Recently, the State Council held an executive meeting to consider and adopt in principle the "Guiding Opinions on Promoting the Development of "Internet + Medical Health" (hereinafter referred to as "Opinions").
At a regular State Council policy briefing held by the State Council Information Office on April 16, the relevant person in charge of the National Health Commission introduced the situation.
The Opinion has three main aspects.
one is Improving the "Internet + medical health" service system. Promoting the integration of the Internet with medical and health services in the areas of medical care, public health, family doctor contracting, drug supply and security, medical insurance settlement, medical education and popularization, and artificial intelligence applications, covering many aspects of the "triple linkage" of medical care, medicine and health insurance.
the second is refinement“ the Internet+ Medical Health” support system for the。 From the timely formulation and improvement of relevant supporting policies、 Accelerating the sharing of medical and health information、 establish a sound“ the Internet+ Medical Health” standard system， Improving hospital management and user-friendly services、 Initiatives have been proposed to enhance the infrastructure protection capacity of medical institutions, etc.；
thirdly Strengthen the regulation and security of the industry, and make clear provisions for strengthening the regulation of medical quality and safeguarding data security.
Strengthen in- and post-event supervision Emphasize the responsibility of third-party platforms
Yu Xuejun, Director of the Department of Planning and Information of the National Health and Wellness Commission, noted， Facing the new technology of the Internet， A very important part of ensuring medical safety is the regulatory aspect。
firstly In order to clarify the margins of behavior, we will study the introduction of management methods to regulate the practice of Internet medical treatment as soon as possible and clarify the regulatory bottom line, while lowering the threshold of access in accordance with the requirements of deepening "management and administration". However, it is necessary to strengthen the supervision in the course and afterwards to ensure the safety and quality of health care services and the quality of medical and health services.
secondly It is a reinforcement of responsibility. The core of risk prevention is that each must take responsibility for whoever provides Internet health care services. For example, the development of Internet hospitals is based on brick-and-mortar medical institutions, and the main body of responsibility is still the medical institutions themselves.
additionally In principle, in terms of regulation, in accordance with the localization of management, the implementation of unified regulation of online and offline, the document particularly emphasizes the responsibility of the third-party platform, the platform of Internet medical and health services and other third-party institutions should ensure that the qualifications of those who provide services should comply with the relevant provisions, and take responsibility for the services provided.
at the same time， To establish a mechanism for sharing medical responsibility， Also known as the introduction of online informed consent notification， Preventing and addressing medical risks。
once again It is to improve regulatory capacity. The great thing about the Internet is the ability to leave a trail throughout.
side of， A regulatory port for the health and health administration will be established， All medical institutions and platforms of Internet medical services that conduct Internet medical services， Need for timely push of data to regional total health information platforms、 Transfers and backups， Health and health administrations will dynamically regulate Internet medical practices through regulated ports， Safeguarding the legal and regulatory operation of Internet medical services， Ensuring quality and safety of care。
on the other handIt will promote the construction of a credible system for the Internet and accelerate the construction of a credible medical digital identity, electronic real-name authentication and data access control information system for medical and health care personnel and medical and health care institutions with a unified national logo, and also improve the electronic registration system for physicians, nurses and medical institutions to facilitate people's inquiries.
Release multiple“ Encouraging signals” Relying on medical institutions to develop Internet hospitals
According to Zeng Yixin, deputy director of the National Health Commission, the Opinions put forward several "policy signals" in terms of encouragement.
First aspect The development of "Internet + medical services" allows the development of Internet hospitals based on medical institutions, which means that they can use Internet hospitals as a second name based on physical hospitals. This is a policy benefit to hospitals in terms of expanding their scope of business and service radius. At the same time, the Opinions also support eligible third-party institutions to set up Internet information platforms to carry out telemedicine.
Second aspect (b) There are also clear provisions on optimizing family contracting services on the Internet, which can promote the construction and application of intelligence and information technology in family contracting services, carry out contracting services, and provide health consultation, appointment referral, chronic disease follow-up, health management and extended prescriptions online, which are some of the tasks related to family contracting services.
Third aspect (b) In respect of the "Internet + drug" supply guarantee service, it is clear that medical institutions and drug business enterprises can entrust qualified third-party institutions with the distribution of prescriptions issued online after review by pharmacists.
Fourth aspect， push on“ the Internet+ Insurance settlement” Progressive expansion of online settlement capabilities， Including off-site settlement、 One-stop billing for patient convenience；
Fifth aspect , on the application of new technologies such as artificial intelligence, to encourage the promotion of research and development applications to improve the efficiency of healthcare services. Then there is the improvement of hospital operation and management and user-friendly services.
In addition, it also encourages the development of central and western regions, poor rural areas and remote frontier areas in accordance with local conditions, etc.
Leveraging Internet technology to provide convenient services to patients
Jiao Yahui, deputy director of the National Health and Health Commission's Medical Administration, saidIn terms of solving the problem of registration, fundamentally speaking, we have to rely on deepening medical reform and promoting the construction of graded treatment, while the Internet can play a certain role in promoting.
She gave an example. In the past, it was difficult to register mainly by queuing up at the hospital site and not always being able to get it, especially for out-of-town patients. Therefore, the use of Internet technology, including many hospitals on the one hand to develop their own mobile phone APP, on the one hand to join the health and family planning administrative departments to build a reservation platform, the hospital number source in a number pool, patients through the Internet, mobile phones, telephone can be registered, very convenient.
At the same time, we are now pushing for time-slotted appointments to stagger medical visits and provide convenience for patients. For example, if there are elderly people at home who do not know how to use the APP software and want to see a doctor, their children can use the mobile phone APP to help the elderly at home to register, which to a certain extent alleviates the problem of difficult registration.
Jiao Yahui also gave examples of healthcare delivery models， She said.， Patient visits to hospital， Different windows、 Different checks， Repeated queues for both payment and collection of medication…… Questions like these， The Internet can also help with。 For example, like in Hangzhou and many other places where smart hospitals have emerged， The whole process of seeing a doctor with just a mobile phone。 By online booking， After the appointment time at the doctor's office， It also allows for in-office mobile payments。 Some places tie their health insurance cards online， Paying your share of out-of-pocket expenses， You don't have to do the health insurance part yourself.， You can check your test results online at home after your visit， No more trips to the hospital to pick up films and test reports。 These are very convenient for patients。
According to Jiao Yahui， Most tertiary hospitals across the country have implemented such a model of care delivery， It is because of this successful practice， This time in the State Council document to expand this model to the whole country， Require all hospitals above Level 2 to use the Internet to provide convenient services to patients。
(Source: Yunnan Health Reform)
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