Year-end inventory of science and technology medical policy in 2018

All along, the ever-changing technology has promoted continuous changes in the medical and health fields, which has spawned a large number of new things, refreshing people's perception of the industry and changing people's medical habits. In the past few years, the successive introduction of national policies has promoted the development of science and technology medical care represented by Internet medical treatment, artificial intelligence and medical treatment. It has also regulated the industry and painted a red line, which has affected the industry.

At the end of the year and the beginning of the year, in retrospect, in 2018, the relevant government departments of the General Office of the State Council, the Health and Welfare Committee and other relevant government departments issued dozens of medical policies, many of which are closely related to science and technology. Here, Yiouda Health focuses on the two major directions of Internet medical treatment and AI+ medical care in science and technology, and carries out year-end inventory of its policies to see the direction of industry development.

1. New technology-enabled medical services: Notice on Printing and Distributing the Action Plan for Further Improving Medical Services (2018-2020)

The Notice on Printing and Distributing the Action Plan for Further Improvement of Medical Services (2018-2020) was issued on January 4, 2018. The document emphasizes the construction of smart hospitals and advocates the use of new technologies such as the Internet, Internet of Things and artificial intelligence to achieve medicine dispensing. Informatization and intelligence, internal logistics, patient safety management, etc., optimize medical treatment procedures, improve the rate of diagnosis and treatment, and use technology to empower medical services.

2. Premier Li Keqiang emphasized the importance of science and technology: the two sessions of the "Government Work Report"

On March 5, 2018, Premier Li Keqiang clearly stated in the 2018 government work report that he would implement the big data development initiative, strengthen the development and application of a new generation of artificial intelligence, and promote the "Internet +" process in various fields such as medical care and pension.

The smash hit of the Internet medical treatment was once sung, and the medical AI was also worried because of the delay in commercialization. The Prime Minister’s remarks seem to have boosted confidence in the technological and medical industry that is not developing smoothly.

3. Encourage innovation and tolerance: "Opinions on promoting the development of "Internet + medical health""

On April 28, the General Office of the State Council officially issued the "Opinions on Promoting the Development of "Internet + Medical Health"" (hereinafter referred to as "Opinions"). The document proposes a series of policy measures, with a clear attitude towards science and technology, encouraging development, and presenting five highlights. "Internet +" medical services, allowing medical institutions to develop Internet hospitals as a second name, supporting medical and health institutions, qualified third-party organizations to build Internet information platforms, conducting telemedicine , health consultation, health management services, allowing online development Some common diseases, chronic diseases, and prescriptions; "Internet +" drug supply security services, can be commissioned by qualified third-party agencies to achieve closed-loop; "Internet +" medical security settlement services, gradually expand online payment functions, and promote Medical insurance "one-stop" settlement; "Internet + medical health" support system, gradually incorporate qualified Internet diagnosis and treatment services into the scope of medical insurance payment; in the application of new technologies such as artificial intelligence, encourage the promotion of research and development applications, improve the efficiency of medical services .

Among them, “supporting medical and health institutions, qualified third-party organizations to build Internet information platforms, and conducting telemedicine, health consultation, and health management services” is a 180-degree turn at the policy level, unprecedented.

At the same time, however, the document also emphasizes that science and technology is a new thing. It has many participants, a wide range of fields, and a high risk of privacy and security. It has drawn a red line for the development of the industry. First, it is clear that the development of Internet hospitals is based on physical medical institutions. Second, the principle of supervision is to implement centralized supervision under localized management. Third, special emphasis is placed on the responsibility of third-party platforms to ensure the provision of service personnel. The qualifications meet the relevant requirements and are responsible for the services provided. Fourth, establish a medical responsibility sharing mechanism to promote online informed consent; fifth, the data generated by the "Internet + medical health" service should be traced throughout the process.

4. Advance the electronic health record to the individual: "Notice on Doing a Good Job of the National Basic Public Health Service Project in 2018"

On June 20, the National Health and Health Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine publicly issued the Notice on Doing a Good Job of the National Basic Public Health Service Project in 2018 (National Health Grassroots Issue [2018] No. 18). The document supplements the "Opinions" on April 28, and promotes the openness of electronic health records and promotes the use of Internet technology for self-health through the use of smart clients, TV, APP, websites, etc., while protecting the security of personal information. management.

On the one hand, it is the promotion of national policies. On the other hand, with the development of China's economy, the material wealth of residents continues to grow, and the health problems of residents themselves will receive more and more attention. For many health management companies, the electronic health record may be a "blue ocean market."

