It is strictly forbidden to take medicine first and then AI prescription——
Internet diagnosis and treatment usher in strong supervision
Our reporter Wu Jiajia
When you are unwell, you can first search for the cause and conduct online consultations on the Internet... In recent years, with the development of Internet technology, the traditional medical treatment mode has quietly changed, and the scale of Internet medical care has expanded rapidly.
However, while online services make it more and more convenient for patients to see a doctor, there are also chaos such as first medicine and then AI prescription, which not only affects the patient's medical experience, but may also delay the disease.
A few days ago, the "Internet Diagnosis and Treatment Supervision Rules (Trial)" jointly formulated by the General Office of the National Health Commission and the State Administration of Traditional Chinese Medicine was announced.
Relevant experts said in an interview with reporters that in response to social concerns such as prescription review, privacy protection, and diagnosis and treatment quality control in Internet diagnosis and treatment, the detailed rules have made clear provisions, delineated the norms and bottom lines of industry development, and will prompt the Internet diagnosis and treatment industry to say goodbye " Savage growth", entering a new stage of high-quality development.
Refinement of regulatory requirements
In 2018, the General Office of the State Council issued the "Opinions on Promoting the Development of "Internet + Medical Health", and Internet diagnosis and treatment experienced a large-scale growth.
By the end of 2021, there will be more than 1,700 Internet hospitals nationwide.
In order to standardize the behavior of Internet diagnosis and treatment, in recent years, the state has successively issued documents such as the Measures for the Administration of Internet Diagnosis and Treatment (for Trial Implementation), the Measures for the Administration of Internet Hospitals (for Trial Implementation), and the Regulations for the Administration of Telemedicine Services (for Trial Implementation). On the basis of the three documents, more detailed regulatory requirements are put forward for the supervision of medical institutions, personnel supervision, business supervision, quality and safety supervision, and supervision responsibilities for Internet diagnosis and treatment.
"The detailed rules further clarify the boundaries of Internet diagnosis and treatment, clarify the construction direction of Internet hospitals and the scale of diagnosis and treatment behavior." Lu Qingjun, director of the National Center for Telemedicine and Internet Medicine and director of the China-Japan Friendship Hospital Development Office, believes that the health supervision department has standards and regulations that can be According to this, the measures for the integration of online and offline management of medical institutions are clearer, and Internet hospitals also have more detailed work guidelines in the process of compliance with laws and regulations, which provides a clear path for the overall construction and development of Internet diagnosis and treatment, and is conducive to the formation of social sharing, A regulatory mechanism for co-construction and co-governance.
"At present, Internet diagnosis and treatment has become an inseparable part of the medical process. Therefore, it is imperative to strengthen the management and operation of homogenization." said Zhao Wei, deputy director of the National Cardiovascular Center and vice president of Fuwai Hospital, Chinese Academy of Medical Sciences. , the detailed rules have sorted out some key processes of Internet diagnosis and treatment, and guided and optimized the entire Internet diagnosis and treatment process according to different roles and links.
From the pre-diagnosis preparation, the diagnosis and treatment process to the post-diagnosis supervision, the entire diagnosis and treatment process is opened up, which will help medical institutions to carry out corresponding management and construction, and promote the high-quality development of Internet diagnosis and treatment.
Clarify the main body of responsibility
Internet diagnosis and treatment breaks through the limitations of time and space and greatly simplifies the medical treatment process.
However, in the process of its rapid development, there are also individual irregularities, which bring risks to the life safety of patients.
The detailed rules put medical quality and safety first, and standardize the behavior of Internet diagnosis and treatment.
The rules stipulate that the prescription should be issued by the receiving physician himself, and the use of artificial intelligence to automatically generate prescriptions is strictly prohibited.
Prescription drugs shall be sold, dispensed and used on the basis of a physician's prescription.
It is strictly prohibited to provide a drug to a patient before a prescription has been issued.
The detailed rules also stipulate that doctors need to carry out real-name authentication before receiving medical consultations to ensure that they provide medical services.
Other personnel, artificial intelligence software, etc. shall not fraudulently use or substitute doctors to provide diagnosis and treatment services.
