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3d胆码预测:美国移动医疗的演化:App的软化和硬化

来源: 作者: 时间:2014-02-27

3d胆码预测,谈到师傅郭德纲,岳云鹏表示:“我努力不让我师傅生气,不给我师傅惹麻烦,因为我怕给他找事,真的怕会有负面的新闻。然而对于美国来说不幸的是,老布什的儿子小布什担任总统期间,主导了无疑是美国内战以来最大的战略灾难第二次伊拉克战争,一场造就了伊斯兰国的战争,一场至今还在打、而且不知何时能结束的战争。Chinadoesnotintendtointroducea"floodirrigation"typeofstrongstimulusplanandshouldavoidnewexcessivecapacitiesandredundantconstructionprojects,saidaseniorofficialofthecountry'stopeconomicplanner."Somepeoplemighthaveconfusedthedefinitionoftotalfixedassetsinvestmentandtheconceptof'investmentstimulusplan',"theNationalDevelopmentandReformCommission'ssecretary-general,LiPumin,saidatanewsconferenceonWednesday.Limadetheremarksamidvigorousdiscussion,andevenskepticism,aboutthewidelyreported,massiveamountoffixedassetinvestmentsetastargetsby23provinces,municipalitiesandautonomousregionsforthisyear.Thetargetswererecentlyreleased.DatafromtheNationalBureauofStatisticsshowsthatChina'sfixedassetinvestmentroseby7.9percentto60.65trillionyuan($8.82trillion)lastyear.Inthemeantime,thecountrywasgivingprioritytotheimplementationofstep-by-stepreformtoboostconsumerorinvestmentdemandintheshorttermtostimulateeconomicgrowth."Atsuchagrowthpace,thefiguremightexceed65trillionyuanbytheendof2017-largerthanthemedia'sprediction,"Lisaid.UnlikethestimuluspackagethatChinaleveragedtoanchortheeconomyyearsago,investmentsinfixedassetswillboosteconomicdevelopmentinahealthyandsteadywayandwillpromotesocialharmonyandstability,Lisaid.Headdedthatfixedassetinvestmentisthesummationofinvestmentfromdifferentsourcesincludingthegovernment,nongovernmentorganizationsandforeigninvestors.Itreferstothe"aggregation"ratherthanthe"increment"ofinvestment,Lisaid.Bycontrast,an"investmentstimulusplan"isonlyappliedwhenacountrytakestheinitiativetoincreasethesizeofgovernmentalinvestmenttostimulatedomesticdemandandstabilizegrowth,hesaid.ThecommentsfollowedLi'selaborationatanewsconferenceonthecountry's13thfive-yearplanforamoderntransportationsystemworthatleast2.6trillionyuan.Inadditiontothehugeinvestmenttarget,Chinahassetgoalstoextendtherailwaynetworkby30,000kilometers,morethan30percentofwhichwillbehigh-speedrailway,add320,000kmofroadsandbuildmorethan50newcivilairports.HeJingtong,abusinessprofessoratNankaiUniversityinTianjin,saidthatinthelongrun,China'sgrowthwillbelesscapitalintensiveandinvestmentdriven,indicatingthatgovernmentdecision-makerswillincreasinglyevaluateprojectsbasedontheireconomic,environmentalandoperationalefficiency."Overall,themodernizationofChina'stransportationandinfrastructuredevelopmentwillgraduallypushlocalgovernmentsaswellasdomesticandinternationalcompaniestopursuequalityprojectsandmarkethighvalue-addedproductsandservicesinChinawhilecreatingnewcompetition,"Hesaid.  他还强调,全世界研制战机的国家或地区都是成军后才宣布,绝对没事先敲锣打鼓说要“自制战机”,甚至说要造什么型战机?说穿了,蔡当局这是在做“政治宣传”,还是别闹了吧!(中国台湾网何建峰)

