【摘要】 医联网是互联网扎根于医疗健康体系中诞生的衍生物,其建设发展符合互联网的价值演变规律,正在经历从技术性向平台性、资源性转变,加快推动院内-院外、线上-线下的资源整合与协同,并正在引发医疗健康行业发展范式和服务体系的重大变革.在梳理智慧医疗发展现状及主要挑战的基础上,提出了医联网的定义,指出了其泛连接性、超时空性、强连续性、高安全性和高可及性等主要特征,并探究了医联网的发展形态和模式变革.最后,提出了医联网构建和医联网环境下的数据治理、服务协同、全流程监管等领域的关键科学问题,以期指引新时代医疗健康模式的变革和创新发展.更多还原

【Abstract】 Internet of healthcare systems( IHS) is a new concept derived from the processes in which internet takes root in the healthcare systems. The construction and development of IHS correspond with the evolution regularity of internet,as IHS is currently transforming from a technological,subject into a societal,platformand-resource-based subject. The emerging of IHS technologies and applications are accelerating the cooperation and systemization of healthcare resources in different scenarios,such as in/out hospital and online/offline resources,triggering major revolutions in the development paradigms and service systems of the healthcare industry. This study firstly reviewed several related concepts and then put forward the definition of IHS from the perspective of management science. Six main characteristics of IHS are introduced,such as high interoperability,cross spatiotemporal,strong continuity,strong security and high accessibility. The main applications of IHS are then summarized. Finally,several key scientific questions are introduced involving the construction of IHS and data governance,service collaboration,and full-process supervision in the environment of IHS,which will be beneficial for the innovation and reformation of healthcare in the new era.更多还原