Internet medical treatment makes it easier to see a doctor (Health Focus)
Since 2020, in the fight against the new crown pneumonia epidemic, public hospitals across the country have launched Internet medical services, which has effectively improved the medical experience of patients.
According to data released by the National Health Commission, there are currently more than 1,100 Internet hospitals across the country, and 7,700 hospitals above the second level provide online services.
The rate of online appointments in tertiary hospitals has reached more than 50%, and 3,300 hospitals will make appointments in time intervals to 30 minutes.
More than 90% of tertiary public hospitals have realized information exchange and sharing within the hospital.
The telemedicine collaboration network covers more than 24,000 medical institutions in all prefecture-level cities.
30 provinces have established Internet medical service supervision platforms.
Mobile phone follow-up, simple and quick operation
Online follow-up consultation saves time and money for patients and their families, saves patients from the pain of boats and cars, and is conducive to postoperative recovery
"Hello, Director Chen, I have some cough, what's the matter?"
"The feeding tube is placed in the throat, which will cause irritation. It is normal to cough occasionally."
"One month has passed since the operation, can I take out the tube and eat by myself?"
"The feeding tube is your'lifeline'. If you pull it out, there will be obstacles to eating directly. It is really uncomfortable to insert the tube, but I still hope you can bear it again..."
This is Chen Keneng, director of the Department of Thoracic Surgery, Peking University Cancer Hospital, who is conducting postoperative follow-up visits to Ms. Li, who is at home in Xiamen, Fujian Province, through the Internet.
At the end of January this year, Ms. Li underwent esophageal cancer resection at Peking University Cancer Hospital and returned home to recuperate after being discharged from the hospital.
Prior to this, Ms. Li had already bought a ticket to Beijing and was going to Beijing for a follow-up visit.
My friend said that the follow-up consultation could be conducted online. She found it very fresh and wanted to try it, so she refunded the ticket.
With the help of her son, Ms. Li used the "Beizhongyun Medical Record" mobile phone software to make an appointment to Chen Keneng's follow-up consultation number and successfully completed the follow-up consultation.
"Mobile phone follow-up is really convenient!" Ms. Li told reporters via video.
How to operate the mobile phone review?
The staff of Peking University Cancer Hospital clicked on "Bei Zhongyun Medical Record" to demonstrate to reporters: On the day of consultation, the patient logs in "Beijong Yun Medical Record" 30 minutes in advance, clicks "Online Follow-up" on the homepage, and enters the "Network Clinic" to wait for consultation. .
After that, the doctor will initiate the consultation invitation, and the patient can start the consultation by clicking "answer".
The whole process is easy to operate, even elderly patients who don’t know how to access the Internet can easily complete it with the help of their family members.
In April 2020, Peking University Cancer Hospital was approved for Internet diagnosis and treatment qualifications. Up to now, it has accumulated more than 40,000 online follow-up visits, of which 22.8% of patients have received more than three follow-up visits.
Chen Keneng said that the patients at Peking University Cancer Hospital come from all over the country. After the initial diagnosis and operation, the patients need to follow-up, or even multiple times.
If you travel long distances to Beijing for each follow-up visit, some need to be accompanied by family members, which is very expensive.
Many follow-up visits do not have to be on-site, and can be resolved through video.
Online follow-up diagnosis saves time and money for patients and their families, saves patients from the hardship of boats and cars, and facilitates postoperative recovery.
According to Zhao Chengsong, assistant to the dean and director of the outpatient department of the Beijing Children's Hospital affiliated to Capital Medical University, Beijing Children's Hospital recognizes the results of the mutual recognition project for children at the same level in the local hospital or the Beijing-Tianjin-Hebe-Lu
After the child is examined in the local hospital, the film or examination report is uploaded to the Internet medical platform of Beijing Children's Hospital, and the receiving doctor can also see it.
"Guaranteeing medical quality is the life of Internet medical treatment." Zhao Chengsong said that for large public hospitals, Internet diagnosis and treatment is an inevitable trend.
In order to ensure the quality of medical care, doctors should be trained on the Internet to improve their online diagnosis and communication skills.
"Internet medical care is not exclusive to young doctors. Experienced experts should take the lead in embracing the Internet, so that more patients can enjoy high-quality medical resources."
