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Medical Network News, March 22.
Under the epidemic, the scene of online consultation was truly activated, and the fast-forward button was pressed for the development of medical e-commerce
.
From the perspective of the industry, the development potential of emerging formats is worthy of full affirmation, but the hidden dangers presented by them also cannot be ignored
.
On the just past International Consumer Rights Day, when CCTV's 3.
15 evening party again named false medical advertisements on the Internet, surging news also exposed the current illegal phenomenon of online drug sales in medical e-commerce
.
In early March, The Paper selected 17 online pharmacies and 117 banned or high-risk prescription drugs for a centralized purchase test investigation, and found that some online pharmacies not only illegally sell psychoactive drugs and other online banned drugs, but also illegally develop the Internet.
Many prescription drug online sales violations, such as the first consultation, the untrue and irregular electronic prescriptions, and the promotion of prescription drugs
.
It is worth noting that the surveyed online pharmacies all have situations where there is no need for the purchaser to provide a prescription, no fictitious condition can be ruled out, and simple consultations can be used to prescribe and sell prescription drugs
.
Online drug sales have repeatedly violated regulations in recent years.
The
new version of the "Drug Administration Law" has been implemented in December 2019, clarifying that drug marketing license holders and drug dealers selling drugs through the Internet shall abide by the relevant provisions of the law on drug management.
The regulatory principle of “online and offline consistency” for prescription drugs sold online
.
However, the New Drug Law also clearly requires that the seven categories of drugs subject to special management, including vaccines, blood products, anesthetics, psychotropic drugs, medical toxic drugs, radioactive drugs, and pharmaceutical precursor chemicals, shall not be sold on the Internet
.
However, this media investigation found that many online pharmacies sold related prescription drugs in violation of the ban
.
The results of the report show that among 28 prescription drugs forbidden to be displayed or sold online, nearly 40% (10/28) have illegally displayed and provided registration prescribing or purchase options on different platforms; and among other high-risk prescription drugs, This number exceeds 70% (65/89)
.
The results of the purchase test showed that all 17 online pharmacies exhibited and sold the aforementioned 117 prescription drugs
.
Although no longer appear two years ago, the media exposure of the "use of prescription pet photos serve as a net purchase of prescription drugs," the absurd case, but can not obtain electronic prescriptions or incomplete, the pharmaceutical division qualification difficult to confirm, the line ends up attending optional information, personal information may be fictitious Other safety hazards still exist
.
In addition, the investigation also found that some online pharmacies prescribe unlimited prescription drugs, and even launched a variety of promotional activities.
For example, a third-party platform can easily prescribe a local anesthetic lidocaine aerosol for more than 7 days.
, There is no manual consultation process during the whole process; while the anticoagulant "Warfarin Sodium Tablets" appears on the promotion page of a certain platform, such as "seckill", "multiple boxes of low prices", and "shop full reduction"
.
From the perspective of the industry, the epidemic has changed the public's drug purchase habits and is an important reason for the emergence of online terminals.
Another major factor supporting its rapid growth is the rise of Internet medical services
.
Statistics show that by the end of 2020, nearly a thousand Internet hospitals have been established across the country
.
As Internet diagnosis and treatment are gradually incorporated into medical insurance payment, online follow-up visits and delivery of medicines to home are becoming a new trend.
However, Ma Xiuzhen, a member of the National Committee of the Chinese People’s Political Consultative Conference, vice chairman of the Ningxia CPPCC, and director of the Ningxia Health Commission, reminded that the current online prescription review and other platforms themselves In the supervision process, there is a lack of management against excessive drug use.
Pharmaceutical companies have applied to open Internet hospitals , some of which are trying to control the diagnosis and treatment process and increase the sales of their own drugs.
These problems have challenged the authenticity and rationality of prescriptions
.
Breaking through the bottom line highlights hidden safety hazards The
reason why online prescription drugs have attracted the attention of the industry is that drugs do not have the consumption attributes of ordinary commodities, and drug safety is related to the life and health of the public.
This bottom line cannot be broken.
.
Unlike over-the-counter drugs, prescription drugs have a higher level of safety and high drug risks, and they must be purchased and used with a prescription under the guidance of a licensed pharmacist.
The truly legal source of prescriptions should be based on the true medical conditions and real needs of patients
.
In recent years, online purchases of psychotropic drugs have caused coma, self-purchased antipsychotics to treat insomnia, addiction to diagnosed drugs, and liver failure caused by over-purchasing drugs.
In fact, there have been cases in which the trial platform is not strict and prescription drugs are prescribed.
It doesn't matter if the amount is not limited
.
Some clinical experts pointed out that if any prescription drug is given to patients at will, it is a high-risk behavior.
