In order to further standardize Internet diagnosis and treatment, promote the healthy development of Internet diagnosis and treatment services, and ensure medical quality and medical safety, the detailed rules for the supervision of Internet diagnosis and treatment (Draft for comments) organized and drafted by the National Health Commission recently solicited opinions from the public. This is the first detailed document issued by relevant departments for Internet diagnosis and treatment since the introduction of the administrative measures for Internet diagnosis and treatment (Trial) and other documents in 2018. Industry insiders believe that the draft provides a basis for the current supervision of Internet diagnosis and treatment, will promote Internet diagnosis and treatment services to focus more on disease diagnosis and treatment and health maintenance by digital means, and further promote the compliance, orderly and sustainable development of the Internet diagnosis and treatment industry. Specify and standardize the operation direction In recent years, internet medical services have developed rapidly in China. Data show that as of the first half of this year, the number of Internet hospitals in China has reached more than 1600, with an increase of about 500 this year. With the normalization of epidemic prevention and control, medical institutions have actively innovated the medical service model, provided online platform registration, online viewing report and other services from the beginning, and now tried to open up links such as "online consultation + follow-up prescription + medical insurance payment". Under the catalysis of policies, the construction depth of Internet hospitals has been continuously extended. However, Internet diagnosis and treatment is still in the exploratory stage in China. Lu Qingjun, director of the office of the national telemedicine and Internet Medical Center, once pointed out that China's Internet medical industry policies are not implemented in place; The service process of some models is unreasonable and the diagnosis and treatment norms are not perfect; Many institutions have weak supervision on doctors' access and process, and insufficient online diagnosis and treatment training; The number of Internet hospitals is large, the scale is small, the construction cycle is short, and the quality of operation and management is not optimistic. "The regulatory rules have raised the entry threshold of the industry, or will let Internet medicine bid farewell to the 'barbaric growth' in the past and enter the stage of standardized and high-quality development." Liao Jieyuan, chairman of micro medicine, said that the exposure draft directly pointed to the disadvantages existing in the current Internet diagnosis and treatment industry, and explicitly prohibited illegal acts such as selling drugs first and then making up prescriptions and drug rebates, Put forward a number of requirements for the Internet hospital information technology platform, raising the construction and operation cost of the platform. In the future, only professional enterprises and large platforms with advanced technology accumulation, rich operation experience and perfect compliance system can stand out in the competition. Wang Shirui, founder and CEO of the Medical Association, said: "the draft for comments reveals the signal of stricter supervision, and also shows that the bottom line of medical safety can not be broken through." this regulatory rule regulates the whole process and all aspects of the flow of Internet diagnosis and treatment information, including specific regulatory contents such as medical institutions, personnel and businesses providing Internet diagnosis and treatment services, and adds clear follow-up certificates Strengthening the requirements for data transmission and mandatory annual inspection after docking with the provincial regulatory platform will be another important document for the development of the industry. "In the future, the introduction of these rules will provide evidence for practitioners and institutions in the internet medical industry and further promote the standardized development of the industry". Online and offline requirements are consistent The exposure draft has released a clear policy signal that Internet diagnosis and treatment should be as homogeneous as the diagnosis and treatment services provided by physical institutions to the greatest extent, so as to return Internet diagnosis and treatment to the fundamental positioning of medical services. "The specific content of the document basically continues the principle of full traceability and backward responsibility, and the requirements of online and offline are more obviously consistent. Many requirements are the basic requirements of offline medical institutions." Chen Qiulin, deputy director of the health industry development research center of the Chinese Academy of Social Sciences, believes that in the process of industry development, Internet platforms are required to follow the law of medical development, To prevent offline problems from becoming online, medical institutions are also required to follow the development law of the Internet and reshape the operation system. In response to the "Prohibition of unified prescription, supplementary prescription and other problems" and "the personal income of medical and health personnel shall not be linked to the income of drugs and medical examination" proposed in the exposure draft, Li Tiantian, founder and chairman of dingxiangyuan, believes that unified prescription means to make statistics on doctors' medication information and provide it to medical marketers for them to issue drug rebates. Tonic prescription is to buy drugs first and then fill prescriptions. Patients and pharmacies decide what drugs to buy. "The regulators issued such a policy because they noticed that there were online gold sales in practice. The document explicitly prohibited these behaviors in order to avoid transferring the offline problems solved by the medical reform to the online, which will also challenge some businesses such as prescription outflow and DTP pharmacy in the market." It is generally believed in the industry that with the continuous improvement of regulatory policies, Internet diagnosis and treatment is no longer a place outside the law, the traditional marketing model will be subverted and pose challenges to the business of third-party platforms. Yinchuan Internet plus medical health association president, good doctor online founder Wang Hang said that the draft is to emphasize the integrated quality control of the internet medical industry online and offline, will force the Internet platform to do its own quality control well. "The draft for comments proposes that doctors should be certified by their real name before receiving a doctor to ensure that they are received by themselves. Other personnel and artificial intelligence software should not falsely use or replace doctors for receiving a doctor. This limits the use of AI technology to provide consultation services in the current market, so as to prevent non licensed doctors and AI software from being used as reception and prescription tools on various platforms." "Internet plus medical" is the trend The classification of Internet hospitals and the definition of the scope of diagnosis and treatment proposed in the exposure draft also open imagination space for the new format of the internet medical industry. Industry insiders pointed out that standardized supervision brings the homogenization of online and offline medical services, which is conducive to promoting Internet diagnosis and treatment services to win the large-scale purchase of medical insurance, which will promote the development of the internet medical industry towards an integrated medical service system, and the market capacity is expected to be further expanded. Liao Jieyuan also said that after the formal implementation of the regulatory rules, the establishment of unified standards for Internet diagnosis and treatment services and the realization of functions such as data interconnection and data sharing will be more conducive to the large-scale payment of medical insurance fund for Internet diagnosis and treatment. Under the premise of national unified and standardized Internet diagnosis and treatment services, the medical insurance department can more easily integrate the Internet diagnosis and treatment behaviors that meet the requirements and standards into the scope of online medical insurance payment. This will be a new positive for the Internet hospital platform that has been incorporated into online medical insurance payment everywhere. In fact, whether Medicare pays has become the "gold standard" to judge the gold content of Internet diagnosis and treatment services. The access of Medicare as the largest single payer is obviously conducive to the further expansion of the online diagnosis and treatment service market. In short, Internet plus represent the general trend. A series of policies have clearly demonstrated the encouragement and support of the state to the Internet healthcare industry. The draft for comments further defines the regulatory norms, which come down in one continuous line with a series of policies conducive to the development of the industry. It is the protection of the standardized, healthy and sustainable development of the internet medical industry and the support for new formats. (Xinhua News Agency)