People's Daily: The legal subject of responsibility in Internet medical care is to be resolved

General Secretary Xi Jinping pointed out that it is necessary to use big data to promote security and improve people's livelihood, promote "Internet + medical care ", etc., and continuously improve the level of equalization, generalization, and convenience of public services. In recent years, Internet medical care has flourished, and online medical services such as online consultation and telemedicine have promoted the effective allocation of medical resources. From the past, with large hospitals as the center, patients waiting for services, and patient-centered, collaborative network services, Internet medical is accelerating the realization of quality medical resources to build and share, to meet the individualized medical needs of different groups.

In the First People's Hospital of Yinchuan City, Ms. Ma was found to have enlarged mediastinal lymph nodes, which basically ruled out the possibility of malignant tumors of the lungs, but could not determine the cause. With the help of the doctor in charge, Ms. Ma applied for a remote expert clinic of Dr. Zhong Xu from the Department of Respiratory, Peking Union Medical College Hospital through the Internet consultation platform. Zhong Xu looked at the medical records uploaded by local doctors and initially judged that the patient's problem was caused by tuberculosis. Ms. Ma said that it took less than half an hour to watch the big experts in Beijing online. If it is going to Beijing, it will increase the cost of transportation and accommodation. I still don’t know how to hang it.

Patients have less errands

Effective allocation of resources, the cost is greatly reduced

Online consultation means that the doctor provides medical services to patients through the Internet. The doctors ask the patient's medical history in detail, check the necessary inspection reports, and give a diagnosis and treatment plan. At present, online consultation mainly focuses on returning and consultation, that is, patients who have already visited the hospital, and the subsequent rehabilitation and treatment are put on the Internet. When lower-level hospitals and doctors encounter difficult cases, they can go up through the Internet. The doctor of the hospital initiated a consultation request and received advice from the superior experts.

Liu Yinglong, the chief physician of Children's Cardiac Surgery at Beijing Anzhen Hospital, provides post-operative consultation services for pediatric patients during off-hours through an Internet appointment consultation platform. The platform has invited tens of thousands of pediatricians from the top three hospitals to participate in the more effective allocation of pediatric resources through big data and lean medical methods.

For patients, the first consideration for online consultation is the expert, followed by the cost. The cost of online consultation varies by expert level. Beijing and Shanghai have concentrated on the top experts in the country, so the average consultation fee is also significantly higher than other regions. According to some surveys, the average monthly consultation fee in Beijing is 147 yuan, Shanghai is 138 yuan, and Hebei is only 30 yuan. Most of the network consultations, the doctors and patients are not in a city, the time and economic cost of medical treatment in different places is much higher than the average cost of online consultation.

"In the 10 years from 2006 to 2015, Internet medical treatment can only provide online consultation, can not provide diagnosis, and can not give prescriptions. For medical treatment, diagnosis and treatment is the core, and Internet medical treatment should further provide patients with more More convenience, must enter the field of diagnosis and treatment." Wang Da, founder of the doctor, said. At the beginning of 2015, the National Health and Family Planning Commission made it clear that online consultation is a strict medical practice. The main body of the service must be a medical institution. That is to say, it must have a medical institution license to become a hospital in order to further develop the Internet in the field of diagnosis and treatment. The role. In 2016, Good Doctor Online cooperated with the Yinchuan Municipal Government to build the Yinchuan Smart Internet Hospital, which led to online consultation from the online consultation field and was supervised by the medical management department.

Wang Hang believes that online consultation is generally suitable for three types of patients: First, returning to the patient, after the initial diagnosis, the doctor is familiar with the patient's condition. After the patient returns home, he can communicate with the doctor online, renew the medicine, and upload the inspection and inspection data through the network. Ask the doctor to give a treatment plan remotely. Second, patients who need consultation, which is also in line with the national trend of grading diagnosis and treatment. Third, a small number of first-time patients, currently only open a few online diagnosis of a few simple diseases, such as dermatitis, eczema, hemorrhoids and other dermatological mild cases. For relatively complex diseases, Internet hospitals will arrange appropriate hospitals for examination and consultation.

Doctor "sticky" online

Conducive to the formation of word of mouth, online and offline promotion

Lin Zhizhen, deputy director of the Department of Dermatology and Venereology, Peking University First Hospital, registered his real name on the website of the doctor, and submitted the doctor's qualification certificate, doctor's license, professional title card, ID card and other documents. After completing the multi-point practice filing, he became a good doctor online Yinchuan wisdom. An online practitioner at the Internet Hospital. He said that from the current policy, more practice does not require the consent of the original unit. However, he told the employers that they had a good reputation on the Internet, and many patients would come here to participate in the online and offline promotion, and will not affect the offline work.

Internet medical has changed the relationship between doctors and hospitals. Doctor Wang has formed a brand on the Internet and has driven a discipline in reality. Dr. Shang Aiga, a hospital, has a relatively rare and complicated spinal cord disease. After a good patient reputation has been formed through the Internet consultation platform, the number of patients with spinal cord disease has increased significantly.

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