At the first Internet Hospital Conference in 2020, Faye Wong expounded and analyzed the policy direction of Internet medical development in the main forum. At today's Ma Chi Sub-forum on Internet diagnosis and treatment, Wang Fei also shared the development trend, policy direction and construction issues of Internet diagnosis and treatment with the topic of "Internet diagnosis and treatment". The health department combined the two speeches to sort out the main points for medical institutions' reference.
Under the COVID-19 epidemic, Internet hospitals have developed rapidly.
"Internet medical services have gained development opportunities during the epidemic, and Internet hospitals have become an important part of the medical service system." Faye Wong mentioned that during the epidemic, the number of new Internet hospitals in Wuhan reached 16. At the peak of the epidemic, when offline medical services were largely squeezed out, online medical services played an important role.
From the patient level, the epidemic situation has profoundly affected the patient's medical treatment mode and concept, and greatly improved the recognition of medical online service; From the level of medical institutions, we have a new understanding of Internet medical services and began to consider how to combine traditional medical services with new medical services.
Four Problems in the Development of Internet Hospitals
From July, 2065438 to July, 2008, National Health Commission issued a number of top-level design documents for Internet medical care, which defined the main body and objectives of Internet hospitals, encouraged tertiary hospitals to become Internet hospitals, developed medical resources to the grassroots level through Internet hospitals, and promoted the implementation of graded diagnosis and treatment.
Now, the number of Internet hospitals has increased from about 20 100 at the end of 2008 to nearly 600 at present. Played an important role in the COVID-19 epidemic. Under the affirmative action, Faye Wong thinks that there are still many problems to be solved in the development of Internet hospitals.
1. Uneven distribution of medical resources
Faye Wong mentioned that the Internet is largely to solve the uneven distribution of medical resources and improve the utilization efficiency of medical services. However, some eastern cities have developed medical service resources and built internet hospitals, while areas with underdeveloped medical resources cannot provide internet diagnosis and treatment services.
At the same time, the development of Internet medical care is not balanced. In some places, Internet hospitals developed earlier and more developed. For example, the provincial platforms in Shandong and Zhejiang have relatively complete functions, and medical institutions can establish Internet hospitals through provincial platforms. Yinchuan is a city that entered the internet hospital on a large scale earlier, but in the whole process, not all local functions are relatively perfect.
"So the role of the Internet in solving the imbalance in the layout of medical resources has not yet come into play." Faye Wong said.
2. Internet hospital supervision is not uniform
The development of Internet hospitals is in full swing, and most provinces have also established an Internet medical service supervision platform. However, the regulatory platforms in all provinces are facing the problem of inconsistency in standards, functions, regulatory details, methods and regulatory effects.
At the same time, due to the various forms of Internet hospitals, which are dominated by entities and enterprises, there are differences in the formulation and system construction of internal management norms in different Internet hospitals, which makes supervision difficult. "We still face many problems in the regulatory standards of medical services, language norms, medical record data and other normative issues." Faye Wong said.
3. Income distribution and Internet medical services do not match.
At present, there are still two imperfections in the income distribution of Internet medical services. On the one hand, national policies have been promulgated, but local rules have not been implemented. On the other hand, under the current charging standards, the charging standards of Internet medical services cannot exceed the offline general outpatient fees of physical medical institutions.
"Looking at a patient offline is sometimes 3 minutes or 5 minutes, and online ten minutes is very short. Online communication is not as convenient as offline communication, and the communication time is relatively longer than offline communication time. But the fee can't exceed the general outpatient service. At the same time, offline experts and chief physicians can only charge ordinary outpatient fees online, which will partially lose the enthusiasm of doctors. "
4. Online and offline medical services have not been integrated.
At present, Internet hospitals have not yet formed an online and offline integrated medical service model. Need to make an appointment for diagnosis and treatment, and finally achieve online and offline collaboration, such as online appointment for offline inspection, online accounting, and distribution to patients.
In addition, there are some objective problems that deserve people's attention. Faye Wong mentioned that Internet medical service mainly refers to the follow-up of common diseases and chronic diseases. The main patients are the elderly, and their medical habits are offline. Therefore, it is necessary to think about how special people such as the elderly can adapt to the Internet hospital implemented at this stage, and design corresponding measures for special people online and offline.
Policy Trend of Internet Hospitals
Regarding the problems existing in the development of Internet hospitals, Faye Wong mentioned that from the policy level, further development norms and management rules will be formulated for Internet hospitals around development issues.
1. Refine the regulatory standards and norms of Internet medical services.
Refine the local Internet medical service supervision platform, make the supervision process more effective, and realize the objectives and tasks when designing the platform. This includes the supervision of employees, medical institutions and patients in the whole medical process.
2. Formulate guiding documents for Internet medical services.
Standardize the use of Internet medical services. Standardize online medical record writing, cooperate with offline HIS system and outpatient medical record system to protect patients' privacy.
3. Continue to optimize the Internet appointment diagnosis and treatment system and process.
Strengthen the management of outpatient number sources, effectively connect online Internet hospitals with offline outpatient and emergency departments, and improve service systems and processes.
4. Top-level design of smart hospital
Smart hospital is the construction direction of our future hospital, including medical treatment, service and management. Next, we need to consider how to connect smart hospitals with Internet hospitals. Realize the consistency of the overall service process, the integration of services and the effective combination of online and offline.
5. Layout of Internet medical service centers
In terms of resource layout, the state will lay out some regional Internet medical service centers. Through these regional centers, the problems, solutions and needs in the process of Internet medical services are collected and analyzed in a unified way. At the same time, resources between different centers will be shared, thus optimizing the regional distribution of medical resources.