Internet medical or ushered in change: online access to doctors is limited

A few days ago, a letter from the Health Planning Commission on the “Administrative Measures for the Internet Treatment (Trial) (Consultation Draft) and the opinions on promoting the development of Internet medical services (draft for comments) was circulated on the Internet. The ED diagnosis and treatment of medical institutions engage in Internet activities to develop a detailed specification, medical institutions, doctors need appropriate qualifications, scope of activities is limited to chronic medical services contract telemedicine services and primary health care institutions among medical institutions. Although the draft for comments has not been published, many industry insiders have confirmed the authenticity of the draft for comment, and said that if the final document is not changed much, it will have a greater impact on the existing Internet medical landscape.

Internet medical treatment or law

In this consultation draft circulating on the Internet, Internet diagnosis and treatment was first defined. “The Internet medical treatment activities referred to in these Measures refer to the use of Internet technology to provide patients and the public with services such as disease diagnosis, treatment plans, prescriptions, etc.” Currently, there are many Internet medical industry related organizations on the network, and the service contents of these organizations Including medical reminders, price payment, drug distribution, information consultation, health education, disease diagnosis and treatment. The solicitation draft issued this time only includes Internet clinics, and other categories are not among them.

At present, there are many Internet hospitals and platforms in the country that carry out Internet diagnosis and treatment activities. In 2015, Wuzhen Internet Hospital was established, which is also the first Internet hospital in China. Wuzhen Internet Hospital wrote: "Wuzhen Internet Hospital directly assists doctors and patients to complete online referral and remote consultation through the application of electronic medical record sharing, remote high-definition audio and video communication technology. Patients can face the doctor without leaving the house. You can enjoy a series of medical services such as diagnosis, prescription and online medical treatment." Last year, Good Doctor Online and the Yinchuan Municipal Government jointly established and established the "Yinchuan Smart Internet Hospital", which can realize online consultation. Prescribe drugs, make appointments, and surgery. In recent years, due to the impact of medical reform and supply and demand, a number of similar Internet medical institutions have been launched.

However, these Internet clinics need to be revoked within 15 days after the official regulations are issued, and management will be re-implemented. "Internet hospitals, cloud hospitals, network hospitals, etc., which are set up for approval before the issuance of these Measures, shall be rescinded within 15 days after the issuance of these Measures, and shall be re-distributed to the Internet in accordance with the provisions of these Measures. Activity implementation management."

The Exposure Draft also requires that medical institutions conducting Internet diagnosis and treatment activities should use the name of the "Medical Institution License" and must not use names such as Internet hospitals, cloud hospitals, and network hospitals. From this point of view, the current number of institutions must first change the name.

After the exposure of this consultation draft, whether the platform such as Lilac Garden and Chun Yu doctor was affected by the document was concerned. Industry insiders explained to the Beijing Youth Daily reporter that the business engaged in such platforms is health consultation, etc. It does not belong to the Internet and is not affected. The person said that whether he is engaged in Internet diagnosis and treatment, the criterion is whether the doctor finally issued a "prescription". The patients on the above platform finally accept only "recommendations" rather than the prescriptions for drug metering, usage and timeliness.

Hospital doctors restricted access

The consultation draft has put forward corresponding requirements for the qualifications of institutions and doctors for Internet diagnosis and treatment. Internet medical treatment activities should be provided by medical institutions that have obtained the Medical Device License, and the medical treatment subjects provided are consistent. At the same time, the medical institution's Internet diagnosis and treatment activities shall be filed and approved by the health and family planning administrative department that issued the “Certificate of Practice for Medical Institutions”, and shall be indicated in the copy of the “Practicing License for Medical Institutions”.

Medical personnel carrying out Internet diagnosis and treatment activities shall obtain corresponding qualifications according to law, and shall, through the consent of the medical institutions registered by them, conduct Internet diagnosis and treatment activities in the medical institutions they have registered. If medical personnel conduct Internet diagnosis and treatment activities that violate the provisions of the Practitioners Law and the Nurses Regulations, the health and family planning administrative department shall handle them according to the Law on Practicing Physicians and the Regulations of Nurses.

At present, there are not a few doctors on the Internet who are “on the consultation”. The data published by the doctors online shows that “the platform has more than 150,000 medical experts in 6,800 hospitals across the country”. According to industry insiders, although there are many online doctors, there are not many real “experts”. Most of the online doctors have more young doctors. This is mainly because young doctors value personal branding and also have some economic aspects. Demand.

For the requirements of medical institutions, industry insiders said that all existing Internet clinics need to apply for re-qualification, and the industry will usher in a major reshuffle. This regulation shows that the state has stricter regulations on Internet clinics and that a number of non-compliant companies will fall.

However, more people in the industry said that the introduction of the code is a "good thing", the Internet diagnosis and treatment industry will have "there is a law to follow", companies and doctors can carry out activities more standardized, for the formal medical institutions is protection and regulation, Further promoted the development of the industry.

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