National Health Commission introduced the difference between hospital online platform and Internet hospital.

　　Cctv newsOn September 14th, the National Health and Wellness Committee held a special press conference to introduce the relevant information and answer questions from reporters about the recently issued documents such as Management Measures for Internet Diagnosis and Treatment (Trial), Management Measures for Internet Hospitals (Trial), Management Standards for Telemedicine Services (Trial) and Management Measures for Clinical Application of Medical Technology.

　　Reporter: The definition of Internet hospitals has two forms. One is the Internet hospital of physical medical institutions, and the other is relying on physical Internet institutions. What is the difference between the two Internet hospitals, and then what is the difference in this supervision? How will the online behavior of Internet medical care be connected with medical insurance in the future?

　　Jiao Yahui, Deputy Director of Medical Administration and Hospital Authority of National Health and Wellness Committee:Answer the first question first, that is, what is the difference between the two forms of Internet hospitals. One form is the physical medical institutions, such as Run Run Run Shaw Hospital and Huaxi Hospital, which feel that there are not enough talents at present. In addition to using doctors from our hospital to provide services through the Internet, we also want to use doctors from Shanghai and Beijing to provide services. Then we can build a platform for Internet hospitals ourselves or cooperate with Internet companies to build a platform. Doctors from Beijing and Shanghai can provide services for patients in Run Run Run Run Run Run Shaw Hospital and Huaxi Hospital through this platform.

　　In this case, the entity hospitals should apply for the Internet Hospital as the second name, such as Run Run Run Shaw Internet Hospital or Huaxi Internet Hospital. Doctors in these hospitals in Beijing and Shanghai can directly practice in this Internet hospital, and there is no need to go through the procedures of multi-point practice or practice change again, so as to stimulate the vitality of medical staff, liberate productivity and maximize the role of high-quality medical resources. This is the first type of Internet hospital.

　　The second type of Internet hospital is a third party that applies for hosting an Internet hospital. It must establish close cooperation with a physical medical institution. It cannot be a pure virtual Internet hospital online or in the cloud, so there is no way to supervise it, and there is no way to accept and deal with medical disputes. The entity hospital signs an agreement with the third party that holds the Internet hospital. When the agreement comes into effect, the Internet hospital can take effect. If the agreement is changed and abolished, it is necessary to re-apply for the Internet hospital. For example, Run Run Shaw Hospital or Huaxi Hospital does not cooperate with third parties, and the Internet hospital has no physical medical institutions to rely on when setting up, so this Internet hospital will be cancelled.

　　The third party and the entity medical institution that run the Internet hospital are independent subjects who bear legal responsibilities. When a medical dispute occurs, they should apply to the health administrative department registered in the entity hospital for medical dispute.

　　The basic standards and supervision of these two types are the same, and they must meet the basic standards of Internet hospitals, and they must be supervised by the provincial Internet medical service supervision platform and incorporated into the local quality control system. At the same time, a community of responsibility is formed between the Internet hospital applied by the third party and the relying entity medical institutions. The entity hospital and the third party should bear the corresponding supervision responsibility first, which is conducive to our online and offline integrated supervision of the Internet hospital. The behavior of Internet hospital diagnosis and treatment should also be included in the performance appraisal and hospital grade evaluation of the entity medical institutions.

　　Regarding the second question, the document of the General Office of the State Council pointed out that for some Internet medical treatment behaviors that meet the requirements, corresponding medical insurance and price policies should be formulated, whether they belong to the category of basic medical care or market pricing. First, there must be charging items. If they belong to the category of basic medical services, medical insurance should be reimbursed, which is not the category of basic medical services, so they should be borne by patients. Because not all Internet medical treatment behaviors belong to the category of basic medical care, they do not necessarily have to be included in the scope of medical insurance reimbursement. The policies on price and medical insurance reimbursement have now been placed under the management of the National Medical Insurance Bureau, and we will actively cooperate with them.