Medical quality control into the Internet medical "traffic light" three links to improve the quality of online medical care

Wen: Zhang Xiaoxu since this year, the development of Internet medical care has made rapid progress.
, there are 900 Internet hospitals and 30 provinces have set up Internet medical service regulatory platforms.
from Beijing Concord Hospital, Shanghai Ruijin Hospital and other top medical institutions, to Shandong, Zhejiang and other places of primary medical institutions, are actively promoting Internet medical services.
Internet medical platform has also achieved great results, Ping An good doctor registered users 346 million, daily consultation volume reached 830,000.
health care commission coordinated with the National Health Insurance Bureau and more than 10 other departments have formulated and issued the Internet medical norms management, pricing payments, personal information protection and other more than 10 supporting policies.
the Industry, the Internet healthcare industry has been speeding up for years.
At a recent press conference held by the Information Office of the State Council, Mao Qun'an, Director of the Planning Department of the National Health and Safety Commission, proposed that Internet medical care should strictly adhere to the bottom line of security supervision, use new means to supervise new industries, carry out special rectification of the protection of important data and personal information, strengthen privacy protection, and ensure the quality of medical care and data security.
in the process of accelerating the run, medical quality and safety become a part of the can not be ignored.
the line to ensure the quality and safety of medical care initiatives, the line should at least set up a pre-, in-process, after-the-fact security system.
: system improvement is the premise of Internet medical treatment, due to the different channels of interaction between doctors and patients, the quality and safety of medical care has more requirements.
" needs to emphasize that the essence of Internet medical care is medical care, but the way doctors provide medical services has changed.
"China Research Hospital Association Internet Hospital Branch Executive Vice President, China-Japan Friendship Hospital National Telemedicine and Internet Medical Center Office Director Lu Qingjun believes that, because of this, Internet medical quality control should first abide by the offline regulations;
online, medical-related laws and regulations, judicial interpretations, departmental regulations and important policy provisions are numerous, and several versions of the tool book are included.
including medical institutions and personnel, medical services, disease prevention and control, medical dispute resolution, criminal responsibility, etc. , classified carefully, comprehensive coverage of all aspects of medical activities.
ultimate goal is to ensure the quality of medical services.
Lu Qingjun introduced that the medical system after decades of accumulation, has formed a perfect system, only in the diagnosis and treatment process, the National Health and Safety Commission formulated the "core system of medical quality and safety" contains the first diagnosis and responsibility system, medical records management system, check the system and other 18 items.
The 2018 Internet Medical Management Measures (Trial) and other three documents were issued, setting the threshold for Internet diagnosis and treatment and Internet hospital access, doctor access, hardware and software equipment, and also requiring medical institutions providing Internet medical treatment services to develop Internet medical quality control and evaluation system, online prescription management system, etc., to implement daily management of the quality of medical services.
In the local policy norms, the 2020 Yinchuan City Internet Clinic Service Specification (Trial) specifically formulated a "medical quality management" section, involving the doctor's appointment time, refund mechanism, complaint handling, etc. , this document is Yinchuan in the light of the problems encountered in recent years in practice.
can be seen from the institutional level, Internet medical is based on offline regulations, for the characteristics of the Internet, and gradually refine all aspects of the norms.
in the implementation of the system, doctors are the most core providers of Internet medical services, its entry threshold is particularly important.
health care commission stipulates that doctors with more than 3 years of independent clinical work experience can carry out Internet consultation and treatment activities.
health care commissions and medical institutions in the United States have raised this standard to five years to ensure the safety of online services.
Internet medical platform by widely attracting high-year-old doctors, Sanjia hospital doctors to improve the quality and strength of medical care, but also Ping An good doctors, JD.com Health and other self-built team of doctors, of which, Ping An good doctors' own team of doctors has reached more than 1800 people.
, technical assistance to improve the quality improvement system so that the industry has rules and regulations, orderly to follow, to achieve the "advance" protection.
in the implementation of medical behavior, there are also corresponding measures to carry out quality control.
medical institutions to set up medical services to organize and manage medical services, medical quality, medical technology, etc.
more than 20 years since the rise of medical information, HIS system, electronic medical records and other technical applications for medical quality control to provide help.
" Lu Qingjun said that the greatest convenience of information technology is the ability to quickly record and track the course of treatment, easy to sum up experience or find problems.
the application of AI to the medical field, it also provides more possibilities for medical quality control.
Because medical knowledge itself has both broad and complex characteristics, the same symptom can often infer multiple possible causes, and rule-based recommendations in conventional information systems often do not cover all possibilities.
, NLP-based CDSS can handle complex medical logic, provide doctors with a probability distribution of possible diseases based on a patient's condition, and can be easily transferred into electronic medical records.
, AI-based smart case systems are accelerating landings in medical facilities.
