Discussion on Health Service System of Mobile Medical Institutions Based on Internet of Things and Cloud Computing

Because modern human beings pay more and more attention to physical health, and there are many problems in the traditional medical service system, human beings have a higher and higher voice for the new medical model. At present, there are many researches on the application of modern science and technology to put forward solutions to medical development, but they generally pay attention to some details and ignore the construction of the whole medical service system. In order to solve the problems of low efficiency of the traditional medical model, difficult communication between doctors and patients, unreasonable allocation of medical resources, and so on, this article proposes establishing a perfect medical and health service system. First, the correlation functions are used, such as cosine correlation, to calculate the correlation of various medical products, and then the correlation measurement methods of cloud computing and the Internet of Things are used to realize the network connection of smart medical equipment, efficiently store, calculate and analyze health data, and realize online outpatient services, health file management, data analysis, and other functions. Then, the energy consumption formula of the wireless transceiver was used to reduce the resource loss in the operation of the system. Then, we use the questionnaire to understand the current situation of mobile medical and put forward improvement suggestions. This article also scores the performance of the system. The experimental results show that the performance rating of traditional medical institutions is B, while the model rating of mobile medical institutions is a, and the efficiency is optimized by 4.42%.

A sociosemiotic exploration of medical legislation reform in China (1990–2021)

The medical service system is an important guarantee for human rights to survival, health and development of every social member, and thus it is significant to explore, interpret and explain the diachronic construction for its legislative reform. In a corpus approach, the study firstly collects the medical-related statutes from 1990 to 2021 in China to build the P.R.C. Medical Legislation Corpus (PRCMLC), and analyzes the keywords and their collocation in the exploratory, explosive and expanding phase of the medical legislative reform. Secondly, from the perspectives of sociosemiotics, the PRCMLC data is combined with the concrete medical laws and regulations for further discussion of the MSS, MIS, DSS and PHS in legislative system. Thirdly, the study explores the core legislative ideas and the relationships among the subsystems in the diachronic analysis, which provide a general overview of the legislative objects, target, participants and mechanisms in the medical reform of China.

The Potential of Multi-rotor Drone to Strengthen Emergency Medical Service System: a preliminary study in a Chinese county

Objective: To explore the feasibility and advantage of using multi-rotor drones in a county emergency medical service system.Methods: This study was conducted in Changxing County, Zhejiang Province from January to September 2018. We applied drones to simulate the transfer of first aid materials from health centers to the Changxing County People's Hospital. A total of 3 indicators were obtained: (1) The flight time of the drone; (2) The estimated time of ambulance dispatched from the county hospital was measured by Baidu map, Amap and Tencent map software; (3) The road transportation time measured by Amap software at 0: 00, 8: 00, 10:00, 12:00, 14:00, 16:00, 18:00, 20:00.Results: A total of 10 health centers were included in this study. Linear distance from county people's hospital to these centers was (10.97±3.59) km, and the road distance was (13.61±4.95) km. (2) The flight time of drones were (16.35±5.15) min, less than road transportation time measured by Amap, Baidu, and Tencent map software, which was (21.40±5.15) min, (22.50±6.11) min, (22.00±5.23) min, respectively (P＜0.01). The road transportation time measured using Amap software was longer than that of drones from 0:00 to 20:00 (P＜0.01), with the maximum time of (27.80±6.12) min at 18:00, and the minimum time of (21.40±5.15) min at midnight. Drones could save up to 14.07 min at most and 2.8min at least, with an average save of (7.98±1.32) min.Conclusions: Drone was faster than road transportation to transfer first aid medical supplies within a county. Further researches are needed to integrate drone into emergency medical service system.

Outcome of Stroke Fast-Track Patients Arrival by Emergency Medical Services

Objective: To compare duration of door to needle time (DTN) of stroke patients between patients delivered to hospital by a stroke fast-track emergency medical system (SEFT) and those who came to hospital by a non-stroke EMS fast-track service (SNEFT) or, by themselves. Materials and Methods: Retrospective descriptive study to compare the outcomes of stroke fast track patients. Results: The present study retrieved medical records of 177 stroke fast track patients came to Khon Kaen hospital between October, 2018 and August, 2020. Over half the patients were male (60.5%). Ninety-nine (55.90%) came to hospital by Stroke EMS Fast Track (SEFT) and 78 (44.10%) by themselves or via Stroke Non-EMS Fast Track (SNEFT). The mean age of the SEFT and SNEFT groups was 62.11+13.63 and 59.37+15.39 years, respectively. Results showed the SEFT group had mean times door to CT, door to laboratory, door to physician, and door to needle of 16.53+4.63, 30.57+9.87, 33.99+15.16 and 45.37+7.91 minutes, respectively. Duration to treatment for all of the four treatment phases was statistically significantly shorter in the SEFT group than in the SNEFT group (p<0.001). Conclusion: The SEFT group had significantly shorter door to CT, door to lab, door to physician, and door to needle time than SNEFT group. Keywords: Stroke fast track, Emergency medical service system, Duration to treatment

Application of SWOT-CLPV Model in China’s Hierarchical Medical Mode

Medical service system is a complex system composed of different interest related factors. The core of hierarchical medical mode is to deal with different levels and types of medical institutions to ensure the coordinated operation. In view of the reform of medical and health system, combined with the current situation of China’s medical system, this paper constructs the SWOT-CLPV model of hierarchical medical in China, sorts out the advantages, disadvantages, opportunities and threats of the hierarchical medical mode in China, further explores its inhibition, problem, leverage effect and vulnerability, and studies the development strategy of hierarchical medical.