Pure pharmaceuticals are scattered!For strong supervision, Internet consultation returns to "se

"Major benefits! The introduction of this regulatory rules undoubtedly promoted the development of the Internet consultation platform." On the evening of June 10, Li Tiantian, the founder of Lilac Garden, said in the end of the industry. Introduce the industry into the era of strong supervision.

The Jianzhi Bureau was informed that the National Health and Health Commission and the State Administration of Traditional Chinese Medicine jointly released the "Detailed Detailed Regulations on the Internet Diagnosis and Treatment (Trial)", which proposed that it is strictly forbidden to use artificial intelligence and other automatic prescriptions; it is strictly forbidden to provide drugs to patients before prescription; It is strictly forbidden for business purposes; it is strictly forbidden to refer patients for the purpose of seeking benefits, and to purchase drug consumables at designated locations.

This means that the requirements for Internet medical care in the future will be the same as the requirements for doctors of ordinary hospitals.

This "Detailed Rules" is actually a supporting document of the "Administrative Measures on Printing and Distributing Internet Diagnosis and Treatment (Trial)" issued by the National Health and Health Commission in 2018. Time has been almost 5 years old. The state's supervision of Internet medical care was late, but he did not expect that the Internet medical industry has gone through a round of roller coaster and is now at the bottom of the valley.

The new requirements put forward by the "Details" will also accelerate the trend of the industry.

Online regulatory requirements are better than photographic hospitals

Lu Qingjun, director of the National Remote Medical and Internet Medical Center, believes that the rules of this time requires that offline physical hospitals are synchronized with the Internet medical treatment. The platform -type Internet medical company will be transformed from corporate legal persons into medical institution legal persons to bear all legal responsibilities.

There are two main forms of institutions in China to carry out Internet medical care. One is the service of traditional hospitals to open a network service. Simply open WeChat applet registration, complicated ones will have full -time doctors online video diagnosis and treatment; the other is Internet corporate organizations organized Medical services, some hire practicing doctors to sit in the hall, more of them are practicing more by doctors on the platform, and "part -time" accepts consultation.

Hiring "part -time" doctors is a way for the low -cost operation of the platform for online diagnosis and treatment. After the technical level is improved, the platform -type online diagnosis and treatment institutions of Internet genes have opened up more new forms of network style: "AI trial party "," Rear Medicine "," The First Clinic of the Internet ".

Earlier, some media reported that a picture of a puppy was put on the Internet and can still prescribe prescription medicine. The required prescription review and online consultation have become furnishings.

Chen Qiulin, deputy director of the Health Development Research Center of the Chinese Academy of Social Sciences, said: "Patients buy medicine on the Internet platform without providing medical records.

The country has always encouraged the re -consulting business of the Internet platform. This "Rules" also made clear regulations: patients should provide outpatient or hospitalized medical records, discharge summary, diagnosis certificates, etc. Corresponding materials.

"Online drug sales" is the main source of income of Internet medical care. Relatively speaking, "consultation" charges are very low or even free. This is the main reason why the Internet platform light medical care and re -selling drugs.

According to data from Mine.com, China's online drug sales exceeded 150 billion yuan in 2020, and e -commerce platforms have become the fourth largest pharmaceutical sales terminals after hospitals, physical pharmacies, and grass -roots medical institutions.

The AI ​​trial will greatly accelerate the prescription process and reduce the cost of online services for doctors. It is the business that each Internet medical platform is developing vigorously. But the new "Details" include such acts in the scope of illegal regulations.

Fu Hongqiao, an associate researcher at the School of Public Health of Peking University, believes that it is strictly forbidden to be a series of regulatory measures such as "first medicine and rear" and "AI trial", which are consistent with the provisions of "the Internet platform cannot participate in the first consultation". The patient's condition must be diagnosed by a doctor, not a computer. Even if there are already examination materials, the doctor must be concluded by the doctor. This is a red line for medical services.

In the final analysis, if people are sick, they must not just say it by the computer.

Internet medical disconnection platform

State documents have tightened supervision. For most Internet medical companies, new rules can be done.

On the whole, "Internet Medical" is developing in the direction of departure platform.

Lu Qingjun pointed out that the "Detailed Rules" itself was designed around the idea of ​​developing Internet medical treatment around public hospitals. Fu Hongqiao said that the current Internet hospitals in public hospitals are generally standardized. The focus of the "Details" is the platform -type Internet company with poor compliance.

Judging from the requirements of the Detailed Rules, the regulatory direction of government departments in the future of the Internet is: online and offline integration, realize the docking of online systems in the hospital, and return Internet diagnosis and treatment to the essential positioning of "serious medical care".

Several experts said to Jianzhi Bureau: The introduction of the "Details" is to redefine Internet diagnosis and treatment.

Since 2020, the number of Chinese Internet hospitals has grown rapidly. According to the latest data, as of June 2021, the number of Internet hospitals across the country has reached 1,600. According to the "Statistics Report of the Development of China's Internet Network", as of December 2021, China's online medical users have reached 298 million.

In fact, this digital moisture is relatively large. If it is operated in accordance with the hospital's specifications, users of online medicines and AI trials cannot be regarded as "online diagnosis and treatment users".

The real online diagnosis and treatment procedures should be the same or close to the hospital. The "Detailed Rules" requires that the medical record information of Internet hospitals should be consistent with the format of physical hospitals and realizes information sharing. The medical records are managed in accordance with the regulations of the hospital clinic. The preservation time must not be less than 15 years, and the treatment records should not be less than 3 years. Wang Hang, the founder of the good doctor, said that in accordance with the requirements of the Detailed Rules, the diagnosis and treatment services provided by Internet diagnosis and physical institutions should be the "homogeneous" to the greatest extent.

Internet hospitals need to be a wired entity, which is stipulated by the National Health and Health Commission very early. Many Internet medical platforms have chosen to open several offline hospitals in Yinchuan and other places to meet the regulatory requirements. In fact, hundreds of millions of consultations are available online. The process specifications are inconsistent with offline hospitals.

Wang Hang believes that the standard of homogenization has made a lot of challenges to practitioners, because the characteristics of online and offline consultation are different.

However, in the future, this "difference" will not be allowed. Obviously, the country has added the requirements of offline hospitals to online diagnosis and treatment. If it is not acceptable, it can only withdraw from the market.

At the same time, the "Detailed Rules" requires the establishment of an assessment mechanism for doctors, assessing and establishing access and exit mechanisms according to law, medical quality, medical safety, medical ethics, and satisfaction; electronic medical records require online and offline. These strategies are based on the supervision system of offline hospitals.

Internet medical treatment is a extension of traditional physical hospitals, and it is the biggest signal revealed by the "Details".

Lu Qingjun said that medical services are public welfare. Only providing technical support and resources for medical services can be commercialized.

The Kenji Bureau was informed that the National Health and Health Commission will implement the link between the provincial -level regulatory platform and the Internet diagnosis and treatment institutions, based on the actual situation of the region, formulate implementation measures, and promote supervision and implementation.

Writing | Xiaomi

Edit ｜ Jiang Yun Jia Ting

Illustration ｜ Visual China

Operation | Twenty -thirty

Figures ｜ Twenty -thirty

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