勇于突破标准化困境，志在实现革命性创新
——汉德医疗与兴财通用开启合作之旅
Dare to break through the dilemma of standardization and aim to realize revolutionary innovation
——Handy Medical and XingCai General start the journey of cooperation
2021年2月6日，苏州汉德医院投资管理股份有限公司与苏州兴财通用网络科技有限公司就新一代、智能化医疗卫生软件开发项目签订“合作协议”。双方将基于疾病控制论理论模型合作开发医保管理系统、药品不良反应监测系统、新生儿监控系统、医疗大数据搜索、临床医疗专科软件、传染病智能管理系统等医卫软件。
On February 6, 2021, Suzhou Handy Medical Investment & Management PLC and Suzhou XingCai Universal Network Technology Co., Ltd. signed a "cooperation agreement" on the development project of new generation and intelligent medical and health software. Based on the theoretical model of Disease Cybernetics, the two sides will jointly develop medical insurance management system, adverse drug reaction monitoring system, neonatal monitoring system, medical big data search, clinical medical specialty software, infectious disease intelligent management system and other medical and health software.
签约仪式在兴财通用会议室举行。签约前，汉德医疗董事长陆志方博士作题为《基于疾病控制论的新一代医保管理系统开发构想》的报告，结合新一代医保管理软件开发，介绍了疾病控制论及其在医卫软件开发方面的实用意义。随后，双方领导展望了项目前景，对成功合作充满信心。仪式最后，汉德医疗董事长陆志方博士和兴财通用总经理陈微言先生及项目组代表三方共同签署协议。兴财通用副总经理王锋伟先生，汉德医疗行政总监林永江先生等多位嘉宾现场见证。
The signing ceremony was held in XingCai General conference room. Before signing the contract, Dr. Lu Zhifang, chairman of Handy Medical, made a report entitled "development concept of a new generation of medical insurance management system based on Disease Cybernetics". Combined with the development of a new generation of medical insurance management software, he introduced Disease Cybernetics and its practical significance in the development of medical software. Subsequently, the leaders of both sides looked forward to the prospect of the project and were full of confidence in the successful cooperation. At the end of the ceremony, Dr. Lu Zhifang, chairman of Handy Medical, Mr. Chene Weiyan, CEO of XingCai GM, and representatives of the project team jointly signed the agreement. Mr. Wang Fenwei, vice general manager of XingCai GM, Mr. Lin Yongjiang, executive director of Handy Medical, and some other guests witnessed the event.
医卫软件亟需适应智能化发展要求
Medical and health software needs to adapt to the requirements of intelligent development
医疗卫生软件是医疗健康产业发展的重要依托和工具，既可以提高工作效率和水平，也起着促进发展的独特作用。随着信息技术的进一步发展，互联网、大数据等技术应用已深入医疗卫生领域，社会基础和技术基础已经十分扎实。但现行的医卫软件生态，难以满足向智能化发展实现重大突破的需求。
Medical and health software is an important support and tool for the development of medical and health industry, which can not only improve work efficiency and level, but also play a unique role in promoting development. With the further development of information technology, the application of Internet, big data and other technologies has gone deep into the medical and health field, and the social and technical foundation has been very solid. However, the current medical and health software ecology is difficult to meet the needs of achieving a major breakthrough in the development of intelligence.
2019年一篇关于医疗AI的文章《IBM医疗AI宣告失败，率先入局却踏步不前》引起业界关注，IBM在医疗AI押上重注，投入巨资（10亿美金）用于收购医疗数据公司研发AI医生，开展了一系列令人眼花缭乱的项目，但仍然“逃脱不了走进死胡同的一天”。
In 2019, an article about medical AI "IBM medical AI failed, but it was the first to enter the game, but it did not move forward" attracted the attention of the industry. IBM heavily bet on medical AI, invested a huge sum of money (US $1 billion) to acquire medical data companies to develop AI doctors, and carried out a series of dazzling projects, but still "could not escape the day of entering a dead end".
实力雄厚的IBM的遭遇提示：新一代的医疗软件开发面临困境。众多志在推进医疗AI发展的优秀团队，同样遇到了形形式式的问题，结果也与IBM大同小异。医卫软件开发陷入瓶颈的深层次原因则是：既有对疾病规律理解不足，也有对医务人员的工作状况和特点掌握不够，还有对医疗管理的标准化困境忽视……如何获得解决方案？部分有识之士，开始着眼于认识层面的思考和探索。
The experience of powerful IBM suggests that the development of new generation medical software is facing difficulties. Many excellent teams aiming to promote the development of medical AI also encounter problems in form, and the results are similar to IBM. The deep-seated reasons for the bottleneck in the development of medical and health software are: the lack of understanding of the laws of diseases, the lack of understanding of the working conditions and characteristics of medical staff, and the neglect of the standardization of medical management, etc. How to get a solution? Some people of insight began to think and explore from the perspective of cognition.
