With the development of Internet telemedicine, patients can "face to face" with experts from major provincial hospitals without going far away. With the rapid development of telemedicine, the National Health and Family Planning Commission also issued a document for the first time to clarify the scope of telemedicine and prohibit doctors from using telemedicine without permission, which also means that the rapidly developing Internet medical industry has a "forbidden zone". Many people have mixed opinions about the new rule: Should Internet medical treatment be promoted or not? Between misjudgment and rescue time, does Internet medical treatment do more harm or more good? Is a ban too arbitrary?
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Doctors are prohibited from conducting telemedicine without permission
Health development planning commission recently issued "about promoting the opinions of the remote medical services of medical institution", stipulates that "the medical institution shall not carry out the remote medical service", and "the medical staff to the medical institutions outside the patients directly provide remote medical service, shall be subject to consent by the practice registration of medical institutions, and use the unified information platform of medical institutions."
The so-called telemedicine, according to the definition of the NHFPC, refers to the medical activities in which a medical institution (the inviter) invites other medical institutions (the inviter) to provide technical support for the diagnosis and treatment of patients in the medical institution by means of communication, computer and network technology. At the same time, medical institutions use information technology to directly provide diagnosis and treatment services to patients outside medical institutions, which also belong to telemedicine services. Specifically, the service items covered by telemedicine defined by the NHFPC include: remote pathological diagnosis, remote medical imaging diagnosis, remote monitoring, remote consultation, remote outpatient service, remote case discussion and other items specified by health authorities above the provincial level.
The Commission of Health and Family Planning has also made it clear that the telemedicine policy referred to here is mainly to regulate the medical behavior between hospitals, which is targeted at vertical level hospitals (city-county-township cooperation) and joint hospitals (medical consortium, corresponding assistance hospitals and academic cooperative hospitals).
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Telemedicine has been implemented in many hospitals in our country
Telemedicine is not new to many hospitals, and has been implemented in many hospitals nationwide, such as the First Affiliated Hospital of Zhengzhou University and Henan Provincial People's Hospital.
On May 17, the Professional Committee of Telemedicine informatization of Chinese Health Information Society was established in Zhengzhou. The center is located in the First Affiliated Hospital of Zhengzhou University and has established teaching cooperation and remote consultation sub-centers with 126 county and municipal hospitals in and outside the province.
Zhang Davi, deputy director of the Standing Committee of henan Provincial People's Congress, commented that currently, China's high-end medical talents and equipment are relatively concentrated, and due to the limited conditions, people cannot share high-quality public medical services. Telemedicine allows patients and doctors to see each other "face to face" even though they are thousands of miles away. After the establishment of the national Telemedicine Committee in Zhengzhou, it will alleviate the imbalance of medical technical force in the region, realize the sharing of medical resources, and provide efficient channels and good platforms for grass-roots medical institutions to improve their level and strengthen personnel training.
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Both doctors and patients said, "So convenient."
As for the benefits of telemedicine, many doctors and patients say it's unprecedented and convenient.
The First Affiliated Hospital of Zhengzhou University (brand-new) Remote network teaching and treatment center suixian branch since the construction of 2004, every year will invite provincial experts consultation and treatment guidance more than 100 cases of incurable diseases. It is understood that in such consultation, sub-centers can contact with the center in a timely manner, arrange professional experts to transmit medical records on the spot, conduct on-site video dialogue and exchange, make accurate diagnosis for patients on the spot, and put forward Suggestions for guiding treatment.
"Telemedicine brings convenience to patients and hospitals in all aspects," said A Zhengzhou resident surnamed Zhang, referring to a telemedicine consultation in which her relative was admitted to a hospital with a stomach tumor.
In the construction of telemedicine, the 12th Five-Year Plan of the National Basic Public Service System encourages the informatization construction of primary medical and health care. With the help of this platform, hospitals can not only monitor the health status of patients in real time, but also directly provide medical services to the community. For community hospitals, they can provide high-quality services to the community patients by utilizing the expert doctors resources of large hospitals. For ordinary people, especially those in rural medical branches, the problem of difficulty and cost in getting medical treatment has been solved. The Zhengzhou municipal government has issued the Notice of "Key Points of Zhengzhou National Pilot City Construction Program for Benefiting the People with Information", which clearly points out that telemedicine will cover more than 95% of the major hospitals.
On the other side of the mountain: Battlefield ambulance telemedicine to show off its prowess
In rebel-held areas of Syria, medical staff, medicine and daily necessities are in short supply, with a small number of patients in intensive care units subsisting on telemedicine, the Christian Science Monitor reported on July 6.
Hundreds of medical experts are reported to have died or fled after hospitals were bombed by both government and opposition forces since the outbreak of the conflict in Syria. Last year, the American Medical Association in Syria launched a telemedicine project to take direct steps to address Syria's medical difficulties. Distributed in Canada, Britain, the United States, Saudi Arabia and other countries the doctor shift work, through the remote cameras real-time monitoring in patients with intensive care unit of Syria, turn the camera a ward of the display screen can be observed, breathing apparatus and the status of the patients, and then develop a treatment plan, the operation steps to local doctor, the treatment of some complex tasks had to be performed by nurses and technicians.
Three hospitals in Aleppo and two in Idlib province are said to be using telemedicine, and several others are in the pipeline. High-end private doctor service WeChat public number: kgn091 focus on communication in the medical and health industry. Two doctors said the main challenge for the project was to secure the network and deploy medical personnel in high-risk areas. One advantage of telemedicine is that continuity of treatment is guaranteed even if the patient is transferred.
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Regulations need to be further refined, and a one-size-fits-all approach could hinder the development of telemedicine
Many expressed "incomprehension" at the commission's announcement about the scope of telemedicine. Liu, the patient, believes telemedicine is good for both patients and doctors, and the NHFPC should focus more on solving the problem of "difficult and expensive medical treatment".
According to Wang Rong, a dermatologist, the document was originally intended to regulate diagnostic and medical behaviors for the benefit of patients, with good intentions, but policy formulation needs to be detailed, and a one-size-fits all approach would greatly hinder the development of telemedicine.
Du Guoqiang, who works in the IT industry, believes that the mushrooming of Internet medical services not only helps doctors expand their reputation and scope, but also brings a lot of convenience to patients. IT would be unreasonable if the COMMISSION's documents were too general and many remote health guidance and consultation were banned.
One doctor, who often provides consultation, diagnosis and other services to patients online, even said, "I will do it whether the policy forbids doctors from providing remote diagnosis services or not! The remote diagnosis of some diseases can reach 100%. I believe the scientific research on evidence-based medicine will recognize the scientific nature of remote diagnosis and treatment in the future."