網上問診、無接觸購葯……我們的看病方式正被顛覆？ - Online consultation, contactless drug purchase Is our way of seeing a doctor being subverted?

　　中新網北京3月6日電 題：網上問診、無接觸購葯……我們的看病方式正被顛覆？
Beijing, March 6, China News: online consultation, contactless drug purchase Is our way of seeing a doctor being subverted?

　　記者：張尼
Reporter: Zhang Ni

　　網上問診、處方外配、無接觸購葯、在線醫保報銷……一場新冠肺炎疫情，讓“線上就醫”走進了不少人的生活。
Online consultation, extra prescription, contactless drug purchase, online medical insurance reimbursement A novel coronavirus pneumonia epidemic has led to the "online medical treatment" which has entered many people's lives.

　　5日，《中共中央 國務院 關於深化醫療保障制度改革的意見》公布，文件提到支持“互聯網+醫療”等新服務模式發展。近期，國家醫保局、國家衛健委也發文明確，符合條件的“互聯網+”複診服務可納入醫保基金支付範圍。
5, the CPC Central Committee and the State Council's opinions on deepening the reform of the medical security system announced that the document referred to the development of new service models, such as Internet plus medical care. Recently, the national health insurance agency and the National Health Council have also been civilized. Eligible Internet plus visits can be included in the payment scope of the medical insurance fund.

　　一系列重要政策信號釋放，讓互聯網醫療話題再度被輿論聚焦：網絡時代，人們的看病就醫方式也將被顛覆？
A series of important policy signals released, let the internet medical topic be focused by public opinion again: in the Internet era, people's medical treatment will also be subverted?

2月26日，南京市第一醫院心血管內科醫生們對患者進行網絡問診。中新社記者 泱波 攝
on February 26, cardiovascular physicians of Nanjing No.1 Hospital conducted online consultation for patients. Photo by Yang Bo, reporter of China News Agency

　　“宅家抗疫”帶火互聯網醫療
"Homestead anti epidemic" Internet medical treatment with fire

　　新冠肺炎疫情來襲，打破了不少人原有的生活節奏。
The outbreak of the novel coronavirus pneumonia has broken many people's original pace of life.

　　一個多月來，全民“宅家抗疫”，醫院成了高危地帶，對於有就醫用藥需求的人來說，看病買葯成了一件難事。
For more than a month, the whole people "Homestead" to fight the epidemic, the hospital has become a high-risk area, for those who have the demand for medical medicine, it has become a difficult thing to see a doctor and buy medicine.

　　為了減少感染風險，一些患者將目光轉向了互聯網醫療，特殊時期，“無接觸”問診的互聯網醫療，成為更高效、便捷的選擇。
In order to reduce the risk of infection, some patients turn their attention to internet medical treatment. In a special period, "no contact" Internet medical treatment has become a more efficient and convenient choice.

　　據不完全統計，疫情期間，全國至少10餘家互聯網醫療平台推出在線問診專頁，200多家公立醫院開展新冠肺炎免費互聯網診療或線上諮詢。
Novel coronavirus pneumonia is not available. According to incomplete statistics, at least 10 Internet Medical platforms launched online inquiry pages nationwide, and more than 200 public hospitals have launched new crown pneumonia free Internet treatment or online consultation.

　　例如，平安好醫生、好大夫在線、京東健康等“互聯網+醫療”平台紛紛推出了在線問診、義診、線上購葯等服務，緩解了實體醫療機構醫療資源不足的壓力。好大夫在線、京東健康、阿里健康等平台還提供了關於新冠肺炎的快速問診等服務。
For exle, the Internet plus medical platform, such as ping Hao Hao, Hao doctor online, Jingdong health, has launched online inquiring, voluntary consultation, online purchase of drugs and other services, relieving the pressure of insufficient medical resources in the entity medical institutions. Good doctor online novel coronavirus pneumonia, Jingdong health and Ali health platform also provide quick inquiring services for new crown pneumonia.

　　此外，第三方處方流轉服務平台易複診也為中日友好醫院、青島市立醫院等全國多家醫院提供互聯網醫院建設、“不見面”購葯服務等解決方案，幫助醫療機構通過公眾號等平台為患者提供在線複診、零接觸購葯等服務。
In addition, the third party prescription transfer service platform is easy to re visit, and it also provides solutions for Internet hospitals and official account services such as China-Japan Friendship Hospital, and other hospitals in the country. It helps medical institutions to provide patients with services such as line review, zero contact drug purchase and so on through public platform.

