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National Health Commission Interprets the Guidance of "Internet + medical health" to encourage the Development of Internet Hospitals
【Date：2018.06.13 Source：英文站】National Health Commission Interprets the Guidance of "Internet + medical health" to encourage the Development of Internet Hospitals
People's Daily Beijing, April 18 (Zeng Xuan) recently, the State Council held an executive meeting, it reviewed the principle and passed the "guidance on promoting the development of" Internet + medical health "(hereinafter referred to as the" opinions "). At the State Council policy briefing held by the Information Office of the State Council on April 16, relevant heads of the National Health Commission briefed on the situation.
“The Opinions” include contents in three aspects: first, improve the "Internet + medical health" service system and promote the integration of many aspects including medical treatment, public health, family doctor contract, drug supply guarantee, medical insurance settlement, medical education, science popularization, artificial intelligence application and others with medical and health services, covering many aspects of "linkage of medical treatment, medicine and medical insurance". Second, improve the support system of "Internet + medical care". Taking relevant measures from the aspects of timely formulation and improvement of relevant supporting policies, acceleration of medical and health information sharing, establishment and improvement of the "Internet + medical and health" standard system, improvement of hospital management and service level for the convenience of the people, and improvement of infrastructure support capacity of medical institutions. Third, strengthen industrial supervision and security, and make clear provisions on strengthening medical quality supervision and data security.
Strengthening on-going and post-event supervision and emphasizing the responsibility of the 3rd party platform
Yu xuejun, Director General of the Planning and Information Department of the National Health Commission, pointed out that the most important link to ensure medical safety in the face of new Internet technologies is the supervision. First of all, we need to clarify the margin of behavior. We will study and promulgate management measures to standardize Internet diagnosis and treatment behavior as soon as possible, clarify the bottom line of supervision, and lower the threshold of access in accordance with the requirements of deepening "decentralized management and service". However, we should strengthen on-going and post-event supervision to ensure the safety and quality of health care services and ensure their quality.
The second is to strengthen responsibility. The core of risk prevention is to take its own responsibility. Whoever provides Internet medical and health services must take responsibility. For example, the development of Internet hospitals relies on physical medical institutions, and the main body of responsibility is the medical institutions themselves. In addition, localized management is implemented in principle in terms of supervision, and unified online and offline supervision is implemented. The documents particularly emphasize the responsibilities of third-party platforms. Third-party organizations such as platforms for Internet medical and health services should ensure that the qualifications of service providers comply with relevant regulations and assume responsibilities for the services provided. At the same time, the sharing mechanism of medical responsibility should be established, that is, online informed consent notification should be implemented to prevent and defuse medical risks.
Third, we should improve regulatory capacity. The biggest characteristic of Internet is to be able to leave mark all the way. On the one hand, supervision port of the Administrative Department of Health Commission will be set up, all medical institutions conducting Internet medical service and medical Internet service platform, need to push, transmit and backup the data to the regional comprehensive health information platform. The administrative department of Health Commission will conduct dynamic regulation of Internet medical behavior through regulation port to safeguard the Internet medical services are carried out in accordance with the rules of conduct and the law, so as to ensure the medical quality and safety. On the other hand, we will promote the construction of Internet credible system, speed up the construction of unified national identity of medical and health personnel and medical and health institutions credible medical digital identity and electronic real-name authentication, data access control information system, as well, we will improve the electronic registration system of physicians, nurses and medical institutions, which can be convenient for the people to check.
Release multiple "encouragement signals" to develop Internet hospitals relying on medical institutions
According to Zeng yixin, Deputy Director of the National Health Commission, “the Opinions” put forward several "policy signals" in terms of encouragement. First, develop "Internet + medical services", allowing the development of Internet hospitals relying on medical institutions. In other words, Internet hospitals can be used as the second name by relying on physical hospitals. This is a good policy for the hospital to expand its business scope and service radius. Meanwhile, “the Opinions” also support qualified third-party organizations to build Internet information platforms and carry out telemedicine. Second, there is specific provision on the optimization of Internet family contract services, which can promote the development of application of intelligence and information construction of family contract service, carry out the relevant works of family contract services, including provide online health consultation, booking online referral and follow-up of chronic diseases, health management and extension of prescription and other works; Third, in terms of "Internet + drugs" supply security services, it is clear that medical institutions and pharmaceutical trading enterprises can entrust qualified third-party organizations to deliver online prescriptions after they have been reviewed by pharmacists. Fourth, promote the "Internet + insurance settlement" to gradually expand online settlement functions, including long-distance settlement and one-stop settlement to facilitate patients. Fifth, in the application of new technologies such as artificial intelligence, we should encourage R&D and application to improve the efficiency of medical services. Besides, we should improve hospital operation and management and convenient services. We will also encourage the central and western regions, poor rural areas and remote border areas to develop in line with local conditions.
Make full use of Internet technology to provide convenient services for patients
The Deputy Director of the State Health Commission's Medical and Political Bureau said that in solving the registration problem, we should fundamentally rely on deepening medical reform and promoting the construction of hierarchical diagnosis and treatment. At the same time, the Internet can play a role in promoting it. For example, the registration is difficult to queue up at the hospital site in the past, but we are not necessarily able to get the number, especially patients coming far away. Therefore, now by the use of Internet technology, like many hospitals develop their own mobile phone APP on the one hand, and join the Health and Family Planning Administrative Department to build the appointment registration platform on the other hand, put the hospital number source in a pool. It is very convenient for the patients to register through the Internet, mobile phone and telephone. At the same time, we are now pushing forward the appointment of time segment diagnosis and treatment to avoid peak time, so as to provide convenience for patients. For another example, some elderly people who cannot use APP at home want to see a doctor, and their children can use mobile phone APP to help them register in other places or even foreign countries, which alleviates the problem of registration difficulty to some extent.
She also gave an example of the medical service model. She said that when patients go to the hospital for treatment, they have to queue repeatedly in different Windows, for different tests, and when in payment and drug collection. The Internet can also help solve these problems. For example, smart hospitals have appeared in Hangzhou and many other places. You can complete the whole process of seeing a doctor with only one mobile phone. You can get the treatment by making an online appointment, and the mobile payment can be realized in the consultation room. The medical insurance card is band on the internet in some places, pay one part of his own expenses and no need to operate for the part covered by the medical insurance. They are be able to check result through the Internet at home after see a doctor without going to a hospital again taking film or checking a report. These are very convenient for patients. Most tertiary hospitals across the country have already implemented such a medical service model. It is precisely because of such successful practice that the State Council document states to promote this model nationwide, requiring all hospitals above secondary level to use the Internet to provide convenient services for patients.
