Xi'an drug administration continuously issues documents to promote electronic prescriptions

Source: Sina medicine 2017-06-26 with the gradual deepening of the new medical reform policy, "e-prescription" gradually became a hot word in 2017 In order to make people use drugs reasonably and solve the problems of prescription drug sales and supervision, many provinces and cities began to implement e-prescription Recently, the food and Drug Administration of Xi'an also announced the launch of e-prescription It is worth mentioning that, unlike other food and drug administrations in other provinces and cities, this time, the food and Drug Administration of Xi'an issued two documents on May 17 and June 13 respectively, which detailed and improved the conditions for drug retail enterprises and third-party medical service institutions to cooperate to establish e-prescription sharing platform On May 17, Xi'an food and Drug Administration issued the work plan for Xi'an drug retail enterprises to promote electronic prescription service (Trial) (sfjf [2017] No 136, hereinafter referred to as No 136 document), which clearly defined the conditions and procedures of retail enterprises and other participants On June 13, Xi'an food and Drug Administration issued again the opinions of Xi'an food and Drug Administration on promoting Internet hospitals to carry out electronic prescription sharing for follow-up diagnosis of chronic diseases (sfjf [2017] No 152, hereinafter referred to as No 152) On the basis of the existing experience of electronic prescription service in trial drug retail enterprises, Xi'an food and Drug Administration decided to promote Internet hospitals and open up internet hospitals The purpose of the exhibition is to solve the problem of waiting for patients with chronic diseases to see a doctor in an all-round way, so that "everyone has a medical record and doctors to see a doctor" in Xi'an City, and put forward clear requirements for the qualification of the third-party medical service institutions Xi'an food and Drug Administration issued two articles in a row to strictly supervise the implementation of remote diagnosis and treatment and electronic prescription in the drug retail industry, which undoubtedly played a good regulatory role in the industry market and was of great benefit to pharmacies and patients For drugstores, on the one hand, they can sell prescription drugs strictly according to the prescriptions in accordance with the relevant laws and regulations, and regulate their operation; on the other hand, the implementation of remote diagnosis and treatment and electronic medical record can effectively solve the problems of poor professional services and non professional chronic disease management commonly existing in drugstores, help drugstores improve their professional services, and help the whole pharmaceutical retail industry to upgrade from passive services Level is active health For patients, purchasing drugs by prescription in drugstores can not only save the cost of diagnosis and treatment, but also save a lot of time spent in clinics in medical institutions, and avoid the hidden safety risks of self medication Xi'an food and Drug Administration's action is really to protect people's safety and rational use of drugs According to the document No 136 with conditions for retail enterprises to participate in the work, the enterprises that carry out the work shall be drug retail enterprises that have obtained one license and two certificates (business license, drug trade license, new version of drug trade quality management standard certification), obtained "basically trustworthy" level or above in the credit evaluation of drug trade enterprises in Xi'an, and have no major violations in daily supervision Qualified drug retail enterprises can choose the third-party medical service institutions with relevant network technology and hardware equipment conditions, and cooperate to establish the application platform of telemedicine diagnosis and electronic prescription Telemedicine doctors should have the qualification of practicing doctors and be registered and managed in legal medical institutions The electronic prescription system on the enterprise side must be able to talk clearly and fluently with the medical practitioners, and keep the consultation recording and video files in the background for the convenience of spot check afterwards The electronic prescription system on the enterprise side must provide a data interface for the supervision department to view in real time Electronic prescriptions issued by telemedicines are equivalent to ordinary prescriptions, which should be kept in the stores of enterprises for future reference, and the retention period is the same as that of ordinary prescriptions At the same time, if the retail enterprise has any illegal business behavior or fails to carry out the pilot work as required, it will be dissuaded and the illegal behavior will be investigated and dealt with according to law; in case of any medical accident in the diagnosis and treatment process, it shall contact the health department in time for investigation and treatment The third-party platform needs a third-party medical service institution with legal qualification and relevant network technology and hardware equipment conditions, which does not mean that it can achieve legal qualification and diagnosis and treatment security Therefore, Document No 152 stipulates that "the institution providing the third-party medical