This is also the distinguishing feature of prescription drugs and non-prescription drugs.
Therefore, it is necessary to strictly prevent and control the abuse of prescription drugs
.
Regarding the platform's promotion of prescription drugs, some doctors believe that it will inevitably lay the hidden dangers of overdose or expired drugs for patients
.
Coincidentally, before the red line of supervision of "no Internet diagnosis and treatment activities for first-diagnosed patients", the survey also found that some medical e-commerce companies have been obscure on the surface but actually have repeatedly broken through the bottom line
.
While most of the offline first-diagnosis information is optional, even if no first-diagnosis data is provided, the platform will prescribe drugs for the "patient" after a simple consultation
.
Patients who blindly purchase drugs without the professional guidance of clinicians and licensed pharmacists will most likely cause medication safety issues
.
Due to the virtuality and concealment of the Internet, problems such as the difficulty of monitoring online transaction behavior and the difficulty of investigating and dealing with illegal online activities have brought huge challenges to the regulatory authorities
.
In this regard, Ma Xiuzhen also said: “Pharmaceutical companies include drug sales on the Internet platform into the scope of performance assessment, instructing pharmaceutical representatives to increase online drug sales through offline'academic visits', and there is no lack of drug rebates
.
In addition, some of the Internet Hospitals link doctors’ service income with drug sales in an attempt to “wash out” drug rebates
.
Faced with an incomplete monitoring system on the Internet, they are worried that they may fall into the quagmire
of “ drug rebates ”.
”
Relying on physical medical institutions’ first-diagnostic prescriptions can’t be delayed.
From the perspective of the industry, online drug sales only provide patients with an additional new channel for drug rationing.
The crux of the illegal drug online sales is whether the prescriptions issued by the Internet hospitals can be authentic, complete, and flowed to the Internet in the whole process.
Whether the pharmacy and the final prescription can be strictly reviewed
.
In fact, in order to strengthen the supervision and management of online drug sales and regulate drug online sales, the State Drug Administration issued the "Measures for the Supervision and Administration of Online Drug Sales (Draft for Comment)" in November 2020, which clearly stipulated the conditions for online sales of prescription drugs.
.
According to the requirements, when a pharmaceutical retail enterprise sells prescription drugs through the Internet, it shall ensure that the source of electronic prescriptions is authentic and reliable, conduct prescription adjustment review in accordance with relevant requirements, and electronically mark used prescriptions
.
Experts in the industry pointed out that ensuring the authenticity and reliability of electronic prescription sources is the basic principle of online prescription drugs.
Judging from the current practice in various places, it is a good way to be able to connect to the real prescription circulation platform of physical medical institutions
.
Essentially, the prescription circulation platform mainly relies on physical medical institutions, and it is easy to supervise the real in-person diagnosis and treatment process
.
Nowadays, most prescription drugs sold online are completed online on the Internet platform.
It is difficult to supervise the real scenes of diagnosis and treatment and the authenticity of prescriptions.
If medical insurance payment is involved, insurance fraud is more likely to occur
.
Facing the real dilemma in the industry, Shandong, Jiangxi, Gansu, Guangdong and many other provinces and cities are actively responding, exploring the establishment of a prescription circulation platform supervised by the government, trying to bite the "hard bone" of prescription circulation out of hospitals
.
For example, the easy review third-party prescription circulation service platform that has been implemented in two provinces and ten prefecture-level cities is to establish a local unified standard prescription library and complete prescription library through opening up the hospital information system of the local medical institution under the supervision of the local health department.
Regulatory system
.
Patients can issue prescriptions for offline medical institutions to doctors in Internet hospitals through the platform.
After the doctors review the prescriptions for follow-up visits, patients can choose any offline or online pharmacy to complete the purchase of drugs by themselves.
Pick up in online order store, send out in online order store"
.
This approach not only solves the problem of the true source of prescription drugs sold online, but also meets the regulatory requirements of the health department, effectively ensuring the safety of online drug sales
.
"Internet + medical health" has been a key word in government work reports in recent years.
Modified prefixes have changed from "proposed for the first time" in 2019, to "promoting development" in 2020, and then to "promoting standardized development" in 2021.
The Internet medical and health industry has now entered a new stage
.
The industry generally believes that the trend of online prescription drug sales is irreversible, and that Internet medical care will also transition from barbaric growth to a gradually mature stage
.
In the first year of the "14th Five-Year Plan", whether it is from the perspective of patient medication safety or the sound development of emerging business formats, compliance and supervision are necessary conditions for the sustainable development of Internet healthcare and require regulatory authorities.
, Medical institutions, retail pharmacies and related companies to jointly promote the realization of the standardized development of the industry
.