疾病控制论应运而生
Disease Cybernetics came into being
疾病控制论是医疗卫生信息化、智能化发展过程中应运而生的创新认识论。受钱学森教授《工程控制论》启示，陆志方博士在清华大学开展博士后研究期间（2008-2010），与导师刘大成博士合作构建了疾病控制论，在相继出版的著作《完美医疗：医疗卫生的理想与疾病控制论》（清华大学出版社，2010）和《疾病控制论：实证与方法》（人民卫生出版社，2016）中，陆志方博士系统阐述了疾病控制论的建构过程及部分实证案例。
Disease Cybernetics is an innovative epistemology in the process of medical and health information and intelligent development. Inspired by Professor Qian Xuesen"s “Engineering Cybernetics”, Dr. Lu Zhifang, during his postdoctoral research in Tsinghua University (2008-2010), cooperated with his tutor Dr. Liu Dacheng to construct Disease Cybernetics. He published his works “Perfect Health Service System: the ideal of human’s health care & the generality of Disease Cybernetics” (Tsinghua University Press, 2010) and “Disease Cybernetics: Demonstration and Method” (People"s Health Publishing House, 2016) Dr. Lu systematically expounded the construction process of Disease Cybernetics and some empirical cases.
疾病控制论模型包括四个要素：遵循疾病规律、基于系统论、完美医疗目标体系和反馈机制。完美医疗定义为：人人享有基本医疗、医疗服务满足各种层次需求、资源配置合理、医院工作者安定、发病率稳定、民众医疗常识普及、社会健康意识良好等，且各项指标处于最优。完美医疗既是医疗卫生的发展目标，也是处置医疗卫生的条件（如同物理学的“真空”）。十分巧合，在没有任何交流的情况下，国际著名咨询机构毕马威卓越医疗中心主席马克先生（Mark Britnell）于2015年出版了《寻找完美医疗》，两个“完美医疗”定义描述虽然不同，但其理念则不谋而合。
The model of Disease Cybernetics includes four elements: following the law of disease, based on system theory, Perfect Health Service System and feedback mechanism. Principle of Perfect Health Service System is defined as: everyone enjoys basic medical treatment, medical services meet all levels of needs, rational allocation of resources, stable hospital workers, stable incidence rate, universal medical knowledge and good social health consciousness, and all indicators are at the best. Principle of Perfect Health Service System is not only the development goal of medical and health, but also the condition to deal with medical and health (like the "vacuum" of Physics). Coincidentally, without any communication, Mark Britnell, chairman of KPMG Medical Excellence Center, a famous international consulting organization, published "In Search of the Perfect Health System" in 2015. Although the two definitions of "Perfect Health Service System" are different, their concepts do coincide.
医卫软件与重建管理模型
Medical and health software and reconstruction management model
管理模型是医卫软件开发顶层构架和设计的基础。当前的管理方案，无法适应智能化要求的软件开发。基于疾病控制论理论模型发明了一系列方法包括：解剖法系统分析法、疾病诊疗流程再造、目标体系构建方法等，能顺利就某一医疗卫生问题或体系，重建新的管理模型，建立新的制衡机制，有望为新一代智能医卫软件奠定顶层科学和先进的顶层架构与设计。
Management model is the basis of top-level architecture and design of medical and health software development. The current management scheme can not meet the requirements of intelligent software development. Based on the theoretical model of Disease Cybernetics, a series of methods are invented, including: anatomical system analysis method, disease diagnosis and treatment process reengineering, target system construction method, etc., which can smoothly reconstruct a new management model and establish a new balance mechanism for a certain medical and health problem or system, and is expected to lay a top-level scientific and advanced top-level framework for the new generation of intelligent medical and health software Structure and design.
实证研究显示，疾病控制论适用于医疗服务的不确定性，为医疗卫生的标准化困境提供了切实可行的解决方案。可以这么认为：“工程控制论”解决基于标准化的复杂系统，而“疾病控制论”解决基于标准化困境或标准化受限的复杂系统。一旦建立基于疾病控制论的医卫软件开发工艺，必将全面促进新一代医卫软件开发的生态加快形成。
The empirical study shows that the Disease Cybernetics is applicable to the uncertainty of medical services, and provides a practical solution to the dilemma of medical and health standardization. It can be said that "Engineering Cybernetics" solves complex systems based on standardization, while "Disease Cybernetics" solves complex systems based on standardization dilemma or limited standardization. Once the development process of medical and health software based on Disease Cybernetics is established, it will promote the formation of a new generation of medical and health software development ecology.
展望
Expectation
基于汉德医疗的大量实践和探索，疾病控制论得以发明，同时也为企业发展增加源源不断的动力。与兴财通用的合作，既是汉德医疗又一项重大项目的启动，也是理论创新对企业发展重要性的生动诠释。
Based on a large number of practice and exploration of Handy Medical, the Disease Cybernetics was invented, and it also increased a steady stream of power for the development of enterprises. The cooperation with XingCai General is not only the start of another major project of Handy Medical, but also a vivid interpretation of the importance of theoretical innovation to the development of enterprises.
汉德医疗与兴财通用一致认为，以创新理论指导实践，以疾病控制论理论模型突破当前医疗卫生软件开发的瓶颈，将开发出系列迭代的医卫软件产品，为医疗卫生事业的智能化进程建立里程碑式的功勋！
Handy Medical and XingCai General agreed that they will guide practice with innovative theory and break through the bottleneck of current medical and health software development with the theoretical model of Disease Cybernetics. They will develop a series of iterative medical and health software products and build a milestone for the intelligent process of medical and health !
