Demand normal long-range medical care urgently ' Have)

Demand normal long-range medical care urgently ' Have)
The snow Qian of wide Zheng of the high tree, with the development at full speed of the network technique, long-range medical care grows up in keen competition and unordered development at the surprising speed too, expected to relieve the expensive strong helper of ugly disease and see the doctor in order to expand the medical market. But what is the long-range medical care? What ranges are included? Who comes to ensure the patient's medical security? How to strengthen the management of long-range medical care? How to manage, OK the norm? These problems all need studying conscientiously. In the near future, Ministry of Public Health will cure the policy department and trust the professional committee's organization of association's medical legal system of Chinese hospital to convene relevant officers, experts to carry on numerous discussion on this special topic, specially put the comprehensive opinion in order as follows. The background, as far back as 1999, Ministry of Public Health releases " notice on strengthening tele-medicine and holding a consultation " to the medical consulting activities of strange land of utilizing Internet to launch that had already generally appeared at that time. At present, tele-medicine has already been not merely limited to the medical treatment of strange land is consulted, it is permeating through the respectively different fields of medical science, all kinds of services including remote medical consultation, remote medical consultation with specialists, long-range operation, remote medical education and training, long-range academic exchange, implement remote real-time surgery, tele-medicine checking and treating become possible through the intersection of satellite location and telerobot, this made a diagnosis with tradition of doctors and patients' both sides' face-to-face type the mode has produced the enormous difference, various health care laws and regulations were not enough to make this new things of long-range medical care receive the overall norm in the past. Long-range medical care is a medical behavior except holding a consultation too, the simple telephone is wired the consultation, patient and asked medicine and asked medicines to the doctor on the net, utilize the modern technological strange land to implement surgery, check, treat and operate etc., can be regarded as long-range medical care? List in the standardard management? The conferee has launched fierce dispute. Are the doctor and patient consultation on net the medical service act? To this question, experts have two kinds of different views, a kind of opinion thinks the doctor if diagnoses and treats and propose for the patient on the net, have already gone beyond and generally chatted the range of talking on the net, has equated with diagnosing the illness for the patient, it is equivalent to a doctor's order, it should be a tele-medicine service range. Another opinion thinks, the doctor should practise medicine in the medical organization in the entry by law, examine and look into a patient directly, open the prescription and carry on the corresponding service activity of making a diagnosis. And the online doctor's dialogue with patient of remote, can't check a patient directly, a doctor does not draw doctor's order and suggestion that signs formally, there is not legal effect that can't receive the guarantee of rights and interests either, so should not be the long-range medical care. Finally, the opinion that the conferee reaches an agreement, according to the regulations of " management of medical organization ", " operation medicine is imitated ", in order to guarantee patient's security, the country must rigorously enforce the management implementing medical service act entry system. So long as the doctor diagnoses the illness for the patient, should carry out according to the national legal provision, fulfil the duty behavior of medical care in the medical organization. If medical organization, doctor examine and serve to the doorstep the network, it is a medical care category, it should be a range of management of long-range medical care too. Is it tele-medicine range to utilize the modern means strange land to implement surgery, check, treat and operate? Hold a consultation and require the doctor to gather the patient's various symptoms, physical sign and information which the relevant instrument checks in the medical course in tele-medicine, so as to make diagnosis and make the healing solution. System of some remote medical consultations with specialists, can or digitized the intersection of medical examination and instrument gather message, patient of difficult and complicated cases, already through scanner ' It is some medical image information such as X-ray, CT, nuclear magnetic resonance, Ultrasonography B, endoscope,etc. information of checking project) that see if at most ,And reveal technology conveys to the long-range expert through transmission technology of the interactive picture, picture telemetering measurement and control technology, pattern process, the expert in different places makes diagnosis directly according to the picture. The expert of remote medical consultation with specialists can also carry on convenient consulting and processing to the information transmitting through the particular software, for example carry on measuring, mark,etc.s on CT slice. If necessary, can also advise patient's doctor of the site to carry on appropriate instrument operation, in order to obtain more exhaustive information. The expert starts to check the body to the patient in person, it is no longer illusion too. Through the combination of virtual reality technology and network technique, make the expert use " digital glove " ,etc. tool consult patients long-range by body,in order to obtaining first-hand materials. Can also even use the robot to launch the long-range operation. The experts participating in