我国公立医院互联网诊疗现状及发展思考  

Current Situation and Development of Online Medical Services in Public Hospitals in China

作　　者：公雪 郭蕊 Gong Xue;Guo Rui(Beijing Luhe Hospital,Capital Medical University,Beijing,101149,China;不详)

机构地区：[1]首都医科大学附属北京潞河医院,北京101149 [2]首都医科大学公共卫生学院,北京100069

出　　处：《中国医院管理》2025年第4期1-5,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(72174131)。

摘　　要：近年来,公立医院互联网诊疗服务在政策利好和技术进步的推动下迅速发展。我国在线医疗用户规模快速增长,在线医疗供给持续增加。现阶段,互联网诊疗服务的可及人群已达到较高水平,实现了互联网诊疗的“可用”。作为医疗行业新业态,我国互联网诊疗仍处于建章立制的初期发展阶段,面临着诊疗范围界限不清、定价与医保支付机制不完善、药事服务链条不完整、内涵质量管理欠缺等问题,需要持续推进医疗、医保、医药协同发展和治理。医疗方面,应明确并适度拓宽互联网诊疗范围,选择适宜的科室和病种,探索互联网首诊服务;医保方面,应合理互联网诊疗定价,完善医保支付机制;医药方面,应顺畅互联网处方流转,加强处方监管。同时,加强多方主体的协同监管,共同保障和引导互联网诊疗高质量发展。In recent years,online medical services in public hospitals have developed rapidly,driven by favorable policies and technological progress.The scale of online medical users in China is growing rapidly,and the supply of online medical care continues to increase.At this stage,the accessible population of online medical service has reached a high level,realizing the“availability”.As a new form of medical industry,it is still in the early development stage of establishing rules and regulations,facing problems such as unclear boundaries of the scope of diagnosis and treatment,imperfect pricing and health insurance payment mechanism,incomplete pharmaceutical service chains,as well as lack of internal quality management.It is necessary to rely on the linkage of medical care,medical insurance,and medicine.In terms of medical,the scope of online medical services should be clarified and moderately expanded,appropriate departments and diseases should be selected,and Internet first diagnosis services should be explored.In terms of health insurance,the pricing of Internet diagnosis and treatment should be reasonable,and the payment mechanism of the health insurance should be perfected.In terms of medicine,the circulation of online prescriptions should be smoothed and prescription supervision should be strengthened.At the same time,it is necessary to strengthen the collaborative supervision of multiple entities to jointly ensure and guide the high-quality development of online medical services.

关 键 词：互联网+ 互联网诊疗 公立医院 

分 类 号：R197.3[医药卫生—卫生事业管理]