To be standard remote medical services (A)

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ZhengXueQian wide with tall trees

Along with the rapid development of network, remote medical treatment service at an astonishing rate in the fierce competition and the development of the disorder in the growth of the medical market are expected to expand to the doctor the doctor ease your strong helper. But what is the remote medical service? Includes what range? Who will guarantee the safety of medical treatment of patients? How to strengthen the remote medical service management? How to manage, how to regulate? That has to be carefully studied.

Recently, the health ministry YiZhengSi appoint a Chinese medical hospital association legal professional committee organization called officials, experts on this project DuoCi discussion, our comprehensive opinions are as follows. Consolidation

S background

As early as in 1999, aiming at the ministry has appear generally use of Internet in the different medical advice on strengthening the activity issued "notice of remote medical consultation. At present, remote medical treatment has not only confined to different medical consultation, it is through to the various fields of medicine, including distance medical consultation, teleconsultation, remote operation, remote medical education training, academic communication, remote all kinds of services, especially through satellite positioning remote control robot implement remote real-time operation, check and treatment of the remote medical treatment has also become this may, both doctors and face-to-face traditional diagnosis and treatment has had a huge difference, and the mode of previous various medical and health laws and regulations are not enough to make remote medical service this new things get comprehensive standard.

Remote medical treatment service is also medical behavior

In addition, in addition to simple telephone consultation attachment consultation, patients to a doctor on the Internet for the medicine, medical use modern technology of the surgery, the inspection, the different treatment and so on, whether all the operation remote medical service? Whether are included in the standard management? Participants spread a heated debate.

The doctors and patients online consulting whether to belong to the medical service behavior? In this paper, the experts have two different idea, one kind of opinion that a doctor if online to patients in the diagnosis and treatment advice, already than general chat online conversations range, is to see a doctor for patients, equivalent to the doctor's advice, should belong to remote medical services. Another opinion, the law provides the doctor should be in access of medical practice of medical institutions directly to offer patients examined, prescription for the corresponding medical services activities. Doctors and patients and remote online dialogue, not directly check, again have no formal patients doctors at the doctor's advice and Suggestions, signature no legal effect also cannot get rights and interests protection and therefore should not belong to remote medical services.

Finally, the participants agreed, in accordance with the measures on the administration of medical institutions, the practice YiShiFa "regulation, to ensure safety, the state must be strict with executes medical treatment service behavior of the management system of access. Physicians for patients, as long as the doctor shall, in accordance with the national laws, regulations in medical institutions to perform duties of medical services behavior. If medical institutions, doctors carry out online outpatient service, also belong to the medical service category, the same shall belong to the remote medical service scope.

Use of modern means of the surgery, the inspection, the different treatment operation is to belong to remote medical range? Remote medical consultation asked the doctor in medical collected during the patients with various symptoms, signs, and related equipment check information, to make the diagnosis and make treatment. Some remote consultation system, can through the scanner or digital medical examination instrument has been collecting difficulty miscellaneous disease patients (the most common information is some medical image information such as X-ray, CT, nuclear magnetic resonance (NMR), B ultrasonic endoscopic examination such as the project, information), and through the interactive image transmission technology, image telemetry and control technology, image processing and display technology is sent to a remote experts place, from other experts according to the image diagnosis directly.

Experts also can teleconsultation through specific software to spread the information of the convenient access and processing, such as CT of measuring and mark, and so on. If need, but also may suggest the location of the patients with the proper equipment operation, so as to get a much more detailed information. As for the experts to begin in patients, and is no longer on fantasy. Through the virtual reality technology and network technology, the combination of that experts can use "digital gloves," and so on tools of remote patient screening, in order to get a first-hand material. Even in remote operation can use robots.

The experts think, this kind of different ground operation, examination, the realization of the treatment is still through science and technology in two complete, no matter how modern technology development, the medical service process how complex, the medical service at both ends of the main body all must have the legal qualification, they should be solely responsible for diagnosis and treatment process. So, this kind of make use of the modern science and technology implementation operation, the inspection, the different methods of treatment, certainly belong to remote medical service behavior.

The experts agree, remote medical treatment service is to point to the definition of medical institutions shall be between use of communication technology, the computer and network technology, combined with the medical technology in different ground, interactive guidance, inspection, the diagnosis, treatment and medical consultation activities.

Now that remote medical treatment service is the medical behavior, then carry out remote medical services have to perform the practice YiShiFa "and the regulations on administration of medical institutions and other related laws and regulations, and that is to provide remote medical service at both ends of must have made the" practice license of medical institution of legal medical institutions, specific provision of medical services, the doctor practicing doctors shall have the qualifications. Experts emphasize that any unit, institutional and individual did not obtain the "practice license of medical institution shall not provide remote medical service, in order to regulate the medical service is remote behavior, ensure medical safety and the medical quality, so as to promote medical reasonable allocation of resources, and satisfy the people's growing medical needs, according to law, safeguard the medical dispute award the lawful rights and interests of both doctors.

Carry out remote medical service to approval

Medical institutions in remote medical service between whether to have after the examination and approval of the administrative department of public health? Concerned expert points out, according to the administrative license law "regulation, the administrative licensing can by national laws and the administrative regulations, set the competent administrative department can't add administrative licensing, sets up examination and approval. If, however, remote medical treatment service is a new department of internal medical institutions and medical subjects, according to the regulations on administration of medical institutions, the relevant provisions of the administrative departments for public health shall in accordance with the approved. In addition, due to remote medical service, different from the general Internet and telephone communications consulting, for software, hardware equipment for very high, must have the corresponding condition can carry out, so also should be approved by the administrative departments of public health. And according to the administrative department of medical institutions add service unified management, supervision, subjects law enforcement.

Medical institution for remote medical service should be in according to the medical institutions add department of the basic procedures to the corresponding subjects of the health department for. Is the main content: development of remote medical service application; The "practice license of medical institutions; Feasibility analysis report, including the application unit basic situation, remote medical service located requirements analysis to carry out the service mode, remote medical treatment equipment, equipped with running scheme, remote medical treatment the budget of the investment and financing source; Carry out remote medical service rules and regulations and provide services technology procedures; The instrument, the equipment list and qualified proof; Fire control, environmental protection acceptance certificate. Some experts note that, the above standard is mainly aimed at provide remote medical services for the party, in order to apply for consultation as both the basic-level medical unit equipment standards or invite qualification should not asking too much, want to notice to feasibility and effectiveness, but should set up rules and regulations and management measures, in order to ensure their regular.

But, for medical institution for real-time operation, examination, remote medical treatment service project. Also shall be included in the special management category, for remote real-time operation than the average distance medical consultation services, technical level and high medical risk is big, should strictly control and management. In examining and approving the medical organizations must be submitted in accord with remote real-time operation, check and treatment of medical service qualification of staff proof; In accord with remote real-time operation, check and treatment services related instruments and techniques of equipment with situation; Carry out remote real-time operation, check and treatment services related instrument equipment technical regulations, use method and the rules and regulations, etc. Accept remote real-time operation, examination and treatment of a medical institution shall submit the relevant personnel, technical preparation and equipment to ensure that busine operation party and surgery on both ends with medical personnel qualifications and party the suitability of equipment. (the author unit: China hospital association)