The competent health departments at all levels shall be responsible for supervising the personnel who conduct Internet diagnosis and treatment in the medical institution.
"Clarifying main responsibilities and high-quality supervision are the key points emphasized by the rules." Wang Hang, CEO of Haodafu Online, believes that compared with the previous offline diagnosis and treatment, online diagnosis and treatment connect doctors and patients through the network platform, and there is no hospital or department as a carrier to identify doctors. Qualification is relatively difficult.
The detailed rules fully emphasize the responsibilities of medical institutions to medical personnel, clarify the main responsibilities of medical institutions, ensure that institutions verify the identity of doctors, ensure that doctors receive medical consultations, and ensure the training and assessment of doctors, etc., which will help promote the development of standardized business operations.
"After the relationship between the Internet diagnosis and treatment industry and doctors is clarified, it will not only greatly improve the platform's management capabilities, but also promote doctors' awareness of online service quality." Wang Hang emphasized that in the future, on the Internet diagnosis and treatment platform, doctors will compete against each other. It will be business capability, service levels and patient satisfaction.
Wang Shirui, founder and CEO of the Medical Federation, believes: "The essence of Internet diagnosis and treatment is still medical service. Whether it is offline diagnosis and treatment or online diagnosis and treatment, medical quality and patient safety will always come first." The rules are aimed at promoting the healthy development of Internet diagnosis and treatment. The overall goal is to rely on physical medical institutions to integrate online and offline management to ensure the service quality and safety of the entire process of Internet diagnosis and treatment. This will promote the industry to strengthen its emphasis on quality and safety, and provide professional and effective medical services for patients. further play a role.
The industry may launch a new round of competition for high-quality development, making more room for companies that focus on "serious medical care".
Standardize platform development
Internet diagnosis and treatment use the Internet as a carrier, introduce its advantages into diagnosis and treatment services, effectively integrate medical resources, and improve patients' medical experience. It is an emerging format in the medical industry.
The release of the detailed rules is in line with the previous favorable policies for the industry, which highlights the support for the sustainable and standardized development of Internet diagnosis and treatment enterprises, and also reflects the promotion of new formats of the digital economy.
"The core of the rules is to manage the chaos in the industry and prevent it from developing savagely. This is a good thing for platforms that provide online consultation and medical services in compliance." Li Tiantian, founder and chairman of Lilac Garden believes that the rules are encouraging Effective supervision and risk aversion are carried out while the industry is developing, which reflects the balance between legal rigidity and operability.
It is foreseeable that in the future, having Internet medical infrastructure and related technical capabilities and experience in operation and management will become an important prerequisite for compliant operation, which will benefit the head platform with "online + offline" integrated service capabilities in the long run. "Small" will be gradually cleared.
"The detailed rules emphasize the 'homogenization' of online and offline medical services, which means that Internet diagnosis and treatment will have the same effect as offline diagnosis and treatment in the future, and it will also help promote the improvement of price and medical insurance policies that meet the characteristics of Internet diagnosis and treatment services." Liao Jieyuan, founder, chairman and CEO of WeDoctor, introduced that the detailed rules require that the diagnosis and treatment, quality control, supervision, complaints, data sharing and other behaviors that occur on the Internet must rely on physical medical institutions. Set up special departments to manage medical quality, medical safety, etc.
These may greatly increase the construction, operation and maintenance costs of Internet hospitals, but they will definitely lead the industry to develop in a standardized direction, which is conducive to promoting Internet diagnosis and treatment services to win large-scale purchases of medical insurance, thereby promoting the development of Internet diagnosis and treatment to an integrated medical service system. Market capacity is expected to further expand.
Industry insiders generally believe that "Internet + medical health" effectively integrates medical resources, improves patients' medical experience, and has great potential for development.
The introduction of this targeted and highly maneuverable measure has pointed out the direction for the development of Internet diagnosis and treatment.
It is expected that relevant departments will further strengthen institutional dams and introduce effective measures to promote the healthy and orderly development of Internet diagnosis and treatment, and better meet the health needs of the people.