Heng Fanxiu, director of the Information Department of Peking University Cancer Hospital, believes that the smooth progress of Internet diagnosis and treatment in large hospitals is inseparable from an efficient information management system.
The Internet diagnosis and treatment system of Peking University Cancer Hospital has been updated 38 times since it was launched. Each version update is to patch loopholes and improve system operation efficiency and security.
"The hospital's Internet diagnosis and treatment data should be encrypted for transmission and stored on an independent server to ensure the safety of patients' medical treatment data." Heng Fanxiu said.
Prescribe drugs online and deliver them home by express delivery
Doctors need to use electronic signatures when prescribing drugs online, and pharmacists sign after reviewing the internal system of the hospital to ensure that the prescription is reasonable, legal and compliant
"The medicine prescribed on the Internet in the morning was delivered home before dark, so fast!" Mr. Zhang, who lives in Tianjin, took his 8-year-old daughter with precocious puberty and used his mobile phone in the WeChat applet-"Beijing Children's Hospital Service" A follow-up visit was conducted on the "number".
After the video interview, the doctor prescribes online.
A few minutes later, the pharmacist approved it.
After the consultation, Mr. Zhang clicked the "Buy online medicine" button, selected the prescription to be paid, clicked "Pay now for delivery", select the "Express home" service in the "Delivery method", fill in the address, phone number and other information and make the payment. Completed the drug purchase process.
"Easy to operate and fast to pay. Online drug purchase is also very easy!" Mr. Zhang said.
In April 2020, Beijing Children's Hospital opened the Internet diagnosis and treatment service. Patients can enjoy online follow-up consultation, online prescription and home delivery of prescription drugs only through their mobile phones.
At present, most departments of Beijing Children's Hospital have carried out Internet diagnosis and treatment, and the hospital is equipped with corresponding equipment to facilitate doctors to go out of Internet outpatient clinics.
How to ensure safety when doctors prescribe drugs online?
Zhao Chengsong introduced that Beijing Children's Hospital has established a relatively complete Internet management system, and implemented an electronic signature system and a drug pre-review system.
Doctors need to use electronic signatures to prescribe drugs online, and pharmacists must sign after passing the hospital’s internal system review to ensure that the prescriptions are reasonable, legal and compliant.
After prescribing a beneficial prescription, how can the medicine be delivered to the patient's home safely and quickly?
Zhao Chengsong said that Beijing Children's Hospital has cooperated with China Resources Pharmaceutical Group to develop a prescription circulation platform.
On the platform, the hospital is responsible for reviewing the prescription, and then pushing the prescription to China Resources Pharmaceutical.
China Resources Pharmaceutical then arranges the nearest pharmacy based on the patient's location, and uses specialized medical logistics to deliver the medicines and deliver them to the patients' homes in time.
In September 2020, Peking Union Medical College Hospital's Internet diagnosis and treatment drug delivery service was officially launched.
In order to make the express delivery more accurate, the hospital selected high-quality drug delivery contractors and signed a long-term cooperation agreement.
Non-medical patients across the country can enjoy the "point-to-point" home delivery service of medicines after the online follow-up visits to Peking Union Medical College Hospital, and can check prescriptions and medication guidance on Peking Union Medical College Hospital’s mobile client. If you have any questions, you can also consult Union Medical College online Pharmacist.
Some Chinese medicine hospitals are also exploring online express delivery services for Chinese herbal medicine prescriptions.
In April 2020, Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine issued Shanghai's first online prescription of Chinese herbal medicine on the Internet.
This prescription was delivered to the patient's home in Yancheng City, Jiangsu Province for free within two days through the hospital's delivery system of Chinese medicine decoction pieces.
Prior to this, Longhua Hospital had established a relatively mature distribution system for Chinese medicine decoction pieces.
The relevant person in charge of Longhua Hospital said that the free drug delivery measures in Jiangsu, Zhejiang, Shanghai and Anhui will be continued to provide more convenience for patients.
“Currently, hospitals’ Internet diagnosis and treatment platforms still need to be continuously improved. For example, some hospitals’ Internet diagnosis and treatment platforms do not have enough drugs to issue laboratory test forms and checklists.” Zhao Chengsong suggested that in order to better serve patients, hospitals and drugs Distribution companies strengthen cooperation, optimize the Internet diagnosis and treatment platform, provide more high-quality services, and further enhance patients' sense of medical treatment.
