Issued in 2016 statistical bulletin of human resources and social security development

Source: Economic Daily May 31, 2017 in the process of improving medical service efficiency and patients' medical experience, the use of information technology can solve a series of previous bottleneck problems in the field of Internet diagnosis and treatment, involving human health and life safety It is the bottom line that cannot be broken through to ensure quality and safety in accordance with laws and regulations Recently, the general office of the national health and Family Planning Commission issued the "measures for the administration of Internet diagnosis and treatment (Trial) (Draft for comments)" and "opinions on promoting the development of internet medical services" (hereinafter referred to as "draft for comments") which caused hot public opinion In an interview, the relevant person in charge of the state health and Family Planning Commission medical administration said that in the process of further improving the efficiency of medical services and improving the medical experience of patients, the use of information technology can solve a series of bottleneck problems in the past, such as appointment diagnosis and treatment, online registration, information push guidance and big data Next, China will implement strict management of Internet diagnosis and treatment services, and encourage the practice and exploration of Internet technology outside the core business of diagnosis and treatment In recent years, with the rapid development of Internet hospitals, cloud hospitals and network hospitals in China, the progress of approving virtual medical institutions in some regions is also accelerating According to incomplete statistics, there are about 80 Internet hospitals in China However, up to now, there are no relevant documents to regulate the management of Internet hospitals in China "There is no basis for the establishment and approval of virtual internet medical institutions in the current laws and regulations Whether the doctor-patient relationship established on the Internet is protected by law is controversial in theoretical discussion and practical operation." Deng Liqiang, director of the Legal Affairs Department of the Chinese Medical Association, said In response, Jiao Yahui, deputy director of the medical administration and health administration of the national health and Family Planning Commission, said that Internet medicine can be roughly divided into two categories: one is related to medical core diagnosis and treatment business, such as online medical treatment and prescription; the other is non core business other than diagnosis and treatment, such as providing online consultation, registration and other services "Different management policies should be adopted for these two business areas In the field of Internet diagnosis and treatment, when it comes to human health and life safety, we should emphasize to ensure the quality and safety according to laws and regulations, which is the bottom line that cannot be broken So around the field of Internet diagnosis and treatment, we will formulate policies in strict accordance with a series of laws and regulations " Said Jiao Yahui "A pure online Internet hospital without physical support can easily lead to legal supervision vacancy." Industry insiders said that at present, there are different sponsors of Internet health care, including Internet technology companies, medical institutions, financial institutions, etc The main body of responsibility and risk sharing mechanism of medical services are unknown, and once there is a medical dispute, there is no legal basis for reference Therefore, in order to strengthen the quality and safety monitoring of Internet health care, it is necessary to limit the legal position, responsibility and rights of different Internet health care subjects "The Internet has improved the efficiency and productivity of medical treatment, making it possible for all kinds of medical institutions at all levels to take care of the whole population, all-round and full life cycle It also makes an effective and organic combination of pre hospital and in hospital However, the Internet cannot really diagnose through online diagnosis and treatment services, which cannot guarantee the quality of diagnosis and treatment, and is also irresponsible for the safety of patients." Liao Jieyuan, President of "micro medicine", said that Internet medicine is a kind of service in essence He hoped that the relevant departments could better promote the industrial development from the three dimensions of historical continuity, practice and international practice "From the current situation, the next step is to further standardize the core medical business of the Internet, and support the application and development of the Internet plus medical technology beyond core business." According to Ma Haiping, founder of Yihu doctor, internet medical technology should have boundaries and norms This draft is not a tightening of the supervision of online Internet hospitals, but a vacuum in the past However, it can be seen from the draft that although the state has raised the access threshold for Internet diagnosis and treatment, it has given a green light to grass-roots medical treatment In addition to allowing remote diagnosis and treatment between hospitals, it has also specifically allowed grass-roots medical institutions to provide services for contracted patients of chronic diseases through remote diagnosis and treatment Industry insiders believe that allowing grass-roots medical institutions to carry out remote diagnosis and treatment for patients with chronic diseases can give grass-roots doctors more opportunities to communicate with patients, reduce the workload of doctors crossing mountains and mountains, and ensure more patients to see doctors in small disease areas, which also makes the institutions engaged in chronic disease management and building a Medical Association platform reap policy benefits.