People's Daily: Legal entities that assume responsibility in Internet medical services to be resolved



General Secretary Xi Jinping pointed out that it is necessary to use big data to promote the protection and improvement of people's livelihood, promote "Internet + medical", etc., and continuously improve the level of equalization, inclusiveness, and convenience of public services. In recent years, Internet medical services have developed vigorously. Online consultation, telemedicine and other medical services have promoted effective allocation of medical resources. From large hospitals as the center and patients waiting for service in the past, to patient-centric and collaborative network services, Internet healthcare is accelerating the realization of the co-construction and sharing of high-quality medical resources to meet the individualized medical needs of different groups.

In Yinchuan First People's Hospital, patient Ma was found to have enlarged mediastinal lymph nodes, which basically ruled out the possibility of lung malignant tumors, but it was impossible to clarify the cause. With the help of the doctor in charge, Ms. Ma applied for the remote expert clinic of Dr. Zhong Xu from the Respiratory Department of Peking Union Medical College Hospital through the Internet consultation platform. Zhong Xu looked at the medical records uploaded by the local doctor and initially judged that the patient's problem was caused by tuberculosis. Ms. Ma said that it only took less than half an hour to see the big experts in Beijing on the Internet. If this is to go to Beijing, it will increase the cost of transportation and accommodation. Now I don’t know whether it is registered or not.

Patients run less errands

Effective allocation of resources, greatly reduced costs

Online consultation means that doctors provide diagnosis and treatment services to patients through the Internet. The doctor asks the patient's medical history in detail online, checks the necessary inspection reports, and gives a diagnosis and treatment plan. At present, online consultations are mainly based on follow-up consultations and consultations, that is, patients who have already gone to the hospital for treatment can solve the follow-up rehabilitation and treatment on the Internet; when lower-level hospitals and doctors encounter difficult cases, they can use the Internet to superiors The doctors of the hospital initiated a consultation request and obtained the diagnosis and treatment opinions of superior experts.

Liu Yinglong, chief physician of the Department of Pediatric Cardiac Surgery of Beijing Anzhen Hospital, provides post-surgery consultation services for pediatric patients through an Internet appointment appointment platform. The platform has invited tens of thousands of pediatric experts from tertiary hospitals to station, and through big data and lean medical treatment, pediatric resources can be more effectively allocated.

For patients, the first consideration for online consultation is the expert, followed by the cost. The cost of online consultation varies with the level of experts. Because Beijing and Shanghai gather the top experts in the country, the average consultation fee is also significantly higher than that of other regions. According to a survey, the average consultation fee is 147 yuan in Beijing, 138 yuan in Shanghai, and only 30 yuan in Hebei. In most online consultations, both doctors and patients are not in the same city, and the time and economic cost of seeing a doctor in different places is much higher than the average cost of online consultations.

"In the 10 years from 2006 to 2015, Internet medical care can only provide online consultation, not provide diagnosis, let alone give prescriptions. For medical care, diagnosis and treatment are the core, and Internet medical care must further provide patients with better It is more convenient, and you must enter the field of diagnosis and treatment." Said Wang Hang, founder of Good Doctor Online. At the beginning of 2015, the National Health and Family Planning Commission clarified that online consultation is a strict medical practice, and the main body of the service must be a medical institution, that is to say, a medical institution must be licensed to become a hospital in order to make further use of the Internet in the field of diagnosis and treatment. The role of. In 2016, Good Doctor Online cooperated with Yinchuan Municipal Government to build Yinchuan Smart Internet Hospital, which moved from the field of online consultation to online consultation, and accepted the full supervision of the medical management department.

Wang Hang believes that online consultations are generally suitable for three types of patients: First, follow-up patients. After the first offline diagnosis, the doctor is familiar with the patient's condition. After the patient returns home, he can communicate with the doctor online, renew the medication, and upload the inspection data through the Internet. Ask the doctor to give a diagnosis and treatment plan remotely. The second is patients who need consultation, which is also in line with the general trend of national graded diagnosis and treatment. The third is a small number of first-visit patients. Currently, only a few online first-visits for simple diseases, such as dermatitis, eczema, and acne, are open. For relatively complex diseases, Internet hospitals will arrange appropriate hospitals for examinations and face-to-face consultations for patients.

Doctors "sticky" online

Conducive to the formation of word-of-mouth, mutual promotion online and offline

Lin Zhimiao, the deputy chief physician of the Department of Dermatology and Venereology of Peking University First Hospital, registered and authenticated on the Haodafu website, and submitted the doctor’s qualification certificate, doctor’s practice certificate, title card, ID card and other documents. After completing the multi-point practice record, he became a good doctor online Yinchuan Wisdom An online practicing doctor in an Internet hospital. He said that from the current policy, multi-point practice does not require the consent of the original unit. However, he told his employer that it has become well-known on the Internet, and many patients will come here admiringly, and they will promote each other online and offline and will not affect offline work.

Internet medical care has changed the relationship between doctors and hospitals. Internet celebrity doctors have formed a brand on the Internet, driving a discipline in reality. Dr. Shang Aijia from a hospital focuses on relatively rare complex spinal cord diseases. After a good reputation among patients through the Internet consultation platform, the number of patients with spinal cord diseases has greatly increased.