the conference think, this kind of strange land surgery, realization checking, treating are to finish in two places through science and technology, no matter how develop modern technology, how complicatedly it will be the intersection of medical care and course, the intersection of both ends and subject their of medical care must have legal qualification, they should be completely responsible for course of making a diagnosis. So, this kind utilizes modern scientific and technical means to implement the surgery of strange land, checks, therapeutic method, it must be a tele-medicine service act. The expert thinks unanimously finally, the definition of long-range medical care should mean that utilize communication technology, computer and network technique between the medical organizations, consult about the behavior of the activity in medical treatment such as the strange land combined together and launched with medical technology, interactive guidance, checking, diagnosing, treating. Since long-range medical care is a medical behavior, must launch long-range medical care carry out " operation medicine is imitated " and " management rule of medical organization " relevant laws and regulations, that is to say both ends offering long-range medical care must be legal medical organizations that has already made " operation licence of medical organization ", the concrete doctor offering medical care should have the medical practitioner's qualifications. The experts especially emphasize, any units, organizations and individuals have not made " operation licence of medical organization " and can't offer tele-medicine service, in order to standardize the tele-medicine service act, guaranteeing medical treatment's security and medical quality, thus promote the rational disposition of medical resources and meet the medical demand that the people increase day by day, adjudicate the medical dispute according to law, safeguard doctors and patients' legitimate rights and interests of both sides. The examination and approval that also needs passing health authorities long-range medical care between the medical organizations that check and approve long-range medical care? Relevant experts point out, according to the stipulations of " law of administrative licensing ", the administrative licensing can only be presumed by the state law and administrative statute of the State Council, the administrative responsibile institution can't set up the administrative licensing, have the examination and approval project by oneself. However, if long-range medical care is the in-house newly-increased department of medical treatment and subject of making a diagnosis, according to the relevant provision of " management rule of medical organization ", health authorities should check and approve in accordance with the law. In addition, because long-range medical care is different from the consultation in communication means such as general Internet and telephone,etc., as to the software, hardware the expecting very much of the apparatus, must possess The corresponding condition can be launched, so should be checked and approved by health authorities too. Set up, serve subject, unify management and supervision, enforce the law according to medical organization so as to administrative department. The medical organization should be gone to the corresponding hygiene responsible institution to apply for according to the basic procedure that the medical organization set up department's subject long-range medical care while applying. The content is mainly as follows, launch the long-range medical care application; Operation licence of medical organization; Feasible analysis report, including the long-range medical care demand analysis in the basic situation of applying unit, site, plan to launch the tele-medicine service method, the apparatus is allocated, scheme of running, tele-medicine investment budget and capital source; Launch the rules and regulations of long-range medical care and technical regulation of providing service; The instruments, apparatus lists are and qualified to prove; It is qualified to prove that fire control, environmental protection are confirmed. Some experts especially point out, the above-mentioned standard is mainly for offering tele-medicine service the square one, invite square unit apparatus standard or invite the qualification not to expect too much as to specializing in applying to hold a consultation at the basic level medical treatment, pay attention to practicality and substantial results, but should all set up corresponding rules and regulations and management, in order to ensure its regulation. However, apply for real-time surgery, check, treat the tele-medicine service item as to the medical organization. Should also list in and manage the category specially, because the long-range real-time operation is consulted about and served more than general tele-medicine, technology competent having a big risk, should control and manage strictly by medical treatment. Perform the operation, check and treat the qualification of medical worker serving when the medical organization must refer to according with launching remote real at the time of examination and approval; Accord with and launch the real-time surgery of remote, check and treat the outfit situation of relevant instrument and technical equipment served; Launch the real-time surgery of remote, check and treat relevant instrument and equipment technical regulation, operation method and rules and regulations,etc. served. It is accepted that remote real-time surgery, medical organization checked and treated should submit relevant staffing, technological preparation and situation that the instrument and equipment purchase, guarantee operation operate square and operation cooperate with square qualification and right person who buy of the instrument and equipment, medical worker of both ends. (Author's unit: Association of Chinese hospital)

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