Let the telemedicine huimin real riding

CPPCC member of jiangsu province Yan hua

08:23 September 7, 2016

Source: People's Daily - the People's Daily

In recent years, countries have issued relevant documents, to explore the long-distant medical services.

From grass-roots practice, remote medical service is that medical institutions and doctors breakthrough the limitation of geography, sharing the patient's medical records and inspection, inspection data, realize the sharing of medical resources, human resources, and greatly convenient patient, can make people enjoy the high quality of medical services, to save the patient's treatment time and treatment. Therefore, telemedicine is sinking the optimize allocation of medical resources and realize the high quality medical resources, promoting the grading system, solve the problem of people hospital, improve the medical service ability and level of the important measures and means, accelerate the remote medical service is of great significance, appear very urgent.

From across research, although compared with the past, the provincial remote medical service has made obvious progress, but there are still many restricting factors, the current low charge standard has become the main development bottleneck. In yizheng city in jiangsu province as an example, the city since 2011 on the remote medical care, many medical institutions established successively with both image remote medical consultation system, built in 2016 and the hospital of Beijing, Shanghai and other places, the remote consultation between implements and more than 60 large "networking", "three" hospital patients with local and surrounding for the acceptance of the telemedicine and recognition are very high. But reference price bureau of jiangsu province charge standard, at present the province's remote medical consultation fee standards both in Beijing, Shanghai, or nanjing, yangzhou, 150 yuan/half an hour, the highest rise 30%, far cannot reflect the actual service cost, resulting in patients with enthusiasm high, demand is very big, but the hospital and doctors' enthusiasm is not high, many experts can not even about the situation, do one kui especially for basic-level hospitals. Yizheng city run for three months, the basic requirements of the people can be great practical and unsustainable situation.

The long-distant medical service is a deepening reform of huimin project. Based on the operation mode and characteristics of medical institutions, light rely on administrative measures or fiscal and corresponded to promote hospital, operation platform company, regardless of the actual operation cost and efficiency, long-term the long-distant medical service at the grassroots level are clearly unsustainable. Due to high quality large hospital, experts, less time cost is high, the imperfect law and responsibility identification, remote diagnosis and treatment has not clear wait for a reason, cause the public medical institutions involved in running out of steam. Toll pricing at the same time, the remote radiotherapy do not conform to the market rule, according to the current mode specialists, social capital into the problems such as hard, is not conducive to establish a variety of remote medical business model. We believe that only through between the hospital and the hospital, the interests of the relationship between hospitals and doctors, to fully mobilize the enthusiasm of both hospitals and doctors to carry out the remote medical services; Only establish scientific and reasonable pricing mechanism, can not only effectively solve the problem of difficulty and high cost of patients, and truly reflect the labor value of the doctor.

Currently are in a critical period of deepening reform in our country, due to the local economic development level is different, all health standard is different, have different price range and the standard. Want to make real the huimin project will do a good job, also should be to improve and develop guidelines for pricing of remote medical service, comprehensive consideration of various kinds of hardware equipment depreciation cost and opportunity cost. Introduced the national level to form a complete set "Internet + remote medical service" price range and the standard of the project, shorten the medical insurance directory update time, give play to the role of market pricing mechanism. One is the integration of the relevant state departments should speed up formulation and "Internet + remote medical service" the rhythm of the policy system, to formulate the policy of promoting as soon as possible, revise the obstacle policy; 2 it is to shorten the insurance time limit, the update on the premise of overall cost control, combined with the related health policy, according to the optimization, and convenient way to adjust health pricing system; 3 it is to put the right to market to the market, can adjust the price according to market demand, respect the market rule, by the market pricing mechanism. Remote consultation fee at the same time, the public medical institutions shall implement the government pricing, divided into national, provincial, municipal, county, charge standard according to every hour or every time billing, and implement the price ceilings, enhance operability and implementation effect.

(pan yue finishing)

The People's Daily (20 September 7, 2016 edition)