"Internet + medical health" enters the spring mode

In the past, medical institutions’ Internet projects may have been piloted. After this meeting, it may soon be promoted and applied throughout the country, from the hospital to the outside of the hospital, along the medical system, horizontally and vertically through the national medical institutions at all levels.

The prescription information mentioned in Article 3 is shared. It takes the patient as the core, and jointly works with the District Health Planning Commission, the Food and Drug Administration, social security, hospitals and other departments and social pharmacies to realize the interconnection and real-time sharing of medical institution prescription information, medical insurance settlement information and pharmaceutical retail consumption information. Platform.

In May 2017, Guangxi Luzhou Red Cross Hospital and Qingdao Yiqian Network Technology Co., Ltd. launched the first prescription information sharing platform in the country, and separated the medicines in the “Zhangzhou Mode”.

The introduction of this measure will further reduce the proportion of medicines in hospitals and realize the separation of medicines, but the status of specific advancement is only waiting to be seen.

The State Council policy routine briefing on April 16 mainly published the results of the research and discussion on "Opinions on Promoting the Development of "Internet + Medical Health".

There are three main aspects:

The first is to improve the "Internet + medical health" service system. Promote the integration of the Internet and medical health services from medical, public health, family doctor contracting, drug supply security, medical insurance settlement, medical education and popular science, and artificial intelligence applications. Covering many aspects of medical, medical and medical insurance "three medical linkages";

The second is to improve the support system of “Internet + medical health”. From the timely formulation and improvement of relevant supporting policies, speeding up the sharing of medical and health information sharing, establishing and improving the "Internet + medical health" standard system, improving hospital management and convenience service level, and improving the infrastructure support capacity of medical institutions, relevant measures have been proposed;

The third is to strengthen industry supervision and security, and make clear provisions on strengthening medical quality supervision and ensuring data security.

The series of policy measures proposed in the "Opinions" clarified the clear attitude of supporting the development of "Internet + medical health", highlighting the policy orientation of encouraging innovation and inclusiveness, and clarifying the key areas and supporting systems for integrated development. Regulatory and safety bottom line.

In response to the medical safety hazard of “Internet + medical health”, Yu Xuejun, Director of the Planning and Information Department, said that it should strengthen supervision in three aspects:

The first is to define the margin of behavior. Study management methods as soon as possible, clarify the bottom line of supervision, and at the same time reduce barriers to entry. Strengthen the supervision of things in and after the event, ensure the safety and quality of health care services, and ensure the quality of medical and health services;

The second is to strengthen responsibility. Whoever provides Internet medical and health services must be responsible and implement a safety responsibility system. The development of Internet hospitals is based on physical medical institutions, and the main body of responsibility is the medical institutions themselves. In addition, the supervision principle is based on localized management and implements online and offline unified supervision. Third-party organizations such as the Internet Medical Health Service Platform should ensure that the qualifications of the service personnel are in compliance with relevant regulations and are responsible for the services provided. At the same time, it is necessary to establish a medical responsibility sharing mechanism, and implement online and informed consent to prevent and resolve medical risks;

The third is to improve the regulatory capacity. On the one hand, the regulatory port of the health and health administrative department will be established. All medical institutions and Internet medical service platforms that carry out Internet medical services need to push, transmit and back up data to the regional comprehensive health information platform in a timely manner. The health and health administrative department will Dynamic monitoring of Internet medical behavior. On the other hand, it will promote the construction of a credible system for the Internet, accelerate the construction of a nationally-identified medical and health personnel and medical and health institutions, the credible medical digital identity, electronic real-name authentication, data access control information system, and improve the electronics of physicians, nurses, and medical institutions. Registration system for easy access.

Through these measures, the data generated by the "Internet + Medical Health" service can be traced throughout the entire process, and can be queried and traceable, ensuring that the behavior of accessing the processed data is controllable and manageable, and ensuring the patient's medical safety.

