This year's "Internet + medical health" policy documents frequently appeared. In April, the "Opinions of the General Office of the State Council on promoting the development of "Internet + medical health"" (hereinafter referred to as "Opinions") became the basic blueprint for the Internet medical layout.
Interpretation of the "Opinions" mainly includes three aspects:
First, improve the "Internet + medical health" service system;
The second is to improve the support system of “Internet + medical healthâ€;
The third is to strengthen industry supervision and security.
On July 12, in order to further deepen the development of “Internet + medical healthâ€, the National Health and Health Committee and the State Administration of Traditional Chinese Medicine jointly issued the “Notice on In-depth Implementation of “Internet + Medical Health†Convenience and Benefits for the People†(hereinafter referred to as “ Notice"). The "Notice" specifically proposes 30 specific measures from the following ten aspects, aiming at implementing the "Internet + medical health" service system, bringing convenience to the people to see a doctor.
Seek medical treatment services more peace of mind
Settlement payment service is more convenient
Patient medication service is more assured
Public health services are more precise
Family doctor service is more intimate
Full coverage of telemedicine services
Health information services are more popular
Emergency treatment service is more efficient
Government affairs sharing service is more beneficial to the people
Check inspection service is easier
Based on these policy documents, let's take a closer look at what impact these documents have on the future medical industry and what directions are indicated for business development.
Vigorously develop Internet hospitals
Where the Internet hospitals go, has always been the focus of the industry. Especially in 2015, the former National Health and Family Planning Commission made it clear that “in addition to telemedicine provided by medical institutions, other work related to medical diagnosis is not allowed to be carried out on the Internet, and health consultation can be done.†Is the emerging Internet medical industry? Want to be called to stop? In the era of policy “turbulenceâ€, a group of Internet medical companies had to seek transformation.
Until 2018, national policies and documents set the direction for the development of Internet hospitals. The Notice clearly encourages the development of Internet hospitals. In addition to the requirement to establish a comprehensive online appointment service platform, we also noticed that under the premise of ensuring medical quality and information security, the Notice encourages active online provision of some common diseases, chronic disease referral services, follow-up management and remote Guide, gradually realize the patient's home rehabilitation, and enjoy high-quality and efficient referral services without leaving home.
In encouraging these appointments, online consultation and follow-up, among these supporting policies, the most concerned is the medical insurance payment and the “one-stop†payment and settlement service system. In order for the Internet hospital to survive for a long time, it must be approved by the payment system. If even a doctor can not be cashed on the Internet, then Internet medical care will have no vitality.
In this regard, the "Notice" also encourages medical and health institutions to optimize the payment process and improve the settlement mode through self-service machines and mobile phone clients. Under the premise of ensuring information security, strengthen cooperation with medical insurance, commercial insurance, UnionPay, and third-party payment agencies to provide patients with a variety of online payment methods. By 2020, hospitals above the second level generally provide “one-stop†settlement services such as mobile payment.
Medical e-commerce network to sell prescription drugs sad and happy
The changes in online sales of prescription drugs also make medical e-commerce companies feel like riding a roller coaster. As early as 2013 and 2014, the country conducted pilot projects on Internet third-party platform online retailing in some provinces and cities. However, in August 2016, the Internet third-party platform drug online retail pilot work was suspended. In particular, in 2017, the two documents of the former State Food and Drug Administration were clear: prescription drugs should not be sold online. Although Dr. 2 Firmly optimistic that online prescription drugs are an inevitable trend, but the policies are confusing and the interests are balanced.
Until April's "Opinions" and July's "Notice", there is a clear official statement. The "Notice" encourages qualified medical institutions to promote the construction of "smart pharmacies" and realize the seamless connection between the prescription system and the pharmacy dispensing system to facilitate timely drug withdrawal. After the online prescription is reviewed by the pharmacist, the medical institution and the pharmaceutical business enterprise may entrust the qualified third-party organization to distribute.
It can be seen that the pharmaceutical e-commerce and offline hospitals have docked the prescription sharing system, and realized the real-time sharing and interconnection. The prescription sharing system transfers the hospital prescriptions and establishes the distribution system. Such a medical e-commerce system will take the lead. .