Internet medical treatment itself has realized the information, so through process optimization, new technology applications and other strengthening of quality control.
For example, Dr. Ping An has applied AI-assisted diagnosis and treatment system, which consists of intelligent severe illness monitoring system, AI intelligent auxiliary consultation system, rational drug use monitoring system and intelligent medical safety monitoring platform, which improves the efficiency of medical services while also improving the quality of medical services.
necessity and rationality of medical treatment behavior is extremely important, but there is also a basic premise - authenticity, including the authenticity of identity and the truth of the consultation process.
-line medical requirements real-name system, from the beginning of the registered appointment to request identity documents, the doctor can check the identity of patients again, at the same time, patients can also be based on the hospital public information, to confirm whether the doctor himself.
" online consultation can not face-to-face, the doctor is not my account to receive the doctor? Did the patient ask himself? Will zhang Guan Li Dai? Both doctors and patients have authentication issues.
," Lu Qingjun said, in this case, the same technical means to achieve authentication.
, medical institutions generally set up real-name certification in the registration process, the patient also need to show ID card to check again.
solutions introduced by information companies such as 18,000 easy-to-re-diagnose ensure prescription authenticity and traceability of the consultation process.
addition, face recognition technology has been in the financial, security, access and other fields of a large number of applications, highly in line with the needs of online medical scene, the future is expected to be applied to online doctors, patients on the identification.
After-the-fact protection, increase the doctor-patient "on-line" confidence in the first two levels of the initiative is mainly to prevent the occurrence of risk, but the risk will always have a certain risk, once it occurs, how to minimize the loss of doctor-patient? Online, physician liability insurance, medical accident insurance, etc., can provide risk protection for doctors and patients.
for Internet medical treatment, similar safeguards have emerged in the industry.
such as the Lilac Ren Medical Mutual Insurance Scheme in Lilac Garden, the Micro-Pulse Care Home Service Protection Scheme and so on, which involve different aspects of Internet medical services.
recently, Ping An good doctor also launched the "online medical care full peace of mind protection", for both doctors and patients are protected.
for doctors, products to provide Internet medical liability insurance protection, whether it is Ping An good doctor's own team of doctors or external co-ed doctors, can get 1 million yuan insurance.
For patients, the product covers the user's most concerned about the doctor's qualifications, treatment speed, quality of diagnosis and treatment, drug safety and other content;
can be seen that insurance coverage is being extended from insured doctors to insured patients, resulting in more comprehensive role coverage.
for doctors, such products help create a better online practice environment and increase the motivation for doctors to "touch the net."
for patients, it will further dispel their doubts about online access to health care, after a new round of challenges in the "user growth, Internet medical into a new outbreak period?" In this article, we have discussed how to further cultivate the user's usage habits after the outbreak, it seems that Ping An good doctors for patients to see the whole process of protection services, but also to deepen patient trust, promote the use of habits to develop one of the ways.
" insurance products for risk protection needs to pay attention to, the corresponding credit system should also be established.
" Lu Qingjun believes that this is the insurance protection can really enter the benign operation of an important basis.
quality control is the "traffic light" medical quality and safety management of the development of the industry is how important is it to the industry? Recently, the National Health Insurance Administration issued the Internet health insurance payment new policy also stressed this.
The new policy on medical insurance stipulates that the supervision measures of "Internet plus" medical services should be strengthened, and the information such as details of settlement details, medicines, consumables, medical service items and outpatient medical records of "Internet plus" medical services should be monitored in real time using the intelligent audit and monitoring system of "Internet plus" medical services.
use audio, video and other forms to check the authenticity of "Internet plus" medical services to receive doctors.
these have put forward more detailed requirements for Internet medical treatment behavior.
Lu Qingjun, one of the experts involved in the development of Internet health care payment policies, believes that despite a series of policies that strengthen security regulation, they still promote the industry far more than restraint.
"It's like setting up traffic rules, with zebra crossings and traffic lights, and traffic and pedestrians going their own way so that traffic can flow smoothly."
the same is true for the industry, where all medical institutions practice legal compliance in order to keep the industry in order.
, these regulations protect the industry.
" Lu Qingjun said that the new health care policy is based on offline management and operation system to develop, binding non-compliance behavior, encouraging legal practice, whether public or private, as long as the legal practice, the policy is encouraging attitude.
Indeed, we also see from this new health care policy: all over the beginning of outpatient chronic diseases, and gradually expand the scope of medical insurance for common diseases, chronic diseases " Internet plus" medical services to pay; At the same time, the New Deal has a high degree of integrity, will also promote the local health care sector to accelerate the landing.
shows that the policy is to ensure the quality and safety of health care, health care fund security, based on the gradual expansion of support for the industry and strength.
, as participants in the industry, have a responsibility to be strict with themselves under the guidance of the rules and to make the road more smooth and broad.