Planning Commission as the main body as the supervision and guidance agency. Some industry experts believe that in the future, it is possible to approve mobile medical apps in comparison with medical devices. If specific diseases are involved and long-term intervention is required, clinical verification and statistical analysis are required.
6. The most exotic therapy: urine therapy
When it comes to urine, many think it is dirty. If you say you drink urine, you will definitely feel sick. Just this year, a "heavy taste" therapy-"urine therapy" became popular both inside and outside the network. Some people firmly believe that "urine therapy" can cure diseases. They believe that drinking urine can treat fractures, oral ulcers, constipation, trauma, etc., and even help lung cancer patients who have cut their lungs grow new lungs. Although these "magical" functions are opposed by many medical experts, supporters of urine therapy insist on their own opinions. They say that "doctors have never drunk urine and have no right to speak".
Some media reported that some people in Liuzhou drank urine to treat diseases, and some people in Chongqing drank urine to cause uremia. These voices of opposition are regarded as "strong stimulation" by supporters of urine therapy ".
Traditional Chinese medicine experts believe that it is true that urine can be used as medicine, but it should be the baby's "child urine" who has not used supplementary food. It is not in line with the theory of traditional Chinese medicine to drink urine blindly for health care. Western medicine said that urine is a product of kidney metabolism, sick people's urine contains a lot of harmful substances, "drinking urine to treat the disease" is really puzzling.
Although the mainstream medical community thinks that "urine therapy" is absurd, some people say from a neutral point of view that we should have a relatively open-minded attitude towards "urine therapy", do not be superstitious and do not need to deny it completely: on the basis of scientific argumentation, at least let people understand who are not suitable for urine therapy.
7, the most acute challenge: pulse diagnosis pregnancy test
The "war" of traditional Chinese medicine pulse diagnosis and pregnancy test was initiated by "Burn Superman Po", a microblog celebrity and Beijing Jishuitan burn doctor. He expressed his willingness to give a bonus of 50,000 yuan to test whether the accuracy rate of traditional Chinese medicine pulse diagnosis can exceed 80% by random blind method. Since then, Yang Zhen, a teacher at Beijing University of Chinese Medicine, announced his retirement after the war. As of the race deadline, the race was declared a flow because no eligible challenger had signed up.
From the very beginning, the parties limited the challenge to a personal contest, not to escalate to a struggle between Chinese and Western medicine. However, many "onlookers" still regard it as a challenge for Chinese and Western medicine. This public "engagement war" can not help but remind people of various disputes between traditional Chinese medicine and western medicine in recent years. Some experts believe that the dispute between traditional Chinese medicine and western medicine has been fruitless, mainly because there is no standard recognized by both sides.
The person in charge of the relevant department of the State Administration of Traditional Chinese Medicine stated that Chinese and Western medicine have different diagnosis and treatment systems. Chinese medicine diagnosis requires observation, hearing, inquiry, and four diagnosis and reference. Pulse diagnosis is only one of the diagnosis and treatment techniques of Chinese medicine. It is meaningless. People's Daily, on the other hand, calls for Chinese and Western medicine not to compete for spirit and divide each other, but to work together to fight diseases.
8, the most inspirational patients: "miracle baby"
On March 18 this year, a couple from Xiamen had a car accident and the two died on the spot. Fortunately, the baby in the mother's womb was born during the car accident and miraculously survived. The baby boy was named Xiao Ping An, and netizens called him "Miracle Baby" according to his inspirational deeds ". After the accident, Xiao Ping An received various assistance. At the end of October, he was discharged from the hospital accompanied by his family after a long period of treatment.
"Miracle Baby" conquered netizens with his tenacious vitality. In June, some young volunteers in Haicang, Xiamen created the screenplay of "Miracle Baby" and planned to shoot a cinema movie with the theme of "Miracle Baby. It is reported that the movie "Miracle Baby" will be written by Fang Wenshan and supervised by Hou Xiaoxian, attracting filmmakers from both sides of the strait such as Tian Meng, Ding I, Shu Yaoxuan, and Liang Ziming.
The most dangerous disease: Ebola
The 2014 Ebola haemorrhagic fever was "unprecedented". According to the news released by the World Health Organization on December 24, the epidemic has caused 19497 suspected or confirmed infections and 7588 deaths. Chinese medical experts have repeatedly rushed to the affected areas to provide relief to many African countries.
Ebola virus is usually transmitted through blood and other body fluids. Studies have shown that it may also be transmitted through the air. The incubation period of infection ranges from 2 days to 21 days. The patient's initial symptoms were sudden fever, headache, followed by vomiting, diarrhea and renal dysfunction, and finally internal and external bleeding and death. Ebola virus is one of the viruses with the highest fatality rate found so far, with a combined fatality rate of about 80%. There is no effective prevention and treatment method.
Until the end of the year, the news about "Ebola" still affects people's hearts. At the end of the year, UN Secretary-General Ban Ki-moon specially visited Liberia, Guinea, Sierra Leone and other epidemic countries. Many world-renowned news media listed the top ten hot words in 2014, and Ebola was listed among them; "Science" magazine named the Ebola epidemic "Collapse of the Year"; the US Centers for Disease Control and Prevention listed it as the first "emerging infectious disease" public health threat this year.
10. The busiest department: Obstetrics and Gynecology
For doctors, it seems that there is no busiest department. No matter what kind of doctors, the daily work rhythm is very tense. However, in the special year of 2014, obstetrics and gynecology doctors seem to be extremely busy: many prospective mothers and prospective fathers think it is "unlucky" to give birth to babies in the year of the sheep, and would rather rush to give birth to a "horse baby" this year, which is very busy. Obstetrics and gynecology doctors and nurses.
In the second half of 2014, Guiyang, Guizhou, Taiyuan, Shanxi, Shenyang, Liaoning and other places exposed the urgent situation of birth certificates. Accompanied by the shortage of birth certificates, the obstetrics and gynecology departments of major obstetrics and gynecology hospitals and general hospitals were full of places for filing. Obstetrics and gynecology in many cities are "hard to find a bed". A doctor at a Junior College obstetrics and gynecology hospital in Beijing admitted frankly that more and more doctors worked overtime for 30 hours in a row, often night shifts and day shifts, and their minds were chaotic after work. No matter in terms of the saturation of the outpatient hall or the work intensity of doctors, they have reached the peak. Some experts remind that if there are too many children born in a certain year, the balance of social resources will be broken, and a series of problems will arise, such as difficult to enter the kindergarten, difficult to enter the kindergarten, difficult to enter the school, difficult to enter a higher school, difficult to obtain employment, and so on. However, this does not seem to dispel the worries of parents. In order to seize the "horse tail" in 2014, a couple applied to the doctor to use cesarean section to make the baby be born this year.