Internet diagnosis and treatment regulatory rules are announced, how to better ensure the quality of online diagnosis and treatment?

Xinhua News Agency, Beijing, June 20th: The rules for Internet diagnosis and treatment supervision are announced, how to better ensure the quality of online diagnosis and treatment?

Xinhua News Agency "Xinhua View Point" reporters Dong Ruifeng, Aifumi, Huang Xiao

The "Detailed Details of the Internet Diagnosis and Treatment (Trial)" jointly formulated by the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine (trial) was recently announced. "Internet+medical and health" has developed rapidly in recent years, effectively integrating medical resources and improving the patient's medical experience. For social concerns such as prescription review, privacy protection, and quality control of diagnosis and treatment in Internet diagnosis and treatment, what regulatory regulations are made?

What disease can I see on the Internet? Must meet the re -diagnosis conditions

In 2018, the General Office of the State Council issued the "Opinions on Promoting the Development of" Internet+Medical Health ", and the scale of Internet diagnosis and treatment has increased. By the end of 2021, there were more than 1,700 Internet hospitals across the country.

The diagnosis and treatment of "separation" is not suitable for all patients. Common diseases and chronic diseases are the positioning of Internet diagnosis and treatment for a long time. However, for the re -consultation, the lack of specific standards in the industry before, leading to some regulatory vacuum.

The rules announced this time requires that patients should provide clear diagnosis medical records, such as outpatient medical records, hospitalization medical records, discharge summary, diagnostic certificates, etc., and the consulting physicians retain relevant information and determine whether they meet the re -diagnosis conditions.

"Standards are more operable." Chen Qiulin, deputy director of the Health Industry Development Research Center of the Chinese Academy of Social Sciences, believes that there are clear regulations on which diagnosis materials should be provided and who determine whether the re -diagnosis conditions are met.

On December 14, 2021, doctors of the General Hospital of Tianjin Medical University conducted online re -examination for patients. Xinhua News Agency reporter Li Ran

Details also require that when the patient's condition changes, the doctor's judgment is judged as the first diagnosis or other unsuitable Internet diagnosis and treatment, the doctor should immediately terminate the Internet diagnosis and treatment activities and guide the patient to go to the physical medical institution.

"Give doctors more professional authority." Yu Xinle, deputy director of the Zhejiang Provincial Health and Health Commission, said that the rules further clarified the service boundary and regulatory boundaries from the perspective of ensuring safety, and detailed the relevant requirements, which was conducive to the standardization and standardization of Internet diagnosis and treatment services.

Can you buy prescription medicine without prescription? It is strictly forbidden to "first medicine and then"

First buy medicines, and then automatically generate prescriptions by artificial intelligence software because of drug formulas -such operations of some Internet medical platforms have been exposed many times.

The rules announced this time stipulate that the prescription should be prescribed by the consultant himself, and it is strictly forbidden to automatically generate prescriptions such as artificial intelligence. The prescription drug should be sold, adjusted and used by the doctor's prescription. It is strictly forbidden to provide medicines to patients before prescription.

The rules also stipulate that the doctor must conduct real -name authentication before receiving the consultation to ensure that he provides diagnosis and treatment services. Other personnel, artificial intelligence software, etc. must not be used and replace the doctor's own diagnosis and treatment services. Health and health authorities at all levels shall be responsible for supervising personnel who conduct Internet diagnosis and treatment in the medical institution.

"Quality and safety are the eternal theme of the medical industry." Shu Ting, director of the Medical Information Technology Research Department of the Institute of Hospital Management of the National Health and Health Commission, said that the behavior of challenging the quality of medical quality in any name of the Internet is a blasphemy for patients' life safety Essence

On the one hand, it is to strengthen the prescription supervision, and on the other hand, it is to explore more convenient online recipes. At the First Hospital of Ningbo, Zhejiang, the Internet hospital platform opened the entrance to the slow disease. After the patient's application is submitted, the full -time doctor team is the continuation of the actual situation. Patients usually receive medicines at home on the same day. "According to the requirements of the rules, it will bring more convenient and efficient online diagnosis and treatment to patients in the construction of Internet hospitals," said Sun Jie, the dean of the hospital.

How to supervise the quality of diagnosis and treatment? Online and offline integration

Is the quality supervision of online diagnosis and treatment consistent with offline consultation? The rules announced this time have given a positive answer, which requires that based on physical medical institutions, incorporate Internet diagnosis and treatment into the overall medical service supervision system.

