Medical net July 7
Look at the qualifications and see the doctor first
The Internet platforms that government or physical hospitals dominate have helped more and more people get much-needed health services, especially those in remote areas
The small horse in yinchuan, ningxia, recently had a neck and neck discomfort, numbness in limbs and dizziness, which had previously been taken in mri. Due to high temperature and physical conditions, ma tried to select an Internet hospital. Through video, an expert at a well-known hospital in Beijing told the colt to stop taking the medicine and instruct her to strengthen the exercise. The convenience and professional service of the pony was very happy, and she Shared the "new experience" with WeChat friends.
Today, there are many Internet platforms for doctors, and some patients with leg or foot inconveniences or remote areas are willing to try the Internet platform. Although this is a new thing, there are risks, but qualified medical organizations through the platform especially government-led development platform of medical service, become people's peace of mind, can avoid a lot of Internet scams.
In recent years, the government introduced 17 yinchuan Internet medical enterprise set up Internet hospital, to carry out remote expert outpatient service, patients don't have to travel long distances, can enjoy "distant expert diagnosis and treatment plan + local doctor convenient service". Due to the practice of access, the diagnosis and treatment of many systems, the local patients recognition. At present, only a good doctor online services on the number of patients has reached 2.68 million, the expert of Beijing and Shanghai for 1993 patients with ningxia, total reducing traffic board and lodging costs more than 3000 patients with ten thousand yuan.
Running more than two years of the nation's first "cloud hospital" cloud hospital - ningbo, ningbo who is planning commission dominated the cooperative medical service platform, the Internet medical service platform, health management service platform, large health care data application service platform. As of may this year, the city registered 2660 people and 196 medical institutions. A total of 43,460 online consultations were conducted by family doctors, with 3,5110 drug delivery and personalized health management services such as door-to-door nursing, home remote monitoring and tertiary cardiovascular rehabilitation.
In the institute of population and Labour economics at the Chinese academy of social sciences research associate Chen Qiulin view, the government or entity hospital leading Internet platforms, hold qualification red line, to help more and more people get in urgent need of health service. But the Internet is more valuable and more urgent than the medical establishment.
On June 15, 2015, the "smart pharmacy", which was jointly established by guangdong provincial hospital, was officially launched. Located in panyu "central pharmacy" dock with the hospital outpatient service system via the Internet, receive real-time electronic prescriptions from the hospital, after completed by professional medicine dispensing, decoction, subcontract, express delivery. Who lives in guangzhou yuexiu Zhu Yongrong to guangdong hospital finish see sick pay the fee, just returned home, "wisdom" pharmacy will make traditional Chinese medicine decoction, in the afternoon, express to Zhu Yongrong home, than in the past, such as tisanes province for a few hours in a hospital.
According to new sig pharmaceutical chairman, use the Internet and Internet of things "wisdom" pharmacy, transform traditional diagnosis and treatment process, realized the innovation of traditional medical treatment medicine mode, make delivery to your door, traditional Chinese medicine decoction, pharmaceutical affairs consulting one-stop service platform of pharmaceutical affairs. At present, 500 -- 600 Chinese medicines and nearly 1,000 western medicine are introduced, covering almost all kinds of daily medicine except needling, blood products and hemp drugs. The pharmacy "wisdom", so far have been completed with more than 170 medical institutions, service 1 million users over the day prescriptions of up to 20000 pieces, set up in guangzhou, shenzhen, Beijing, chengdu, and other city central pharmacy.
Xiangya hospital, central south university introduced new Taiwan united medical group for many years practical experience, to establish the whole course of management of the Internet platform, service cover pre-hospital, court, hospital and patients in the community or home rehabilitation after follow-up, all the data information through the cloud platform and hospital Intranet system connectivity, two-way referral service collaboration in the couplet of medical hospital, health APP, connection of remote health monitoring, WeChat platform, and the disease case management, form "couplet of online medical", greatly reducing the average such confinement, collaborative division of labor between hospital management to enhance the efficiency and quality, improve patient satisfaction and patient friendly degrees.
It seems that Internet health care is not entirely unreliable, but it is important to see what the real value is.
Mo let "tuyere" become "knife edge"
The Internet has led the demand to the medical community to form a new "interrogation" mode, but it cannot replace the offline treatment completely, and the patient's information security, privacy issues and so on remain the regulatory vacuum
"Standing in the tuyere, pigs can fly." Internet medical care sounds beautiful, but in fact, medical behavior can't be separated from the line under the diagnosis, inspection, or there will be misdiagnosis. A lot of times, after online consultation, the user gets only information, can't become a prescription, has no material effect. According to reports, some Internet platforms claim to be able to perform surgery offline, where the actual operation is not equipped with medical qualifications, and users can be cheated if they don't understand it. In addition, the patient information security, privacy issues and so on remain regulatory vacuum.
"Wei, the event has fully exposed the weakness of the Internet platform, even the simplest health information services, the Internet is full of deception, not science, implied risk everywhere. Although Internet technology will bring about the changes in medical field, but at present all kinds of foam, concept, develop the phenomenon is not uncommon, not conducive to the development of medical Internet." "Chen said.
