New medical service organizations and model innovations such as China (mobile) Internet healthcare are still at a relatively early stage. But even so, this kind of innovation that is still in its infancy may be like a squid, stirring the entire medical service system.
Once the policy opens the door for Internet medical treatment, the service capacity and efficiency of existing medical resources will be doubled.
For those foreign patients who need to take long-distance transportation to go to the big cities such as Beishangguang, uploading the test results through mobile APP to obtain accurate professional diagnosis will greatly reduce the cost of medical treatment. The medical level in remote areas can also be greatly improved through remote interaction.
With the help of wearable devices and mobile apps, family doctors and nurses can perform real-time dynamic monitoring of chronically ill patients and develop more personalized treatment options. The resulting electronic health record is also more conducive to the patient's follow-up treatment. With the popularization of electronic health records, the current status of health file fraud in primary health care institutions can be quickly reversed, and the construction of public health systems can be rapidly advanced. At the same time, a large amount of medical data accumulated will lay the foundation for the precise, standardized and standardized diagnosis and treatment.
Technological advances have led to innovations in the business model of medical services. More importantly, this new type of service model led by doctors will attract the medical industry to actively participate in the reform of the medical and health system. Innovative healthcare practitioners will be more aware of the need for efficient change and how to optimize the allocation of industry resources.
The shortcomings of the existing administrative allocation resources have been exposed in the reforms of the past years. However, due to the resistance of the vested interests and the constraints of the mindset formed within the industry for many years, the reform can be described as difficult.
The emerging medical service format, through technological advancement and model innovation, has naturally changed the relationship between patients, doctors and medical institutions, while naturally dissolving some of the constraints of existing administrative controls.
For example, a doctor can register a patient online for remote treatment without having to be restricted by the health administration to the doctor. At the same time, its diagnosis and treatment behavior can still be regulated, and even more open and transparent due to informationization.
Internet medical policy constraints
But all of the above need to be supported by the corresponding policies. The core of emerging business development is the same as the traditional medical service industry, which lies in talents. The support of excellent medical resources is the fundamental premise of the development of new business forms, and thus the revitalization of the medical service market. It is the fundamental guarantee for the improvement of service quality and competition with traditional public medical institutions.
In addition to the need to match the medical staff human resources allocation mechanism to support it, the new format also needs to form a market-based income distribution mechanism, providing a clear and visible reform reference for the traditional medical service format.
If there is no free medical quality medical resources to join, the new and flexible business environment will only become empty.
The existing policy has not yet opened the window for doctors to join the new medical service model. On the one hand, the existing telemedicine policy limits it to traditional medical institutions; on the other hand, the “Opinions on Promoting Telemedicine Services in Medical Institutions†issued by the Health Planning Commission in 2014 states that “non-medical institutions may not carry out "Telemedicine services", and "medical personnel directly provide telemedicine services to patients outside the medical institution, should be approved by the medical institutions that they are registered to use, and use the unified information platform of medical institutions." This document explicitly prohibits doctors from automating telemedicine and assigns doctors' rights to telemedicine to the institutions they serve.
This provision is rooted in the Practitioners Act. According to the Law on Practitioners, doctors can only carry out practice activities in registered medical institutions, and medical responsibility is borne by medical institutions. Physicians do not have the right to practice independently and freely.
With the development of Internet technology, doctors and patients are increasingly able to communicate directly with medical institution entities. This substantial personal action and the nominal relationship of doctors to medical institutions will create deeper and deeper contradictions.
A considerable number of excellent doctors have begun to actively enter the emerging medical services market. However, under the existing personnel system, their income as public hospital employees through new service models and formats is not recognized by the existing system, and even violates existing laws and administrative regulations. This has greatly affected the enthusiasm of quality medical resources to move into this field, making a considerable number of doctors discouraged from emerging fields, hindering the development of new service models and formats. And the doctors who continue to participate in it have to face the embarrassing situation of illegal and illegal medical practice.
In the long run, the full development of Internet medical care will significantly improve the accessibility of medical services, slow down the growth rate of medical costs, and improve the quality of medical services, especially for China.
Therefore, the medical insurance reimbursement mechanism should also be reformed accordingly to boost the development of these emerging models. However, relevant departments have not issued relevant supporting documents.
All of the above have formed significant constraints on the in-depth development of Internet medical care.
In 2014, the 2014 Doctors' Internet Behavior Insight Report jointly released by Rhodes Public Relations and Ipsos Market Research Group showed that up to 71% of doctors in mainland China prefer to access relevant medical services through digital channels such as the Internet or mobile devices. Information , but for online medical platforms and resource applications, doctors in mainland China are relatively lagging behind Hong Kong and Taiwan in China, both in terms of cognition and practice.
Only 60% of doctors are recognized for online treatment, while 91% and 86% of doctors in Hong Kong and Taiwan, China, believe that online medical platforms and tools can improve the diagnosis and treatment process. In the specific treatment process, there are fewer doctors in mainland China who use the online platform, only 48%, and only 19% use mobile APP.
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