Online service saves patients from hospital trips (Online China)

  The 49th "Statistical Report on the Development of China's Internet" recently released by the China Internet Network Information Center shows that as of December 2021, the number of online medical users reached 298 million, a year-on-year increase of 38.7%, making it one of the fastest-growing applications in user scale. one.

The demand for medical treatment during the epidemic prevention period has led to the rapid development of Internet medical care, and online services have made it more and more convenient for patients to see a doctor.

  Evaluation on the cloud is convenient for patients

  "The doctor came to my house to check and treat me, so I don't have to struggle on the way to the hospital," said Tong Desheng, an 81-year-old man who just finished surgery in the elderly apartment in Taiping Town, Binhai New Area, Tianjin.

What Tong Desheng is full of praise is the home medical project in the "cloud service" of Tianjin grassroots digital health community.

Patients only need to book service items online, and the cloud platform will automatically match the nearest community hospital, evaluate the patient's needs and condition at the first time, and dispatch corresponding medical staff.

  With the rapid development of mobile Internet, artificial intelligence, big data and other technologies, more and more people are enjoying the convenient services brought by Internet medical care.

For example, when electronic prescriptions are issued online, medicines can be delivered directly to the home; remote diagnosis and treatment can also enjoy provincial expert consultation in township hospitals; when electronic social security cards are opened, payment can be registered with the touch of a finger.

  Statistics from the National Health and Medical Commission show that as of the first half of 2021, there were more than 1,600 Internet hospitals in China, and more than 7,700 hospitals above the second level provided online services, and the coverage rate of telemedicine service counties (districts, cities) in China reached 90. %above.

  With the help of "Internet +", medical resources can be optimally allocated across time and space.

With the help of the huge user demand during the epidemic prevention period, Internet medical treatment has achieved rapid development and continued to penetrate into potential users.

Many users have gradually developed their Internet medical awareness and the habit of receiving related services.

The Internet medical market space is still expanding, and the development trend will continue.

  The State Council recently issued the "Notice on Printing and Distributing the "14th Five-Year" Digital Economy Development Plan", proposing to accelerate the development of Internet hospitals, promote Internet medical services such as health consultation, online consultation, and remote consultation, and standardize the promotion of smart health care equipment-based medical services. New models such as home health monitoring, chronic disease management, and elderly care.

  With the encouragement of policies, the Internet medical track continues to be hot.

Many third-party platforms have opened Internet medical services, which further facilitates patients.

For example, in February this year, JD Health and Baidu Health successively launched rare disease service platforms.

The reporter learned that Internet companies are accelerating the development of medical service platforms, mainly including pharmaceutical supply chains, medical services and digital health management.

  New regulations promote high-quality development of the industry

  Behind the rapid development of Internet medical care is the rigid needs of people's livelihood.

However, in the process of development, there are still problems such as "information islands" caused by the difficulty of data sharing and insufficient supervision.

In response to the pain points, difficulties and blocking points in the development of the Internet medical industry, relevant policy documents continue to strengthen guidance and supervision.

  During the epidemic prevention period, Internet medical treatment ushered in a series of new regulations.

In March 2020, the National Medical Insurance Administration and the National Health and Health Commission jointly issued the "Guiding Opinions on Promoting the Development of "Internet +" Medical Insurance Services During the Prevention and Control of the New Coronary Pneumonia Epidemic", which clarified that online follow-up visits for common and chronic diseases during the epidemic prevention period were included. In the scope of medical insurance payment, designated medical institutions are encouraged to provide "non-face-to-face" drug purchase services.

In November 2020, the National Medical Insurance Administration issued the "Guiding Opinions on Actively Promoting "Internet Plus" Medical Services and Medical Insurance Payments", encouraging localities to rely on a unified national medical insurance information platform to realize the circulation of prescriptions.

  In October 2021, the Medical Administration and Hospital Administration of the National Health and Health Commission issued the "Detailed Regulations on Internet Diagnosis and Treatment Supervision (Draft for Comment)", which listed in detail the supervision of medical institutions, personnel supervision, business supervision, quality and safety supervision, and supervision responsibilities. Regulation.

The document released a clear signal that Internet diagnosis and treatment should be as "homogeneous" as the diagnosis and treatment services provided by physical institutions to the greatest extent, so that Internet diagnosis and treatment should return to the fundamental positioning of medical services.

  The release of a series of guiding documents has escorted the development of the Internet medical industry from the policy level, allowing the industry to bid farewell to the barbaric growth of the past and move towards a stage of standardized and high-quality development.

  Build a shared medical platform

  With the efforts of all parties, many problems exposed in the development of Internet medical care are being gradually solved.

According to data released by the National Health and Medical Commission, a total of 258 prefecture-level cities rely on regional platforms to realize the "one card" for medical institutions to see a doctor, and more than 2,200 tertiary hospitals have initially achieved intra-hospital information exchange and sharing.

In terms of supervision, 30 provinces have established provincial-level Internet medical service supervision platforms to supervise Internet diagnosis and treatment services and urge medical institutions to standardize diagnosis and treatment behavior.

Local health authorities have also incorporated Internet hospitals into the local medical quality control system, and carried out online and offline integrated supervision.

  All regions are actively exploring applications based on the national health information platform.

Liaoning Province has realized the interconnection and business collaboration of more than 10 health and health business systems; Chongqing City has realized the data sharing and interoperability of health records and electronic medical records across regions and medical institutions; Hunan Province has realized the sharing of health records. Reading, mutual recognition of inspection and inspection results, unified appointment registration management, etc.

Many provinces have issued "Internet +" medical service price policy documents, focusing on formulating price items such as Internet follow-up consultation and remote consultation, and standardizing the charging method.

  How to promote Internet medical treatment to accelerate into the "fast lane" of standardized development?

During the two sessions this year, many deputies made suggestions on this topic.

Jiang Haoran, member of the National Committee of the Chinese People's Political Consultative Conference and Secretary of the Party Committee of Hengyin Financial Technology Co., Ltd. suggested that a unified supervision platform should be established to further clarify the attributes of Internet hospitals; clarify the multi-point practice guidelines for doctors, explore the optimal channels and length of consultation; clarify the attributes of wearable medical equipment , formulate industry unified standards; accelerate online and offline interconnection, integrate full-process service terminals, etc.

  "How to avoid idle resources and low efficiency in Internet medical care at this stage has become a problem that needs to be considered and solved in the current industry." Gu Jianwen, member of the National Committee of the Chinese People's Political Consultative Conference and director of the Special Medical Center of the Strategic Support Force, suggested to further break the "data island" and build a shared health Medical big data platform; promote multi-point practice, enjoy online high-quality medical resources; mobilize the activity of Internet medical online doctors, etc.

Li Jiabao

Li Jiabao