The standards, norms and laws of the "Internet + Medical Health" industry have always been the focus of attention of all parties. The Deputy Director of the National Health and Health Committee, Zeng Yixin, also answered five aspects:

First, the development of "Internet + medical services" is a clear provision, allowing the development of Internet hospitals based on medical institutions, can rely on this physical hospital to use Internet hospitals as the second name. For the hospital, it is equal to expanding the scope of business and service radius, which is a favorable policy. At the same time, it also supports qualified third-party organizations to build an Internet information platform and carry out telemedicine. For third-party organizations, there are also policies to support them in this area;

Second, the optimization of Internet home signing services also has clear provisions, can promote the intelligentization, information construction and application of family signing services, online signing services, online health consultation, appointment referral, chronic disease follow-up, health management and extended prescriptions Work related to family sign-up services can be carried out online;

Third, in the "Internet + drug" supply security service, after the prescription issued online has been reviewed by the pharmacist, the medical institution and the drug business enterprise may entrust a qualified third party institution to carry out the distribution;

Fourth, promote the "Internet + insurance settlement" aspect to gradually expand the online payment function, including off-site settlement, one-stop settlement;

5. In the application of new technologies such as artificial intelligence, encourage the promotion of research and development and improve the efficiency of medical services.

In addition, the meeting also focused on how to avoid data leakage? How to apply for an internet hospital? Why do Internet hospitals allow online review of some chronic and common diseases? The questions were answered.

These years’ policies on telemedicine

Telemedicine is the most important part of the "Internet + medical health" diagnosis and treatment. From the Prime Minister's visit to Huashan Hospital to the presiding over the State Council Standing Committee, the most mentioned is telemedicine. In fact, telemedicine is no longer new. As early as the end of the 1980s, China had conducted research on exploratory telemedicine experiments, and began the construction and application of practical telemedicine systems in the mid-1990s. What telemedicine policies have been enacted in these years?

The promulgation and implementation of these policies is to solve the problems of people in the real world who have difficulty in seeing a doctor and expensive medical treatment.

In the traditional doctor-patient model, patients generally have pre-existing lack of prevention, poor experience in the event, and no service afterwards. Through Internet medical treatment, patients are expected to monitor their own health data from the mobile medical data side to prevent precautions; in the diagnosis and treatment service, rely on mobile medical services to achieve online registration, consultation, purchase, payment, saving time and economic costs, and improving the situation. Experience; and rely on Internet technology to communicate with doctors during a follow-up visit.

As a result, most hospitals across the country have also launched the "hospital + Internet" exploration.

Introduction to the mainstream mode of "Hospital + Internet"

With the development of “Hospital + Internet”, many large hospitals have carried out “Internet +” exploration, and carried out mobile medical construction through disease focus, system upgrade and platform construction. Up to now, the arterial network has selected eight mainstream models from the excellent "hospital + Internet" process in China.

As can be seen from the figure, telemedicine is a part of “Hospital + Internet” and will become an important part of the hospital to achieve “Internet + medical health”.

As of October 2017, more than 6,800 public hospitals across the country have launched telemedicine services. Taking the Remote Medical Center of Huashan Hospital as an example, more than 6,500 remote consultations have been completed so far, of which the central and western regions accounted for 72.3% of services (the central region accounted for 26.3% and the western region accounted for 46.0%), covering Yunnan and Inner Mongolia. 24 provinces including Tibet and Xinjiang cover various diseases.

Another good case is that in 2017, Shao Yifu Hospital affiliated to Zhejiang University School of Medicine joined the First Military Hospital of Xinjiang Corps, the First People's Hospital of Kashgar, the Second People's Hospital of Aksu District, and other regional medical centers. "Healthy Cloud Platform", a new Internet-based telemedicine collaboration model.

The platform supports remote joint clinics, multimodal remote consultations, remote mobile rounds, remote image diagnostics, Internet distance learning and mobile technology guidance. In the future, the platform will deepen its service functions, expand international medical services, and build a “Silk Road Cross-border Medical Service Platform”.