Under the epidemic, the scene of online consultation was truly activated, and the fast-forward button was pressed for the development of medical e-commerce
.
From the perspective of the industry, the development potential of emerging formats is worthy of full affirmation, but the hidden dangers presented by them also cannot be ignored
.
On the just past International Consumer Rights Day, when CCTV's 3.
15 evening party again named false medical advertisements on the Internet, surging news also exposed the current illegal phenomenon of online drug sales in medical e-commerce
.
In early March, The Paper selected 17 online pharmacies and 117 banned or high-risk prescription drugs for a centralized purchase test investigation, and found that some online pharmacies not only illegally sell psychoactive drugs and other online banned drugs, but also illegally develop the Internet.
Many prescription drug online sales violations, such as the first consultation, the untrue and irregular electronic prescriptions, and the promotion of prescription drugs
.
It is worth noting that the surveyed online pharmacies all have situations where there is no need for the purchaser to provide a prescription, no fictitious condition can be ruled out, and simple consultations can be used to prescribe and sell prescription drugs
.
Online drug sales have repeatedly violated regulations in recent years.
The
new version of the "Drug Administration Law" has been implemented in December 2019, clarifying that drug marketing license holders and drug dealers selling drugs through the Internet shall abide by the relevant provisions of the law on drug management.
The regulatory principle of “online and offline consistency” for prescription drugs sold online
.
However, the New Drug Law also clearly requires that the seven categories of drugs subject to special management, including vaccines, blood products, anesthetics, psychotropic drugs, medical toxic drugs, radioactive drugs, and pharmaceutical precursor chemicals, shall not be sold on the Internet
.
However, this media investigation found that many online pharmacies sold related prescription drugs in violation of the ban
.
The results of the report show that among 28 prescription drugs forbidden to be displayed or sold online, nearly 40% (10/28) have illegally displayed and provided registration prescribing or purchase options on different platforms; and among other high-risk prescription drugs, This number exceeds 70% (65/89)
.
The results of the purchase test showed that all 17 online pharmacies exhibited and sold the aforementioned 117 prescription drugs
.
Although no longer appear two years ago, the media exposure of the "use of prescription pet photos serve as a net purchase of prescription drugs," the absurd case, but can not obtain electronic prescriptions or incomplete, the pharmaceutical division qualification difficult to confirm, the line ends up attending optional information, personal information may be fictitious Other safety hazards still exist
.
In addition, the investigation also found that some online pharmacies prescribe unlimited prescription drugs, and even launched a variety of promotional activities.
For example, a third-party platform can easily prescribe a local anesthetic lidocaine aerosol for more than 7 days.
, There is no manual consultation process during the whole process; while the anticoagulant "Warfarin Sodium Tablets" appears on the promotion page of a certain platform, such as "seckill", "multiple boxes of low prices", and "shop full reduction"
.
From the perspective of the industry, the epidemic has changed the public's drug purchase habits and is an important reason for the emergence of online terminals.
Another major factor supporting its rapid growth is the rise of Internet medical services
.
Statistics show that by the end of 2020, nearly a thousand Internet hospitals have been established across the country
.
As Internet diagnosis and treatment are gradually incorporated into medical insurance payment, online follow-up visits and delivery of medicines to home are becoming a new trend.
However, Ma Xiuzhen, a member of the National Committee of the Chinese People’s Political Consultative Conference, vice chairman of the Ningxia CPPCC, and director of the Ningxia Health Commission, reminded that the current online prescription review and other platforms themselves In the supervision process, there is a lack of management against excessive drug use.
Pharmaceutical companies have applied to open Internet hospitals , some of which are trying to control the diagnosis and treatment process and increase the sales of their own drugs.
These problems have challenged the authenticity and rationality of prescriptions
.
Breaking through the bottom line highlights hidden safety hazards The
reason why online prescription drugs have attracted the attention of the industry is that drugs do not have the consumption attributes of ordinary commodities, and drug safety is related to the life and health of the public.
This bottom line cannot be broken.
.
Unlike over-the-counter drugs, prescription drugs have a higher level of safety and high drug risks, and they must be purchased and used with a prescription under the guidance of a licensed pharmacist.
The truly legal source of prescriptions should be based on the true medical conditions and real needs of patients
.
In recent years, online purchases of psychotropic drugs have caused coma, self-purchased antipsychotics to treat insomnia, addiction to diagnosed drugs, and liver failure caused by over-purchasing drugs.
In fact, there have been cases in which the trial platform is not strict and prescription drugs are prescribed.
It doesn't matter if the amount is not limited
.
Some clinical experts pointed out that if any prescription drug is given to patients at will, it is a high-risk behavior.
