The functions of the Internet hospital are clear, and the “big age” of prescription outflows is coming!

On August 12th, the Shanghai Municipal Health and Health Commission issued the “Administrative Measures for Shanghai Internet Hospitals” (hereinafter referred to as the “Measures”), which for the first time clarified the definition, scope of treatment and supervision of Internet hospitals, and clarified the Internet hospital access system. The requirement is that no unit or individual may engage in Internet diagnosis and treatment activities without the approval of the health and health administrative department, and restrict the business scope of the Internet hospital.
The "Measures" pointed out that Internet hospitals can obtain Internet medical treatment activities only after they have obtained the "Medical Institution License". An entity medical institution that has obtained the "Medical Institution License" will cooperate with a third-party organization to establish an information platform. It should apply for the Internet hospital as the second name and increase the "Internet diagnosis and treatment" service. In addition, if it is necessary to handle administrative licenses such as communication management, market supervision, network security, and drug management in accordance with the law, Internet diagnosis and treatment activities may be carried out after obtaining corresponding permission, and a social publicity system shall be established.
The electronic prescription is on the right track, and the prescription outflow has obtained the "Shangfang Sword"
The "Measures" clearly mention that Internet hospitals should strictly abide by the "Regulations Management Measures", "Medical Institutions Pharmaceutical Administration Regulations" and other relevant regulations, and do a good job in the management of prescriptions, adjustments and custody. Before prescribing a prescription online, the physician should master the patient's medical record data and determine that the patient can prescribe a prescription for the same diagnosis after the medical institution has clearly diagnosed it as one or a few common diseases or chronic diseases.
In terms of prescription and drug management, the "Measures" require that before the prescription is issued online, the physician should master the patient's medical record data and determine that the patient can be diagnosed for the same diagnosis after the medical institution has clearly diagnosed it as one or a few common diseases or chronic diseases. Prescribe online. All online diagnoses and prescriptions must be electronically signed by a physician. In addition, the prescription can only be valid after being approved by the pharmacist, and the medical institution or the pharmaceutical business enterprise can entrust the third party that meets the conditions to deliver the goods.
For the prescriptions that cannot be issued by Internet hospitals, the "Measures" also clearly stipulates: prescriptions for first-time patients; Class A infectious diseases (including management of Class A infectious diseases), critical illnesses, etc. need to go to physical medical institutions for physical examination or medical instruments Equipment-assisted diagnosis of prescriptions for patients; drugs with high risk of medications such as narcotic drugs and psychotropic substances, and prescriptions for drugs with other special regulations. When prescribing an Internet child medication prescription for young children (under 6 years of age), it should be determined that the child is accompanied by a guardian and a relevant professional physician.
According to industry insiders, it has been nearly four years since the second electronic prescription of the Second Medical College of Zhejiang Medical University opened at the end of 2015. Although the prescription outflow has claimed to have great market potential, the scale has been limited so far, and the spread of prescriptions has been promoted nationwide. Feelings of resistance. The standardization of the listing of Internet hospitals may promote the emission of electronic prescriptions and promote the outflow of prescriptions, thereby inciting the market of 100 billion yuan for prescriptions outside the hospital.
Incorporate medical insurance and open up the last link of the 100 billion market
Prior to this, on July 31, the National Medical Insurance Bureau publicized the reply to some representatives of the Second Session of the 13th National People's Congress on Internet medical proposals, and revealed that Internet medical charges will soon be included in the scope of medical insurance reimbursement, and the National Medical Insurance Bureau has formed this. The first draft will be officially released after the comments have been revised and improved. In addition, the provinces shall formulate the scope of medical services that are specifically paid for, and the National Medical Insurance Bureau shall support the local medical insurance departments to include eligible Internet medical treatment items into the scope of medical insurance payment according to the ability of the fund.
Earlier, the Office of the State Council issued the "Deepening the Key Tasks for the Reform of the Medical and Health System in 2019", explicitly mentioning that the National Medical Insurance Bureau will be responsible for formulating Internet medical treatment fees and medical insurance payment policy documents, which will be completed by the end of September this year. In the industry's view, within a month and a half, the inter-temporal policy of Internet medical care will come out, which will determine whether the nearly 100 billion Internet medical market will explode in the future.
Relevant data show that the scale of China's Internet medical market is expected to exceed 90 billion yuan by 2020. Previously, how to price Internet medical insurance and incorporate medical insurance reimbursement has been the biggest obstacle in the development of the industry. According to industry insiders, as far as the content of the reply is concerned, the development of Internet hospitals will be encouraged by favorable policies, and the outflow of prescriptions will also be supported by more convenient channels. The prescription of some common diseases and chronic diseases will be a high probability event through the outflow of Internet hospitals.
Previously, Hangzhou, Guangzhou, Shenyang and other cities have already realized online medical insurance payment. Medical services and medical insurance payment can be completed online. At this point, all hospitals, doctors, patients, medicines, medical insurance, and distribution are all open, and all prescriptions are outflowed. The link forms a closed loop, and the “100 billion prescription outflow market” will no longer be far away.