How to avoid these "blade", find the "tuyere", become the necessary road of Internet medical treatment.
Good doctor online Wang Hang thinks, chief executive of the nature of Internet hospital, not the diagnosis and treatment were all moved to do online, entirely replace offline diagnosis and treatment, but medical services beneficial supplement.
Some Internet companies think, "draught" lies in the development of mobile Internet has changed the public living habits, continuous innovation of the medical service mode, especially the Internet new mode of couplet of "big data + Internet medical", can put the huge sought treatment searches on the net, through reasonable distribution platform, will lead to the demand of 3 armour hospital medical couplet body, achieve more convenient "visits" service model.
Hospital management, tsinghua university, a researcher at skill that Internet + medical will at all levels across the country, doctors, patients, check, ward, pharmacy, nursing, rehabilitation and other medical resources, redistribution in more efficient way. The social exploration of Internet + medical care has not only revitalized the unused medical resources, but also mobilized all parties to participate in the reform, which has won the trust of doctors and patients to a certain extent. "In the future, with the development of science and technology and the deepening of public hospital reform, the Internet and medical care are more and more integrated and are no longer a supplement and extension of traditional medicine."
"Technology-driven medical innovation is a trend in the future." Ali vice President, research of health says, for example, big data technology is the future of couplet of medical grading diagnosis and treat the direction of the development is very important, if the medical couplet body inside for each other, and through the machine learning form a case analysis of the robot, can help doctors improve the ability of medical service at the grassroots level to help ordinary people reduce professional information acquisition costs. In GPS under the condition of insufficient resources, Internet, big data, artificial intelligence and the doctor team can collaborate to auxiliary diagnosis of medical artificial intelligence system, the technology development of demand will soon.
The whole process of supervision and prevention
The regulation of Internet medical care should not fall into the mold. It can't set up new walls for Internet hospitals and curb the properties of Internet access
Recently, the national health development planning commission have released the diagnosis and treatment measures for the administration of the Internet (try out) "(draft) and the" about promoting the development of the Internet medical service opinion "(draft), which aims to diagnosis and treatment for specification and restrictions on the Internet. What is the future of the Internet + healthcare model? Chen said this means exploring regulatory policies suitable for Internet medical development, setting rules, safeguarding rights and interests, preventing risks and protecting the healthy development of the industry.
Strict doctors' access mechanisms, key monitoring of online medical practices, electronic prescriptions and drug rebates are considered to be the three main regulatory priorities of Internet medicine. Yinchuan is strictly limited the doctor's department, job title and clinical experience in the fixed number of year, the doctor must have more than 5 years clinical experience, attending physician title, in order to ensure the quality of medical services and security. At the same time, the Internet hospital's servers must be stored in the big data center of yinchuan, and the health and family planning commission (NHFPC) should be put in place to supervise the real-time supervision.
According to cao jian, the supervision mode of yinchuan has realized the whole process of supervision and supervision of Internet hospital diagnosis and treatment, which is more reasonable and effective than traditional supervision. "Internet + medical's the optimum combination of resources. The Internet medical regulation, can't fall into the traditional mold, can't for the Internet hospital set up a new fence, to curb Internet open properties. The top design, the law regulation shall start from the aspects of basis, industry standards, information security, establish corresponding to the Internet health development of our country's regulatory system." In the face of new business, he said, we need to break through traditional thinking and balance the regulation and innovation, freeing up medical productivity.
Expert proposal, should be on the Internet diagnosis codes and standards, correctly guide the medical institutions to carry out Internet medical services, to promote the implementation of the classification and treatment policy, conditions for the development to mature before legislation. Shall, from the aspect of legal norms, on the other hand, the Internet and treatment scope, it applies only to chronic diseases, common diseases, prescriptions, hospital after follow-up and rehabilitation, rule out the disease of critical patients and clinicians personally inspecting. In the aspect of supporting policies, social security department may try to patients on the Internet in the medical cost gradually into the category of reimbursement, reduce the economic pressure of patients, encourage patients to choose online diagnosis and treatment, consultation, reduce the burden of big hospital outpatient service.
Ningbo cloud hospital has made a good demonstration, namely the unification of the Windows, unified service identification, integrated operation of the whole city's remote diagnosis and treatment service resources, and focused on meeting the demand; The platform is unified, the whole city telemedicine service is realized on the platform of ningbo cloud hospital; Standard unified, the medical establishment telemedicine service center and the cloud clinic construction standard, standardized construction; The service is unified, and the management standard of the remote medical service in ningbo city (trial) is introduced, and the service time and content of the service are consolidated and the management is strengthened.
According to skill, we can draw lessons from foreign regulation of health on the Internet, such as the doctor prescribed before, must be in person or via remote medical treatment for the patient to a medical assessment at least once; In some areas, doctors must physically check their patients before prescribing them online. After prescribing a prescription, a pharmacist from the official body will conduct a rigorous review of the online prescription to obtain medicine after approval. |