Online payment, real-time medical insurance settlement
"Internet +" medical services are included in medical insurance payment, and online and offline medical services are treated fairly
Aunt Jing, who lives in Jinan City, Shandong Province, is 69 years old and suffers from high blood pressure. She needs regular follow-up visits and medicines.
She completed the medical insurance identity verification and medical insurance binding on the official account of "Shandong Medical Insurance Great Health", and she can use the medical insurance payment when she chooses the Internet hospital where she sees a doctor.
"Mobile WeChat payment, medical insurance settlement in real time, the operation is not complicated." Aunt Jing said.
In order to facilitate patients with chronic diseases, Shandong Province has established the Shandong Provincial Medical Insurance Big Health Platform, relying on Internet hospitals to open online medical insurance payment for Internet hospitals stationed on the platform, and medical insurance information can be verified instantly.
At present, Shandong Province has established a comprehensive medical security service system of "Internet + medical insurance + medical treatment + medicine", realizing the seamless connection of key links such as medical insurance certification, re-examination and verification, online prescription, and delivery of medicines to home.
Participants in Shandong Province can get one-stop convenient services such as online follow-up visits, prescribing drugs, and online payment for medical insurance through their mobile phones without leaving their homes.
In response to problems such as unsmooth operation of mobile phones for some elderly people, the Shandong Medical Insurance Big Health Platform has also opened a manual customer service hotline to help patients with chronic diseases complete their first contract and follow-up services.
Uncle Lin, who has been bedridden with hemiplegia for more than 20 years, has used this service. Uncle Lin and his wife only have one elderly phone. Uncle Lin's daughter uses a smartphone to complete the first contract on the platform for him and save the hotline to the old man's mobile phone.
In the future, the elderly only need to make a phone call and wait for the medicine to be delivered to the door.
Medical insurance is settled online in real time, and the self-paid part is collected by the delivery staff.
In March 2020, in order to address the drug needs of patients with chronic diseases during the prevention and control of the new crown pneumonia epidemic, the National Medical Insurance Administration, in conjunction with the National Health and Health Commission, issued the "Guiding Opinions on Promoting the Development of "Internet +" Medical Insurance Services During the Prevention and Control of the New Coronary Pneumonia Epidemic". Internet medical institutions that clearly meet the requirements provide insured persons with online follow-up services for common and chronic diseases, online electronic prescriptions, offline dispensing, and insured persons can enjoy the same medical insurance payment treatment as in physical hospitals according to regulations.
The "Internet+" medical insurance service was welcomed by patients soon after it was opened.
Take Shanghai as an example. As of June 2020, 12 medical institutions have achieved online real-time settlement of medical insurance, with more than 17,800 settlements and a total cost of 2,598,200 yuan.
In October 2020, the National Medical Insurance Administration issued the "Guiding Opinions on Actively Promoting the Payment of "Internet +" Medical Services and Medical Insurance", which clarified that outpatients with chronic diseases and special disease patients incurred on-line follow-up visits and drug fees, priority Include in the scope of medical insurance reimbursement, and support the circulation of "Internet +" medical follow-up prescriptions, and explore the interconnection of prescription information purchased by designated medical institutions and designated retail pharmacies.
Lu Qingjun, director of the Telemedicine Management and Training Center Office of the National Health Commission of the China-Japan Friendship Hospital, said that the "Internet +" medical insurance payment policy clarifies that "Internet +" medical services are included in the specific content of medical insurance payments, and online and offline medical services are treated fairly. It also prioritizes the need for follow-up and renewal of chronic diseases and special diseases in outpatient clinics, and supports the circulation of outsourcing prescriptions, which not only facilitates patients, but also reduces the pressure of hospital admissions.
Internet medical treatment breaks the time and space constraints of patients seeking medical care, allowing many patients to easily achieve medical care across provinces and other places, helping to promote the homogenization of medical resources, so that patients in remote areas can also conveniently enjoy high-quality medical resources, and better satisfy the people The medical and health needs of the masses.
Our reporter Shen Shaotie Li Hongmei
Our reporter Shen Shaotie Li Hongmei