Discussion on the high risk of medical treatment on the Internet

With the development of Internet telemedicine, patients can be "face-to-face" with the famous experts in major hospitals. However, the health planning system recently on this situation read a "Magic spell", issued a clear range of telemedicine, the ban on doctors to privately telemedicine.

Beijing Times reporter Xia Wen

-Observation articles

Telemedicine needs to be conducted between agencies

"We are now every day on the micro-blog to receive patient counseling, this is not counted as telemedicine?" "After the opinion of the health planning system on telemedicine was released, a doctor at a three-armour hospital lamented on Weibo," he said.

Health Planning Institute issued the "on the promotion of medical institutions telemedicine services," (hereinafter referred to as the "opinion"), clear to carry out telemedicine must be medical institutions to the medical institution, the need for telemedicine doctors must be in the unit. The opinion points out that telemedicine services are one side of medical institutions inviting other medical institutions.

National Health and Family Planning Commission the Director of Medical and nursing services, Li Dachuan, said publicly that the Medical Practitioners Act requires physicians to examine and investigate themselves before implementing preventive health care measures and not to make a decision without personal examination. Such activities include sight, touch, tapping, listening, etc.

"There is a medical security risk if a doctor can diagnose and deal with a patient only through online interrogation and some information provided by patients." In order to ensure the patient's medical safety and medical quality, and also to ensure the rights and interests of both doctors and patients, we stipulate that physicians must carry out telemedicine services in their medical institutions, and that the subject of legal liability is also the medical institution where physicians are located. Li Dachuan said.

In the future, the National Health Planning Council will collect views and suggestions from all walks of life and revise and perfect the regulations on the management of telemedicine services in due course.

Does health counseling include unclear

With the development of Internet technology, mobile medical development is very hot, good doctor, spring rain, clove garden respectively get financing. However, in the interpretation of the Wei's planning opinion, many people think that this is the health sector in the tightening of the mobile medical market.

"As long as the child has a colds uncomfortable, the first thing is to find expert advice online immediately." First, there is no pediatric hospital near the home, another is to take the child to the hospital easily cross infection. "Home has 3-year-old baby Yang told reporters," after consultation, their own heart bottom, not serious words, will be good at home to care for children, save the rush. "Ms. Yang's biggest concern is that after the implementation of the New deal, the health planning service is not going to lose the access to the online healthcare counseling," she said.

The health planning system requires doctors to carry out telemedicine without permission. As Ms Yang worries, in some practitioners ' eyes, many doctors who are registered on the website of a good doctor and spring rain Doctor are also regarded as "privately telemedicine".

However, senior industry personage Mr Kim told reporters that the policy of the health planning system is actually not related to mobile medicine. In his opinion, the health planning system issued by the "opinion" is only in the regulation of medical institutions and medical institutions of telemedicine, does not point to mobile medical care, and at present, such as the mobile medical care for the doctor to provide only before consultation services, does not involve treatment.

So, like spring rain, clove garden, good doctor online and other Internet platform, in the end is not counted as providing remote services? In this regard, spring rain firmly denied that they are providing health information services. Only the suggestion, does not represent the hospital side, does not represent the face diagnosis.

The industry's Mr Fang also believes that telemedicine, as defined in the opinion, is an act of consultation between medical institutions, so as long as it does not conform to this definition, it is not "telemedicine" and is naturally not subject to the norms of opinion. He believes that while the health planning system does not include mobile medicine in the private development of telemedicine, for now, this is a good thing for mobile-health sites, but in the long run, "since telemedicine services to patients and medical institutions are not recognized as telemedicine, it is not possible to have access to health care, This naturally restricts the market capacity of telemedicine services. Because the doctor to the patient, the organization provides the patient the long-distance treatment behavior the expense, must be paid by the patient. ”

The risk of telemedicine is higher than that of face diagnosis

In the opinion of the health planning system, the most controversial issue is the specific connotation of telemedicine services, which are also the patients ' most concerned.

Wang Guohua, a researcher at Peking University's Center for International Research in Medicine management, believes that there are three conditions for remote services: providing diagnosis, prescribing, and obtaining benefits.

Reporter Login Good doctor website to see, in its homepage in the upper right corner hangs "good doctor on-line Prompt": "Good Doctor on-line provides the doctor-patient communication platform, the Doctor uses this platform to provide the patient based on the illness the suggestion, not the diagnosis and treatment. ”

And spring rain Doctor also in its web page eye-catching "Intelligent data analysis results, self-diagnosis convenient for medical treatment", while claiming "to provide a direct dialogue with professional doctors, through detailed description of the illness and direct communication, doctors can give you more accurate diagnostic advice." ”

Reporter learned that the current good doctor and spring rain to provide doctor services are marked, such as good Doctor Online, 15 minutes 150 yuan to 360 yuan. While Dr Chun provides private doctor services that allow doctors to customize the items and prices of their services, users can obtain a doctor's long-term consultation service by buying the service.

Industry insiders told reporters that telemedicine, although convenient and quick, but compared to the face of the diagnosis, the risk of miscarriage is higher, and Internet services in the responsibility of the subject is also unclear. He pointed out that the mobile medical market was so hot that the market was in demand, reflecting the uneven distribution of traditional medical resources and the willingness of doctors to practise freely.

Network interrogation is full of uncertainty

In recent years, with the popularization of the network, more and more people are more and more inclined to "sick access to the Internet counseling": his illness sent to a person labeled as a doctor, to get answers. However, good doctor, spring rain this clearly labeled Doctor's name, department, from which hospital and other doctors specific information is different, on the network, micro-blog Many so-called doctor information can not be confirmed, this network interrogation is full of uncertainty.

It is understood that the current network of inquiry methods are mainly three kinds: first, the medical platform consultation, by the hospital or enterprise set up an independent medical platform for patients to answer questions. Second, the Netizen help each other, through the network mutual question and answer platform, the Netizen carries on the illness discussion and the mutual aid. Third, micro-blog interrogation, through the micro-BO platform and doctors to carry out a direct exchange of points.

Ms. Yang, the citizen, told reporters that she had tried these several ways. She had a father's illness in a third hospital on the website of the consultation, but struggled to wait a week after all did not get a reply, finally had to take his father to the hospital to solve the illness. After having children, Ms. Yang's most frequently used method was to ask for help from a prominent pediatric specialist on Weibo, almost every time. "These three kinds of the most unreliable is the second, once I love a sudden high fever, input symptoms on the Internet a search, listed above the condition is simply frighten the dead, hurried to the hospital, and finally found that the common cold caused." ”

Dedicated to science and education, every day will spend hours on the Internet to answer questions asked by the Chinese Medicine University of Beijing TCM affiliated Traditional Chinese Medicine Hospital pediatric original director Zhang Silei, each encounter with the child's diagnosis of the disease will be repeatedly stressed: "No examination of children bad judgment, recommended to the hospital." She told reporters that the doctor is a very complicated process, whether it is Western medicine "see, Touch, Buckle, listen" or Chinese Medicine "hope, smell, ask, cut" and other basic steps, in the absence of face-to-face contact with patients, it is difficult to complete well. Especially for the patients with difficult diseases, only the condition of the network described, the doctor for the patients did not meet the diagnosis, it is too hasty.