　　在疫情最嚴重的武漢，“互聯網+”醫療服也發揮了積極作用。
The Internet plus medical clothing also played a positive role in Wuhan, the most serious epidemic.

　　此前，武漢市醫保局火速為微醫互聯網總醫院開通了醫保支付。該互聯網醫院可為武漢市門診重症（慢性）疾病的參保人員，提供線上診斷、處方外配、在線支付和線下藥品配送上門服務。
Before that, Wuhan Medical Insurance Bureau quickly opened medical insurance payment for micro medical Internet general hospital. The Internet hospital can provide on-line diagnosis, out of prescription, online payment and off-line drug delivery on-site services for the insured of Wuhan outpatient serious (chronic) diseases.

　　並且，該平台集結的全國醫生，都可以通過平台全力馳援武漢。
In addition, all the doctors gathered on the platform can help Wuhan through the platform.

資料圖：互聯網醫院的長三角遠程聯合門診和病房視頻探視功能輻射多地患者。　晏雪鳴 攝
data chart: Internet hospital's long-distance joint outpatient and ward video visit function radiates multiple patients. Photographed by Yan Xueming

　　在線問診需求呈“井噴式”增長
"Blowout" growth of online consultation demand

　　值得注意的是，此次疫情期間，線上問診需求也出現“井噴式”增長。
It is worth noting that during the outbreak, the demand for online consultation also experienced a "blowout" growth.

　　以公立醫院為例，在深圳，疫情防控期間，深圳28家醫院開通網上問診服務。
Taking public hospitals as an exle, 28 hospitals in Shenzhen opened online consultation services during the epidemic prevention and control period.

　　數據顯示，截至2月25日，深圳市互聯網醫院線上診療累計業務量6607人次，開具電子處方累計達5866人次，線上諮詢累計達14.7萬人次，其中，新冠肺炎諮詢累計達8.2萬人次，佔比達56%。
Data show that novel coronavirus pneumonia has reached 6607 people in Shenzhen online hospital as of February 25th, and the total number of electronic prescriptions has reached 5866. Online consultation has reached 147 thousand passengers. Among them, the total number of new crown pneumonia consultation reached 82 thousand, accounting for 56%.

　　與此同時，互聯網醫療平台同樣也受到患者歡迎。
At the same time, the internet medical platform is also popular with patients.

　　例如，平安好醫生APP顯示，疫情期間，截至2月25日，平安好醫生已累計提供了超800萬次問診。
For exle, Ping an good doctor app shows that during the epidemic period, as of February 25, Ping an good doctor has provided more than 8 million visits.

　　好大夫在線數據顯示，1月22日至2月25日，好大夫在線線上總流量達2.64億，總問診量超過426萬，其中肺炎佔比20%。
According to the online data of gooddoctor, from January 22 to February 25, the total online flow of gooddoctor reached 264 million, and the total number of inquiries exceeded 4.26 million, of which pneumonia accounted for 20%.

　　此外，自2月1日起，好大夫在線平均每天有2.45萬醫生在線問診，相比1月環比增幅24%，用戶環比增幅278%。
In addition, since February 1, on average, there are 24500 doctors online consultation every day on gooddoctor online, a 24% increase on a month on month basis and a 278% increase on a month on month basis for users.

資料圖：導醫演示用社保卡就診。　韓章雲 攝
Wpap6023602 img data chart: medical guidance demonstration with social security card. Photo by Han Zhangyun

　　政策加速落地：網上就診可報銷
Accelerated implementation of policy: online medical treatment can be reimbursed

　　特殊時期，民眾對線上問診的需求量激增，並在體驗中感受到了其中的方便快捷，而利好政策也在加速落地。
In the special period, people's demand for online consultation surged, and they felt the convenience and quickness in the experience, and the favorable policies were also accelerating the implementation.

　　近日，國家醫保局、國家衛健委聯合下發《關於推進新冠肺炎疫情防控期間開展“互聯網+”醫保服務的指導意見》。
Novel coronavirus pneumonia has been issued by the state health insurance agency and the National Health Council in recent days to carry out the "Internet plus" medical insurance service during the period of promoting the prevention and control of new crown pneumonia.