service shall have a legal representative and a perfect diagnosis and treatment management mechanism, have the business license and medical institution practice license or the third-party medical service license confirmed by the health and family planning departments at all levels in other forms, which can ensure the quality and safety of remote diagnosis and treatment." At the same time, institutions providing third-party medical services shall bear legal responsibility for the quality of diagnosis and treatment services carried out on their own platforms However, at present, many enterprises providing internet medical services in the market are registered with the qualification of science and technology companies After paying certain "management fees" to their cooperative medical institutions through affiliated medical institutions, they "legitimize" their own remote diagnosis and treatment behaviors The cooperative medical institutions are mostly unknown private medical institutions, the subject of responsibility is not clear, the qualification of doctors cannot be verified, the quality of telemedicine is even more difficult to guarantee, and it is difficult to find the subject of responsibility in case of medical disputes! According to the requirements of Document No 152, "the qualified drug retail enterprises are encouraged to cooperate with the legally qualified third-party medical service institutions to establish an electronic prescription sharing platform." Then, there are about two kinds of qualified third-party medical service institutions, one is local public hospitals, such as Shaanxi people's Hospital, and the other is Wuzhen Internet hospital (micro medicine) and other Internet hospitals with legal medical qualifications (at the same time with the practice license and business license of medical institutions) It is understood that at present, there are more than 18000 micro medicine cooperative pharmacies, with an average daily service volume of 36000 and a cumulative reception volume of more than 4 million people Remote consultation is a kind of medical behavior related to the patient's physical safety Patients must pay attention to screening when choosing, and try to choose a regular institution for consultation In order to ensure the comprehensiveness of inquiry, the scientificity of diagnosis and the accuracy of diagnosis and treatment advice, doctors should insist on the principles of meticulous, rigorous and applicable During the trial process of e-prescription, many patients were worried that doctors could not accurately judge the condition of the disease through video and were afraid of prescribing the wrong drugs, which had happened in Chengdu before In this regard, Xi'an No 152 document pointed out that the third-party medical service platform should take practical measures to ensure that the medical personnel who join the remote diagnosis and treatment service have legal professional qualifications and carry out diagnosis and treatment according to legal procedures The follow-up of chronic diseases requires the universality of Internet hospitals compared with the implementation of electronic prescriptions in many provinces The Xi'an food and drug administration has decided to promote Internet hospitals and carry out the sharing of electronic prescriptions for chronic diseases The policy is more advanced and perfect in the whole country, and it can play a role in regulating the market, and it is worth learning from other provinces and cities Xi'an No.152 document belongs to the innovation of medical reform, and Xi'an pharmaceutical regulatory bureau also attaches great importance to it, urging all district and county bureaus to boldly promote it It is hoped that the third-party platform can enable the patients with chronic diseases and online doctors to have online re diagnosis through the establishment of electronic medical records, remote high-definition audio-video communication and other technologies, directly enjoy a series of medical services such as disease diagnosis, prescription acquisition and online medical advice, and comprehensively solve chronic diseases The problem of waiting for patients to see a doctor makes the medical reform goal of "everyone has a medical record and doctors to see a doctor" in Xi'an further implemented Let the achievements of reform and opening up and deepening the reform of the medical and health system be shared by the general public The implementation of remote diagnosis and treatment can not only help patients with chronic diseases to reduce the waiting time in line to medical institutions, but also help pharmacies to improve the management level of chronic diseases; the implementation of electronic prescription can not only help pharmacies to undertake a large number of out of hospital prescriptions, open the circulation channel of out of hospital prescriptions, but also improve the professional service ability and standardized operation ability of pharmacies, and put an end to the abuse of antibiotics and other unreasonable uses The occurrence of drug behavior ensures the safety of drug use With more and more provinces and cities trying it out, the trend of e-prescription in drugstores is becoming more and more obvious The implementation of remote diagnosis and treatment and electronic prescription is necessary for the future pharmacy to create professional services and chronic disease management, and is of great significance for the upgrading of the retail industry.