As early as more than a decade ago, the Internet medical industry with the Internet as its carrier and technology has been born. After the two sessions this year, "Internet + medical " quickly spread across the country, medical insurance, medical and medical e-commerce field rushed to "touch the net" to try and explore new ways for medical reform. However, the spokesperson of the National Health and Family Planning Commission recently put it out: the medical diagnosis and treatment on the Internet is not allowed, and only health consultation can be done.

That's what it says, the feeling is that it is pouring cold water on the Internet. However, it should be noted that ignoring the context of context, gimmicking and taking the chapter out of context is the root of all misunderstandings. In fact, for Internet medical treatment, the purpose of the "not allowed" by the Health Planning Commission is not to suppress, but to regulate.

how you said that? Internet medical care is not a savage beast. The era of "Internet +" cannot be without Internet medical care, and it has become a universal social consensus. The Health Planning Commission "not allowed" is not the entire Internet medical treatment, but Internet medical treatment, that is, telemedicine , such as remote pathology diagnosis, remote imaging diagnosis, remote pathology monitoring, remote video consultation. Other Internet medical projects, including online health education, medical information inquiry, electronic health records, disease risk assessment, online disease consultation, medical e-commerce services, medical service process optimization, still have a lot of market development space. .

In fact, in Internet medical care, telemedicine is the core of medical activities, and other medical services are “swinging around the medical activities”. The artificial restriction on telemedicine is not because the health planning committee is too wide, but love is deep. Due to the limited treatment and communication methods, telemedicine is difficult to achieve the same accurate diagnosis and treatment as traditional medical treatment. Therefore, in order to ensure the quality and safety of telemedicine, it should be provided by medical institutions and medical personnel with high medical qualifications, and through the use of developed information technology as a medium. Some relatively backward medical institutions are not qualified. Non-medical institutions are “unprecedented” in terms of qualifications and technology. Excluding them is actually a responsible performance for patients.

At present, telemedicine still lacks a unified charging standard, and the medical insurance reimbursement policy has not been perfected. The legal liability and rights and obligations of the medical parties are not clearly defined, and the actual acceptance of patients is not high, which also determines that it cannot be widely popularized. However, telemedicine can effectively break the current situation of uneven distribution of medical resources in different regions, improve the accessibility of quality resources, reduce the indirect medical costs of referrals, and optimize follow-up management. Therefore, it is impossible to ban it, otherwise it is because of squandering food.

Telemedicine is a trend that can go far, not depending on the breadth of the ban, but on the strength of the norm. Although telemedicine still has risks at the current technical level, it should be included in the overall medical service plan, and make more fuss about the setting of access conditions and auditing standards, in financial investment, medical insurance reimbursement, and charging standards. More efforts should be made to verify the technical means to upgrade, to determine the rights and obligations through the cooperation agreement, to regulate the management of medical personnel, to ensure informed consent of patients, to simplify the medical service process, and to achieve traceable medical behavior. Of course, online medical treatment ultimately depends on offline medical resources. Only when offline medical resources are truly strong, the quality and safety of telemedicine are fundamentally guaranteed.

After all, telemedicine is only an auxiliary means for the time being, and it is impossible to subvert the entire traditional medical model. In the case that the conditions are still immature, it is not appropriate for the government to "catch the shopkeeper". Therefore, it is a wise move to take the lead in conducting telemedicine pilots in some qualified medical institutions.

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