　　文件提出，經衛生健康行政部門批准設置互聯網醫院或批准開展互聯網診療活動的醫療保障定點醫療機構，按照自願原則，與統籌地區醫保經辦機構簽訂補充協議后，其為參保人員提供的常見病、慢性病“互聯網+”複診服務可納入醫保基金支付範圍。
The document proposes that the designated medical institutions that have approved the establishment of Internet hospitals or approved the internet medical treatment activities by the health and health administration department shall, after voluntary agreement, sign a supplementary agreement with the regional health insurance agencies, and provide the Internet plus "return visit" service for the insured to the common health care and chronic diseases, which can be included in the payment scope of the medical insurance fund.

　　通俗理解就是符合條件的情況下，患者網上就診可納入醫保報銷。這也被外界認為是提速推進互聯網醫療入醫保的一步關鍵舉措。
It is generally understood that when the conditions are met, online medical treatment of patients can be included in the medical insurance reimbursement. This is also considered by the outside world to be a key step to accelerate the internet medical insurance.

　　3月5日，《中共中央 國務院 關於深化醫療保障制度改革的意見》公布，文件強調將符合條件的醫藥機構納入醫保協議管理範圍，支持“互聯網+醫療”等新服務模式發展。
In March 5th, the CPC Central Committee and the State Council issued opinions on deepening the reform of the medical security system. The document stressed that the qualified medical institutions should be included in the scope of the medical insurance agreement management, and support the development of new service mode, such as Internet plus medical care.

　　其實，此前推動互聯網+醫療服務的工作一直在進行中。2019年8月，國家醫保局就曾下發《關於完善“互聯網+”醫療服務價格和醫保支付政策的指導意見》。
In fact, the work of promoting Internet plus medical services has been in progress. In August 2019, the National Health Insurance Bureau issued the guidance on improving the policy of "Internet plus" medical service prices and medical insurance payment.

　　這份《指導意見》旨在合理確定並動態調整價格、醫保支付政策，支持“互聯網+”在實現優質醫療資源跨區域流動、促進醫療服務降本增效和公平可及、改善患者就醫體驗、重構醫療市場競爭關係等方面發揮積極作用。
The guidance is aimed at reasonably determining and dynamically adjusting the price and medical insurance payment policies, and supporting the "Internet plus" in playing a positive role in achieving the cross regional mobility of high-quality medical resources, promoting the reduction of medical services, increasing efficiency and fairness, improving patient's experience in medical treatment, and restructuring the competitive relationship in medical market.

　　疫情爆發以來，線上診療發揮的作用更加凸顯，這使得互聯網醫療服務納入醫保支付政策加速落地。
Since the outbreak of the epidemic, online diagnosis and treatment has played a more prominent role, which has accelerated the implementation of internet medical services into the medical insurance payment policy.

　　2月26日，武漢市醫保局為微醫互聯網總醫院開通醫保支付，微醫成為武漢首家納入醫保支付的平台型互聯網醫院。
On February 26, Wuhan Medical Insurance Bureau opened medical insurance payment for micro medical Internet general hospital, which became the first platform type Internet hospital in Wuhan to be included in medical insurance payment.

　　3月2日，北京完成首單“互聯網+”診療報銷，患者實現了“網上複診”足不出戶。
In March 2nd, Beijing completed the first single Internet plus reimbursement, and the patient achieved "online referral" without leaving home.

　　“政策的迅速跟進，為互聯網醫療發展進一步掃清障礙，將支付變得更容易，這樣將使互聯網醫療的操作性變得更可落地。”中國醫藥商業協會副秘書長、易複診總經理馬光磊接受中新網記者採訪時表示。
"The rapid follow-up of policies will further clear the obstacles for the development of Internet health care and make it easier to pay, which will make the operability of Internet health care more accessible." Ma Guanglei, Deputy Secretary General of China Pharmaceutical Business Association and general manager of Yi's future visit, said in an interview with zhongxin.com.

資料圖：一位患者在指導下使用人臉識別系統預約專家號。　王廣兆 攝
Wpap6024602 img data: a patient uses face recognition system to make an appointment with an expert number under the guidance. Photograph by Wang Guangzhao

　　線上就診能緩解“看病難”嗎？
Can online consultation alleviate the "difficulty of seeing a doctor"?