5. "Internet + Medical Health" Landing Rules: "Notice on Deepening the "Internet + Medical Health" Convenience and Benefits Activities"

On July 12, the National Health and Health Committee and the State Administration of Traditional Chinese Medicine jointly issued the Notice on Deepening the "Internet + Medical Health" Convenience and Benefits Activities (hereinafter referred to as the "Notice"). This is the detailed rules for the "Opinions", 30 categories in 10 categories, clearly accelerate the construction of smart hospitals, use Internet information technology, transform and optimize the diagnosis and treatment process, through the pre-diagnosis, diagnosis, and post-diagnosis, to improve the patient experience.

6. Emphasis on the establishment of electronic medical records: "Notice on Further Promoting the Informationization Construction of Medical Institutions with Electronic Medical Records as the Core"

On August 31, in order to implement the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health"", the National Medical and Medical Administration issued a notice on further promoting the informationization construction of medical institutions with electronic medical records as the core. ", attach importance to the establishment of electronic medical records. The "Notice" mentioned that by 2020, tertiary hospitals should realize the information interconnection of various medical treatment links in the hospital, and reach the level 4 of the standardization maturity assessment of hospital information interconnection and intercommunication. Any terminal in any department of the hospital can log in and can follow the authority. Read the relevant information of the medical treatment link; establish a close medical association, and realize the interconnection and intercommunication of the electronic medical record information systems of various medical institutions in the medical association.

7. New regulations for Internet diagnosis and treatment: Notice on Printing and Distributing 3 Documents Such as Internet Treatment Management (Trial)

On September 11, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine issued the "Notice on Printing and Distributing Three Methods for the Administration of Internet Diagnosis and Treatment (Trial)" (National Health Medical News [2018] No. 25), the document will be " Internet + medical services are divided into three categories: telemedicine, Internet diagnosis and treatment, and Internet hospitals, and have made clear norms and guidelines.

First of all, the new regulations further highlight the role of physical medical institutions in the access and operation. The document mentions that Internet clinics must rely on physical medical institutions, and the state implements access management, requiring that “Internet medical activities should be provided by medical institutions that have obtained the “Certificate of Medical Institutions”. In addition, the subjects and practice of Internet hospitals. The scope shall be consistent with the approved medical subject of the approved entity medical institution and shall not be out of scope.

Secondly, the new regulations have drawn a "red line" for Internet medical behavior to ensure medical quality and medical safety. Through information technology such as the Internet, some common diseases, chronic disease review and "Internet +" family doctor contracting services can be carried out, but Internet medical treatment activities for first-time patients should not be carried out. Doctors conducting Internet diagnosis and treatment must have real-name certification and have three years of independent clinical experience.

Finally, the new regulations have not yet increased the profit entry point for Internet medical companies. The document mentions that allowing Internet clinics to carry out some common diseases and chronic disease referrals is a breakthrough in business models for Internet medical practitioners.

8. Advocating online payment: "Guiding Opinions on Launching Network Payment Services in Public Hospitals"

In order to further improve the medical service action plan and promote the development of "Internet + medical health". On October 26th, the Health and Health Commission issued the "Guiding Opinions on the Implementation of Network Payment Services in Public Hospitals" to guide some local and public hospitals to actively use network information technology, explore online payment services, implement appointments, and provide multiple payment methods. It shortens the patient's payment time, reduces the phenomenon of window queuing, and improves the patient's medical experience.

9. The new three-year "assessment indicators", "smart medical", "information", "telemedicine" become the key words

After October, on November 8, the National Health and Health Commission announced the "Improvement of Medical Services Action Plan (2018-2020) Assessment Indicators" (National Health Medical Development [2017] No. 73) (hereinafter referred to as "Assessment Indicators") To make specific indicators for 18 assessment items, “smart medicine”, “information” and “telemedicine” have become key words.

In the new three-year "assessment indicators", the assessment score of the smart hospital is 14 points, the largest proportion. In addition, the document first appeared in the telemedicine system, accounting for 8 points. According to the "Assessment Indicators", medical institutions provide remote services for primary medical institutions or patients, including remote consultation, remote imaging, remote ultrasound, remote ECG, remote pathology, remote rounds, remote monitoring, remote training, and remote health monitoring. , remote health education, each offer one point, up to full marks. In the assessment indicators for the health and health administrative departments, whether to establish an appointment diagnosis and treatment system, the inspection and verification results mutual recognition system, the platform pre-hospital information sharing function, whether to achieve the card interconnection and other indicators have occupied 4 points of assessment criteria, a total of 6 items Of the indicators, four refer to “informatization”.

Since the release of the “Opinions on Promoting the Development of “Internet + Medical Health” on April 28th, the national level has been refining and deepening on this basic blueprint. The relevant policies have been issued for several months, and “increasing the throttle” "Prepare the brakes", the state's emphasis on science and technology medical care can be seen.

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