互联网医疗法律规制论要  

On the Legal Regulation of Internet Medical Services

作　　者：李润生 LI Runsheng(College of Humanity,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学人文学院,北京100029

出　　处：《医学与哲学》2024年第11期62-66,71,共6页Medicine and Philosophy

摘　　要：互联网医疗具有独特的功能定位,应用前景广阔。但是,依据现行规则,我国互联网医疗实践面临着合法性困境。我国应当遵循“三角法则”,在立法层面对特殊时期和特殊地域的互联网医疗规则的灵活调整进行明确授权,允许对以下规则进行针对性调整:第一,调整复诊规则,允许通过互联网进行初诊,但要求医患双方使用实时同步通信技术进行沟通,并要求医生及时进行随访;第二,调整常见病、慢性病规则,采用“负面清单”模式,明确列举并尽量压缩不得线上诊疗的疾病范围;第三,以互联网情境下的平均诊疗水平设定注意义务基准,为医生在线诊疗创造合理空间。Internet medical services have unique functional positioning and vast application prospects.However,under current regulations,Internet medical practices in China face legal challenges.China should follow the"triangle rule",clearly authorizing the flexible adjustment to the rules of Internet medical services for special periods and special regions at the legislative level,and allowing targeted adjustment of the following rules.First,adjust the rules for follow-up visits to allow initial consultations to be conducted online,but require real-time synchronous communication between doctors and patients and timely follow-up by doctors.Second,adjust the rules for common and chronic diseases using a"negative list"approach,explicitly listing and minimizing the scope of diseases that cannot be diagnosed and treated online.Third,set the duty of care benchmark based on the average level of diagnosis and treatment in the internet context to create reasonable space for online diagnosis and treatment by doctors.

关 键 词：互联网医疗 互联网医院 互联网诊疗 法律障碍 

分 类 号：R-05[医药卫生]