腾博会官网,AmiddleschoolinJinjiang,EastChina'sFujianProvince,hasapparentlybanneditsstudentsfromwearingimportedshoestostopthemfromcompetingwitheachotheroverwhohasthefanciestfootwear.AstatementallegedlyissuedbytheZijiangMiddleSchoolwentviralonFebruary24,whichsaidthatstudentshaverecentlybeguntocomparetheirshoeswitheachotheroncampus.Inordertobethecoolestkidontheplayground,someofthestudentshaveaskedtheirparentstopurchasethemexpensiveimportedshoes,theviralstatementsaid.Inordertocurbthesecomparisonsandpromotefrugality,theschoolsaysthatstudentsinsomegradesarenowforbiddenfromwearingimportedshoesoncampus.AteacherattheschoolsurnamedYeconfirmedwithnewssitethepaper.cnthattheannouncementisgenuineandonlyappliestooneoftheschool'sgrades.Yeexplainedthattheschoolhaspreviouslybannedstudentsfromusingcellphonesandmadethemwearuniforms.Intheabsenceofanyothersartorialortechnologicaldistinction,thestudentsthenfocusedontheirshoes."Somestudentshaveeventoldtheirparentsthattheywillquitschooliftheyaren'tgivengoodshoestowear,"saidYe.However,thestatementtriggeredheateddebateonline,withNetuserssayingthatthestatementimpliesthatallChineseshoesChinaarecheap.Netizensnamedseveralmade-in-Chinashoesthatcostthousandsofyuanapair,sayingthatthestudentscouldjustbuytheseshoesandavoidanylessoninfrugality.  通过这些标准我们再分析新的剧本,得出综合的评分,目前来看,我们的评分也是很准的。监管机构说,该公司虚假披露另一人为实际控制人。2016年10月,美国海军陆战队司令曾到访韩国。

88必发官网注册,报道称,中国网民正在发起抵制乐天、抵制韩国艺人和产品的呼吁。在民间投资的房屋建筑工程中,探索由建设单位自主决定发包方式。Topdiplomatsagreeregularhigh-levelcontactswillkeeprelationshiphealthyStateCouncilorYangJiechiandU.S.SecretaryofStateRexTillersonreaffirmedonTuesdaytheimportanceofaconstructivebilateralrelationshipbetweentheirtwocountriesandagreedtofurtherdevelopties.DuringtheirmeetingattheU.S.StateDepartmentinWashington,YangsaidthatinaphoneconversationbetweenPresidentXiJinpingandU.S.PresidentDonaldTrumpinFebruary,thetwosidesagreedtoworktogethertoachievegreaterresultsinfurtherdevelopingChina-U.S.relations.Inlinewiththeconsensusreachedbythetwoheadsofstateandfollowingtheprinciplesofnoconflict,noconfrontation,mutualrespectandwin-wincooperation,ChinaiswillingtorampupexchangeswiththeU.S.inallareasandexpandcooperationandcoordinationonregionalandglobalissues,Yangsaid,accordingtoaForeignMinistrynewsrelease.Healsosaidthetwosidesshouldrespecteachother'scoreinterestsandmajorconcerns.TheeffortswillensuresustainedandhealthydevelopmentofChina-U.S.relationsandbenefitthepeopleofthetwonationsandtheworldasawhole,Yangsaid.Tillersonsaidthetwopresidentshavesetapositivetoneforthedevelopmentoftheirties.HesaidtheU.S.iswillingtoworkwithChinatolookatbilateralrelationsfromabroaderperspectiveandstrengthenhigh-leveldialoguesandexchanges.Inaddition,hesaidthetwosideswillexpandcooperationinvariousareasanddealwithsensitiveissuesthroughconsultation,accordingtothenewsrelease.Intheirmeeting,TillersonandYangaffirmedtheimportanceofaconstructivebilateralrelationshipandofregularhigh-levelengagementsbetweentheU.S.andChina,accordingtoactingU.S.StateDepartmentspokesmanMarkToner."Thesecretaryandthestatecouncilordiscussedtheimportanceofimprovingandmaintainingamutuallybeneficialeconomicrelationshipbetweenthetwolargesteconomiesintheworld,"Tonersaid.Theyalsodiscussedareasofmutualconcern,includingtheKoreanPeninsulanuclearissue,accordingtoToner.HesaidChinainvitedTillersontovisitBeijing,andtheU.S.diplomatexpressedinterestindoingsointhenearfuture.LiHaidong,aprofessorofU.S.studiesatChinaForeignAffairsUniversity,saidtheinteractionbetweentopdiplomatsfromthetwocountriescouldcreateafavorableenvironmentforapossiblemeetingbetweenXiandTrump."ItalsohelpstoensurethestabledevelopmentofChina-U.S.relationsatatimewhenTrumpadjustsWashington'sforeignpolicyearlyinhispresidency,"Lisaid.    深港两地的创新合作近来成为香港发展的新亮点。