This is also the distinguishing feature of prescription drugs and non-prescription drugs.
Therefore, it is necessary to strictly prevent and control the abuse of prescription drugs
.
Regarding the platform's promotion of prescription drugs, some doctors believe that it will inevitably lay the hidden dangers of overdose or expired drugs for patients
.
Coincidentally, before the red line of supervision of "no Internet diagnosis and treatment activities for first-diagnosed patients", the survey also found that some medical e-commerce companies have been obscure on the surface but actually have repeatedly broken through the bottom line
.
While most of the offline first-diagnosis information is optional, even if no first-diagnosis data is provided, the platform will prescribe drugs for the "patient" after a simple consultation
.
Patients who blindly purchase drugs without the professional guidance of clinicians and licensed pharmacists will most likely cause medication safety issues
.
Due to the virtuality and concealment of the Internet, problems such as the difficulty of monitoring online transaction behavior and the difficulty of investigating and dealing with illegal online activities have brought huge challenges to the regulatory authorities
.
In this regard, Ma Xiuzhen also said: “Pharmaceutical companies include drug sales on the Internet platform into the scope of performance assessment, instructing pharmaceutical representatives to increase online drug sales through offline'academic visits', and there is no lack of drug rebates
.
In addition, some of the Internet Hospitals link doctors’ service income with drug sales in an attempt to “wash out” drug rebates
.
Faced with an incomplete monitoring system on the Internet, they are worried that they may fall into the quagmire
of “ drug rebates ”.
”
Relying on physical medical institutions’ first-diagnostic prescriptions can’t be delayed.
From the perspective of the industry, online drug sales only provide patients with an additional new channel for drug rationing.
The crux of the illegal drug online sales is whether the prescriptions issued by the Internet hospitals can be authentic, complete, and flowed to the Internet in the whole process.
Whether the pharmacy and the final prescription can be strictly reviewed
.
In fact, in order to strengthen the supervision and management of online drug sales and regulate drug online sales, the State Drug Administration issued the "Measures for the Supervision and Administration of Online Drug Sales (Draft for Comment)" in November 2020, which clearly stipulated the conditions for online sales of prescription drugs.
.
According to the requirements, when a pharmaceutical retail enterprise sells prescription drugs through the Internet, it shall ensure that the source of electronic prescriptions is authentic and reliable, conduct prescription adjustment review in accordance with relevant requirements, and electronically mark used prescriptions
.
Experts in the industry pointed out that ensuring the authenticity and reliability of electronic prescription sources is the basic principle of online prescription drugs.
Judging from the current practice in various places, it is a good way to be able to connect to the real prescription circulation platform of physical medical institutions
.
Essentially, the prescription circulation platform mainly relies on physical medical institutions, and it is easy to supervise the real in-person diagnosis and treatment process
.
Nowadays, most prescription drugs sold online are completed online on the Internet platform.
It is difficult to supervise the real scenes of diagnosis and treatment and the authenticity of prescriptions.
If medical insurance payment is involved, insurance fraud is more likely to occur
.
Facing the real dilemma in the industry, Shandong, Jiangxi, Gansu, Guangdong and many other provinces and cities are actively responding, exploring the establishment of a prescription circulation platform supervised by the government, trying to bite the "hard bone" of prescription circulation out of hospitals
.
For example, the easy review third-party prescription circulation service platform that has been implemented in two provinces and ten prefecture-level cities is to establish a local unified standard prescription library and complete prescription library through opening up the hospital information system of the local medical institution under the supervision of the local health department.
Regulatory system
.
Patients can issue prescriptions for offline medical institutions to doctors in Internet hospitals through the platform.
After the doctors review the prescriptions for follow-up visits, patients can choose any offline or online pharmacy to complete the purchase of drugs by themselves.
Pick up in online order store, send out in online order store"
.
This approach not only solves the problem of the true source of prescription drugs sold online, but also meets the regulatory requirements of the health department, effectively ensuring the safety of online drug sales
.
"Internet + medical health" has been a key word in government work reports in recent years.
Modified prefixes have changed from "proposed for the first time" in 2019, to "promoting development" in 2020, and then to "promoting standardized development" in 2021.
The Internet medical and health industry has now entered a new stage
.
The industry generally believes that the trend of online prescription drug sales is irreversible, and that Internet medical care will also transition from barbaric growth to a gradually mature stage
.
In the first year of the "14th Five-Year Plan", whether it is from the perspective of patient medication safety or the sound development of emerging business formats, compliance and supervision are necessary conditions for the sustainable development of Internet healthcare and require regulatory authorities.
, Medical institutions, retail pharmacies and related companies to jointly promote the realization of the standardized development of the industry
.