　　疫情之下，互聯網醫療解決了不少患者的看病難題，在業內專家看來，伴隨着線上就診的接受度提高，其產生的影響可能更加深遠。
Under the epidemic situation, internet medical treatment has solved many patients' medical problems. In the view of experts in the industry, with the increase of the acceptance of online medical treatment, its impact may be more far-reaching.

　　馬光磊在採訪中表示，患者通過互聯網醫院進行複診購葯，可以有效解決患者“因葯就醫”難題，同時也減少來院的患者，緩解醫院的門診壓力，釋放出更多醫療資源，提升患者看病就醫的獲得感。
Ma Guanglei said in the interview that patients can effectively solve the problem of "going to hospital for medicine" through the Internet hospital for further consultation and drug purchase, at the same time, reduce the patients coming to the hospital, relieve the outpatient pressure of the hospital, release more medical resources, and improve the patients' sense of access to the hospital.

　　不過，若想讓線上就診成為一種常態、為互聯網醫療破冰，仍有很多問題需要解決。
However, there are still many problems to be solved if we want to make online medical treatment a normal and break the ice for internet medical treatment.

　　好大夫在線CEO王航表示，醫藥行業具有特殊性，“互聯網+醫”、“互聯網+葯”、“互聯網+險”各自已非常複雜，相互配合更不能一蹴而就。
Internet plus CEO Wang Internet, a good doctor, said that the pharmaceutical industry has its own characteristics. "Internet + medicine", "Internet plus medicine" and "Internet plus insurance" have been very complicated and mutually compatible.

　　他強調，兩部委的《意見》只是打開了一扇通向春天的大門，但是如何走到繁花深處仍是未竟的課題，其中監管和控費是重點，也是難點。
He stressed that the opinions of the two ministries only opened a door to spring, but how to go to the depths of flowers is still an unfinished task, in which supervision and control of fees are the key and difficult points.

　　“比如如何避免因互聯網便利性而帶來的過度使用，如何防止虛構醫療服務的騙保行為，如何將國家集中採購藥品納入線上醫保等等，都還需要政府、醫院、平台和社會齊心協力、各自擔當，在不斷創新中給出答案。”王航說。
"For exle, how to avoid the overuse caused by the convenience of the Internet, how to prevent the fraudulent insurance behavior of fictitious medical services, how to integrate the centralized purchase of drugs by the state into online medical insurance, etc., all need the government, hospitals, platforms and the society to work together, take their own responsibilities, and give the answers in constant innovation." Wang Hang said.

　　馬光磊也表示，措施在促進互聯網醫療發展的同時，也要避免一些亂象存在。
Ma Guanglei also said that measures should not only promote the development of Internet health care, but also avoid the existence of some chaos.

　　他舉例說，互聯網醫療目前只允許部分常見病和慢性病的複診開方，但如何確定複診還沒有一個很明確的定義。此外，不見面購藥方式，如何進一步的確定它的方法和內容，如何落實具體的購藥方式，避免無方複診、無方購葯的行為，也需要研究。
For exle, Internet health care currently only allows the re diagnosis of some common and chronic diseases, but there is no clear definition of how to determine the re diagnosis. In addition, how to further determine the method and content of drug purchase without meeting, how to implement the specific way of drug purchase, and how to avoid the behavior of unprovoked follow-up and unprovoked drug purchase also need to be studied.

　　馬光磊稱，如果要大規模開展互聯網醫療，必須要把握線上線下一致性原則以及聯動性原則。
Ma Guanglei said that if we want to carry out Internet medical treatment on a large scale, we must grasp the principles of online and offline consistency and linkage.

　　他強調，處方真實是“憑方複診”、“憑方售葯”、“憑方報銷”的基礎原則，落實好政策的關鍵在於做好處方信息、電子病歷信息以及結算信息的全程可追溯，這也是為在線醫療進一步發展奠定基礎。
He stressed that prescription authenticity is the basic principle of "follow-up by prescription", "selling drugs by prescription" and "reimbursement by prescription". The key to implement the policy lies in the whole process traceability of prescription information, electronic medical record information and settlement information, which also lays the foundation for the further development of Online medicine.

　　“要將醫療機構和醫療行為看成個整體，把醫療、醫藥、醫保聯合起來，實現‘三醫聯動’，否則還是難以大規模使用。”馬光磊說。（完）
"We should take medical institutions and medical behaviors as a whole, combine medical treatment, medicine and medical insurance, and achieve" three medical linkage ", otherwise it will be difficult to use them on a large scale." Ma said. (end)

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