 

编者按:本文来自医药网络社区丁香园(DXY.cn) 创始人李天天(新浪微博@丁香园的李天天),他根据自己在国外参加的系列医药行业会议,就移动医疗行业的现状和未来谈了一下自己的看法。

2013 年是一个值得关注的行业分水岭,在移动医疗的策源地——美国,在医改政策和现代科技的双重驱动下,移动医疗出现了明显的演化趋势,智能手机上的 App 应用表现出“软化”和“硬化”两种明显趋势

软化”——单独靠一款独立 App 应用打天下的时代已经过去,Epocrates(全球第一家上市的移动医疗公司,为医生提供手机上的临床信息参考,其主打产品是药品和临床治疗数据库)的成功上市只给后人留下追忆的片段。自 Epocrates 被主攻 EHR 的医疗信息化服务公司 Athenahealth 收购之后,收入下滑,总部裁人,短短几年间,一颗耀眼明星已成明日黄花。这并非 Epocrates 之错,只是形势变化之快远非一家公司所能掌握。

2013 年底华盛顿的 mHealth Summit 大会,整整四天日程,竟然没有一款独立 App 的介绍或者讨论,而此前的大会,各类 App 无疑是最闪亮耀眼的主题之一。App 们都去哪儿了?答案是——App 嫁给了 HIS。“软化”是指 App 和传统的医疗信息系统进行了深度融合

美国医疗保险系统是号称世界上最慷慨最昂贵的医疗费用支付体系,这个体系是建立在医疗高度信息化基础之上的。要想从这个体系中拿到补贴,就必须证明效果,要么降低了医疗支出,要么提高了医疗质量,要么二者兼有。为了得到政府慷慨的财政支持,App 们不再单打独斗,而是委身下嫁给各种 HIS,EHR,EMR 系统,试图从平价医疗法案(Obamacare)中分得一杯羹。

而各路传统医疗信息化服务商则要么收购 App 公司(如3d胆码预测Athenahealth收购Epocrates),要么自己研发 App,将其作为系统服务的延伸,将信息采集和数据分析服务更多地植入“移动化”元素,强化自身竞争优势,以期拿到更多的政府补贴。因此 App 们软了下去,他们彻底融入美国的医疗信息系统之中,如烟如雾,消弭于各种 HIS 系统之中。

硬化”——在美国医改政策的驱动下,App 软了下去,成为 HIS 系统的附属品。但最新科技又让 App 重新焕发活力,硬了起来。今年年初,在拉斯维加斯召开了 2014 CES 大会,CES 大会是全球最大、影响最为广泛的消费类电子产品展,也是全球最大的消费技术产业盛会。在这次大会上,人们惊奇地发现,CES 近半数展品都是和移动医疗,移动健康相关的电子产品。

各种手环、脚环、臂环、头环、手表……不一而足,甚至还有植入人体的设备。随后互联网巨头 Google 表示进军糖尿病领域,准备开发可以检测血糖的隐形眼镜;而通讯巨头苹果也不甘示弱,迅速招募有健康传感器研发背景的高级研发人员,准备在 iWatch 中加入检测血压心率的模块......

其实硬件本身并不稀奇,无非传感器而已,但在没有 App 之前,人们对传感器素无好感,无非一些枯燥的读数。但借助手机 App,人们可以轻松查阅、存储、管理自己的各种健康或疾病数据,甚至加入社交元素,和小伙伴们相互 PK。

App 们和硬件产品进行了深度融合,它仿佛神来之笔,帮助硬件从原始粗笨的传感器摇身一变,一秒钟变成时尚高端的可穿戴设备。Fitbit 是去年全美出货量最大的可穿戴产品,年轻的韩裔 CEO——James Park 更是野心勃勃,收集更多数据准备说服政府将 Fitbit 纳入医保体系,获得医保支持,可谓是软硬兼施。

App 变化的背后,最核心的原因是——“数据”。App 变软,是充分利用 App 方便的数据展示能力和 HIS 系统深入的数据分析能力;App 变硬,则是充分利用 App 便捷的数据管理能力和传感器实时的数据采集能力。无论软硬,数据君才是隐藏在种种变化背后的大佬。

掌握了数据,医保才敢支付,医生才敢决策,患者才敢治疗,胖墩才敢吃巧克力。

 

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