According to the rules, the process and results of the Internet diagnosis and treatment behavior must be fully recorded. The circulation of key information such as medical records and prescriptions should be traced to ensure that the entire process of Internet diagnosis and treatment is within the scope of regulations and protection.

"The Internet diagnosis and treatment behavior has the same effect as offline diagnosis and treatment." Zhao Yan, deputy director of the National Cardiovascular Center and Deputy Dean of Fuwai Hospital of the Chinese Academy of Medical Sciences, interpreted, diagnosis and treatment, quality control, supervision, complaints, data on the Internet Sharing and other behaviors must be carried out by physical medical institutions to ensure online and offline integration.

Lu Qingjun, director of the National Remote Medical and Internet Medical Center and director of the Development Office of the China -Japan Friendship Hospital, believes that Internet hospitals should clearly position their role as medical institution operators. For companies that set up independent Internet hospitals, this is an important role. Convert.

In reality, some places are exploring the establishment of Internet diagnosis and treatment services. In 2021, Ningxia tried the establishment of a non -performing practice points system for Internet hospitals, that is, according to the types and circumstances of non -performing practice, it was given a different grade score at a time. As a result, it was used as the basis for the verification of Internet hospitals.

How to protect privacy? Clarify the relationship between power and responsibility

While Internet diagnosis and treatment brings a lot of convenience, the problem of privacy information leakage has also attracted much attention.

Details clearly require that medical institutions should establish systems such as network security, data security, personal information protection, privacy protection, and sign an agreement with relevant partners to clarify the relationship between authority and responsibility. Regarding the privacy protection of patients, some places have issued relevant policies. The management measures for non -performing practice points of Internet hospitals issued by Ningxia stipulate that if Internet hospitals have "not properly kept patient information, illegal trading, leaking patient information", "discovering patient information and medical data leakage, no effective response measures are taken immediately" and other behaviors "and other behaviors" and other behaviors "and other behaviors" and other behaviors "and other acts such as impact should be taken." , Will be remembered by 12 points at one time. This means that this Internet hospital will start the verification procedure in advance and give a post -checking period from 1 to 6 months.

It is understood that the actual situation of Ningbo First Hospital combined with the actual situation in the hospital to add "three insurances" for the weak parts of privacy protection such as patients' previous medical records and health files: First, the doctor can only check the patient's detailed medical history, historical prescription, etc. Information; Second, during the telephone consultation, two -way virtual patients and doctors' telephones are called; the third is to encrypt the telephone recording, video records, and interactive content of doctors.

Shu Ting said that the rules have more detailed explanation of the problem of high attention, platform data, privacy protection, information security, etc. These requirements indicate the direction of the specific implementation of the next step.

How to develop healthily? The red line is drawn, and the implementation plan can be formulated in conjunction with the actual conditions of various places

Under the leadership of the development of Internet diagnosis and treatment, smart hospitals and other policies, in recent years, especially during the epidemic period, Internet hospitals have developed rapidly.

The mobile phone interface of the Internet Hospital of Jiangsu Provincial People's Hospital. Xinhua News Agency reporter Ji Chunpeng was taken on February 7, 2020

Zhao Yan believes that the rules clarify the regulatory requirements of the Internet diagnosis and treatment of medicine, medical care, technology, etc., promote the "homogeneity" of Internet diagnosis and treatment and physical institution diagnosis and treatment services, and make Internet diagnosis and treatment return to the essential positioning of "serious medical care".

Wang Hang, the founder and CEO of the good doctor online, believes that this document is published in the rapid development of the industry. Practitioners must further promote the healthy development of Internet diagnosis and treatment services along the idea of ​​"serious medical care".

"The business volume of Internet hospitals is currently not balanced, and some are very busy, and some are similar to the" zombie "hospital and have a single function." Yu Xinle said that while standardizing management, we must strengthen relevant training and guide the supplier to better match matching Social needs. It is necessary to establish a professional regulatory team, including medical management experts, as well as information, big data and other aspects.

Shu Ting said that considering the uneven development speed of various regions, the rules can be further formulated in accordance with their own actual situation while delineating the bottom line and the red line to promote the healthy development of Internet diagnosis and treatment.

[Editor in charge: Zhao Wenhan]

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