The new rules of the Health And Planning Commission prohibit private telemedicine market confusion definition doubt

CCTV Financial September 20, according to the economic voice "Everyday 315" reported that the National Health and Family Planning Commission recently issued a request to regulate telemedicine behavior, which prohibits doctors from remote treatment, this provision caused heated debate.According to reporters, there are many doctors using a variety of information platforms to provide patients with consultation and other servicesSome doctors believe that telemedicine actually brings benefits to many peopleHow do I define telemedicine? Is telemedicine more risky or more affordable? Pan Yuan, a special commentator for The Voice of the Economy, and Li Bin, a lawyer at Zhongwen Law Firm in Beijing, discussed this.Pan Yuan: In fact, telemedicine is our use of modern communication technology, Internet technology and medical technology connected up a kind of medical services, a variety of forms are also many, there are health counseling, there are medical consultation categories, there are medical consultation seeking medical adviceIn my personal judgment, technological progress from the essence is to bring convenience to people, the emergence of telemedicine can certainly save some of the efficiency and cost of medical care, but this tool to see how to use, especially in the current situation, if not restricted through telemedicine to others to see these people, including qualifications and other aspects of the audit, will lead to a relatively large rappedge of risk.The Voice of the Economy: What do you think of the risks it poses?
Li Bin: Telemedicine, first of all, it is convenient for patients, and can make limited medical resources to be better allocatedFor example, now big city hospitals gather very high quality medical resources, and many remote areas, difficult and complex diseases can not see or cost very high, can not get timely technical support, so the Ministry of Health, the Health And Planning Commission is also in order to be able to regulate the medical service market, can ensure medical safety, only the introduction of this guidanceThe official definition of telemedicine is that remote pathological diagnosis, remote medical imaging diagnosis, including CT nuclear magnetism, ultrasound, electrocardiogram, etc., as well as remote consultation, remote monitoring, remote outpatient, and remote case discussionI think the corresponding medical services should be standardized, because it is related to the life and health of patients, in our country, in all countries should be an administrative license industry, must obtain professional license of medical institutionsAs to whether it is face-to-face medical service or remote medical service, this is the change of service mode brought about by technological progress, but its essence is medical service, it is necessary to regulate the behavior of telemedicine, including subject qualification, from the legal level.Pan Yuan: the way to see a doctor, the traditional Chinese medicine is to hear and cut, Western medicine to pass, one is to see, a stethoscope, and then the patient narrates the condition, but also to do a lot of tests, a lot of instruments to detectTelemedicine in the current technical conditions, is not suitable for diagnosis, that is, how to judge the condition, with telemedicine may be subject to a lot of restrictions, and easy to produce misunderstandingsBut for the maintenance of some chronic diseases, including medication, I think can save a lot of time costsFor example, high blood pressure, after taking a period of medicine may have some changes in blood pressure, such as diabetes, if in telemedicine with the doctor to communicate more detailed, later including how to use drugs, increase a tablet or reduce a tablet, whether to change drugs, I think may save patients a lot of costs, because this medicine is used for years But there are quite a number of medical treatment is not suitable, such as fever, usually most of the chance is a cold, but there are many not cold, there may be other diseases, in this case, the use of telemedicine, it is likely to cause risks, health damage, or delay timely treatment.　　Economic Voice: The regulations specifically mention that non-medical institutions are not allowed to carry out tele-medical services, we also see some Internet platforms, such as spring rain, lilac garden, especially good doctors, etc , these online Internet platforms are also engaged in some telemedicine, do they have this qualification?　　Pan Yuan: I think this definition of "non-medical institutions" is not particularly clear, should be done in more detail in the rules, because such as spring rain, it is advertised although not medical institutions, but the above service personnel are doctors, if according to national regulations, medical institutions must be hospitals, if not hospitals do not have this qualification, including private this kind of Now that we encourage private doctors, you can run your own clinic, and you actually have it, then he should be regulated in telemedicine, not banned altogether That is to say, if there is a threshold, if you want to engage in tele-medical services, to have doctor qualifications, what kind of rules should be observed, what kind of risks to bear, including what disease you see, patients to charge, what is the standard of fees? At present, these things are not clear, the country needs to be more clear on the rules, in the absence of the rules, first do not operate, so as not to bring greater risks At the same time, government departments should speed up the regulation of regulations, after all, the market has developed, there is no need for regulations can not be regulated