Establishing a licensed pharmacist online pharmacy service system
Another resistance to online drug sales is the shortage of pharmaceutical services, and the issue of online prescription submission and licensed pharmacist guidance has not been effectively resolved. In the process of customer-oriented online drug sales transactions, customers often only look at online word-of-mouth comments, consumer records and other obvious reasons, but it is difficult to grasp the quality of drugs, so licensed pharmacists strictly control drug safety is essential!
Therefore, for third parties engaged in Internet drug trading services, pharmacies should conduct online consultation services by licensed pharmacists; sales of prescription drugs should establish a licensed pharmacist online pharmacy service system, and licensed pharmacists should be responsible for the review and supervision of prescriptions and guide the rational use of drugs.
In addition, in addition to providing pharmacy services to customers, clinical pharmacists should also guide grassroots medical personnel to improve the level of rational drug use and conduct online audits of prescriptions extended to primary health care institutions.
Chronic disease follow-up and health file
A sound management network is the hardware foundation for chronic disease management. At present, the construction of the regional health information platform has not seen obvious results. The information on electronic health records and electronic medical records of patients with chronic diseases cannot be effectively transferred between different medical institutions, so that doctors in different institutions cannot obtain patient medical history.
Therefore, it is imperative to use the Internet + to bring together the above information to form a coherent and circulated personal health record, which makes it possible for the chronic disease management to achieve seamless integration between systems.
In addition, there is no unified information software for the health records of Chinese residents, and the chronic disease monitoring network is not perfect. A national unified chronic disease prevention and treatment information platform has not yet been established. Doctors lack effective living habits and life behavior data (such as diet, exercise, and Behavioral habits, health psychology and other data), and the vital signs data of chronically monitored patients are not continuous and cannot be timely understood and monitored by doctors, making doctors' treatment of chronic diseases more popular and difficult to personalize and precise. The treatment plan. In this regard, the Notice also encourages the integration of health records and health management services:
The family doctor is really called the resident health "gatekeeper"
It is often said that the ugly disease is expensive because of the uneven distribution of medical resources. The first-level diagnosis, the two-way referral, the rapid division of treatment, and the grading diagnosis and treatment model of the upper and lower linkages have also been clearly put forward in 2015.
In 2016, the National Health and Family Planning Commission set a clear target for the new pilot city: further improving grassroots service capabilities, promoting family doctors' contracting services, exploring the formation of medical complexes, scientifically implementing rapid division and treatment, and accelerating medical and health information. Construction, promotion of regional medical resources sharing, strengthening of departmental coordination, and improvement of supporting policies.
In July this year, the "Notice" established three family doctors' specific measures to promote family doctors' signing services, family doctors to transfer patient channels, and improve family doctors' service capabilities.
Family doctors are the main force of community health care services, but at present, China's grassroots general practitioners are very scarce and the level of quality is difficult to achieve.
Therefore, from the national level, the next step is to clear the obstacles for the growth of family doctors, from the grassroots general practitioner's salary system, promotion system, career development platform, general practitioner system, etc., to create the conditions for the grassroots doctors to create excellent talents. At the grassroots level, stay at the grassroots level.
Telemedicine future can be expected
Telemedicine is no longer new. In recent years, the state has continuously introduced relevant policies from the top-level design and confronted telemedicine.
The "Notice" in July this year further clarified the service content of telemedicine and the coverage of telemedicine.
The medical consortium lead hospital should establish a telemedicine center to provide remote consultation, remote imaging, remote ultrasound, remote ECG, remote rounds, remote monitoring, and remote training to medical joint medical institutions.
Promote the "basic inspection, superior diagnosis" model, expand the functions of medical imaging, remote ECG, laboratory testing in the primary health information system, and actively apply intelligent auxiliary diagnosis systems to enhance the ability and efficiency of primary medical services.
By 2020, telemedicine services will be covered by all medical unions and county-level hospitals nationwide, and will gradually extend to community health service agencies, township health centers and village clinics.
Of course, telemedicine also has some problems. The implementation of resistance to graded diagnosis and treatment, the technical problems of telemedicine products , and the medical habits of patients are difficult to change. Although these have certain constraints and restrictions on the development of telemedicine, from discovery to resolution. The problem requires a process. Once the telemedicine breaks through the bottleneck, there is no doubt that the market space for its outbreak is immeasurable.
Therefore, under the influence of the New Deal, these six major aspects will certainly lead to a series of giant service companies, and the entire Internet medical industry will enter a new page!
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