Experts say the three major problems on the Internet do not fly

In Beijing, a large number of cross-border counterfeit drug sales cases were cracked and more than 2,500 counterfeit drugs were seized, approximately 700,000 tablets. These medicines are Thai YANHEE diet pills. Since the drug has not been approved by the State Food and Drug Administration for import, there are no formal sales channels in the country. Therefore, many people illegally sell on the Internet in the name of purchasing goods. According to the "People's Republic of China Drug Administration Law," the Beijing Food and Drug Administration determined that the drug was a fake drug.

People in the Internet era have even solved the problem on the Internet. According to surveys, 80% of netizens have experience of online consultation. However, some experts told the “Economic Information Daily” reporter that online medical advice is very incomprehensible. Compared with going to a hospital, online medical treatment is certainly convenient, but it is full of risks. Some doctors even said that the rate of misdiagnosis of self-diagnosis through the network reached 99%. The person in charge of the Medical Administration of the National Health and Family Planning Commission clearly stated that the network diagnosis and treatment is illegal and requires more supervision.

Online doctors became more popular. "Recent neck pain. Checked online that it was cervical spondylosis." Xiao Wang said at a party. Later, several friends also expressed that they had found themselves suffering from certain diseases after searching online.

Nowadays, online doctors gradually become fashionable. The reporter found that most people, including those around them, did not go to the hospital when they were physically unwell, but searched for information on the Internet or judged the condition through online doctors. The "interrogated network" has become the choice of many people. According to a survey conducted by a health portal, 83.2% of netizens have experience of online medical consultations, of which 34.2% of netizens consulted some health websites for “a headache and brain ailments”, and 33.1% of netizens were keen to get them online. Health knowledge.

Online doctors, as the name suggests, patients through the Internet platform to achieve real-time online exchange or message exchanges with doctors, to achieve the (patients) the initial judgment of their own results. The reporter learned that there are mainly three ways to access the Internet in general: First, medical platform consultation. Independent medical platforms established by hospitals or pharmaceutical companies, such as hospital websites and medical platforms such as “good doctors,” answer patient questions. The second is netizens mutual aid. Through the network mutual help question and answer platform such as Baidu, etc., netizens discuss and help each other. The third is microblogging. Through peer-to-peer direct communication with doctors through the Weibo platform.

When asked why he had chosen an online doctor, Ms. Zhang, a young white-collar worker who lives in Tongzhou, Beijing, told reporters that going to the hospital would require queuing and registration. It is very troublesome. You do not have to queue up for online medical consultation. You only need to enter your own symptoms. There is a doctor or Users answered online, save time and effort and save money.

The reporter's investigation found that there are three types of people who regularly visit the Internet: First, it is convenient and saves money. For people with relatively mild medical conditions or people living in remote areas with inconvenience to the doctor, online consultation is convenient and quick, and many procedures and costs for visiting the hospital are saved. Second, people suffer from impotence, such as sexually transmitted diseases or skin diseases, and do not want others to know their condition. Therefore, they chose to seek medical advice online. The third is to seek people with difficult and complicated diseases. In particular, some patients have reached the advanced stage of illness, and conventional treatment is ineffective. On the Internet, they seek out various treatments.

There are three major problems on the Internet, but some experts are not optimistic about online medical services. "I think online doctoring is very unreliable. The information on the Internet is too messy," said Pan Xiaochuan, a professor at the School of Public Health of Peking University, told the "Economic Information Daily" reporter.

After investigation, the reporter learned that there are currently three major problems in online medical care.

First of all, online doctors' qualifications are difficult to identify and online diagnosis is easy to miss. Pan Xiaochuan said that doctors on the Internet have never met before, and their technicality and authenticity need careful consideration. Ordinary people have no medical background and it is easy to put some major diseases on the spot and add a lot of psychological burden. Some doctors even said that the rate of misdiagnosis through network diagnosis reached 99%.

Xiao Liu, a 20-year-old student attending school in Zhengzhou, had a deep understanding of this. He told reporters that because of tingling urination on the Internet last year, an online doctor at a private hospital decided that he had a more serious prostatitis and persuaded him to go to the hospital for treatment. Scared Xiao Liu hurriedly went to the hospital for treatment. It was just over 5,000 yuan for all kinds of inspections and prescriptions. Not only was it not cured, it became more and more serious. Finally, there was no way. He went to a top three hospital in Zhengzhou. After examination, the doctor found that it was only normal inflammation. However, due to improper treatment before, it led to various complications.

A medical school student told the "economic information newspaper" reporter, their classmates often act as online doctors online to provide advice for users, the tool used is the search engine.

The credibility of some online medical platforms remains to be doubted. The reporter found that after many platforms only need to be registered, anyone can become an "online doctor." The staff of a well-known medical platform in China told reporters that there are generally three types of online doctors: First, they are classified as advertisements and they can be contacted directly by telephone. Second, online doctors who are found on the Internet by editors are vetted with a licensed doctor's license. The three are doctors online, the doctors of the top three hospitals, can not immediately contact online, and occasionally there will be two hours of online consultation "Now the experts and doctors are busy sitting in the hospital, how can there be so many hours on the Internet to see a doctor." Staff said.

Second, there are many fake medical websites and phishing websites on the Internet. According to the data from the China Anti-phishing Website Coalition, medical and pharmaceutical phishing websites that have recently used fraudulent targets for fraudulently targeted websites of hospitals such as Union Hospital, Beijing 301 Hospital, and Beiyi Liuyuan Hospital as fraudulent targets have shown a rising trend. As of the end of June this year, The League has identified and processed a total of 120,195 phishing websites. A report released by the internet lab at the beginning of the year pointed out that 40% of hospitals in Beijing have been promoted by Shanzhai medical institutions and are being replaced by impersonation.

Lastly, online medical platforms are mostly private hospitals, and the phenomenon of nursery care and drug care is widespread. According to insiders, some of the "health experts" run by private hospitals are only trained after simple training. Intentionally exaggerating the condition of the patient during the consultation is to induce the patient to go to the designated hospital to see the doctor and buy the medicine.

The reporter has experienced a lot of experience in this regard: “Blood Pain” is used as a keyword in Baidu search. The results displayed on the first few pages are mostly private hospitals and some corporate online medical platforms. After opening a link titled “How to Treat Stomach Pain”, he entered a private hospital website “Experts are on-line at any time, consulting at any time” dialog box. After opening, a doctor who claimed to be a Chinese hospital in Beijing enthusiastically talked to reporters. It is strongly recommended that reporters go to the hospital for treatment, and that "the old experts sit and do not need to register." Afterwards, the reporter asked a patient with a counterfeit stomach to go to a hospital with a small facade. In the “specialist clinic,” an “old expert” asked a few words and then issued a 250-yuan checklist. He asked the reporter to “detect H. pylori.” . Followed by gastroscopy, painless gastroscopy project for 760 yuan "ordinary" is 307 yuan.

It is worth noting that the reporter did not consult the registered information of the "old expert" practicing doctor on the official website of the National Health and Family Planning Commission.

Even an online doctor at a private hospital told reporters that the hospital can directly send prescriptions after the network diagnosis. Patients do not need to go to the hospital for examination.

Network diagnosis and treatment is illegal practice A doctor of the Department of Neurology of Xuanwu Hospital of the Medical University of Medical Sciences told the reporter that there are many advantages for online medical care such as convenience and cheapness, choice, etc. However, the diagnosis and treatment opinions of online doctors are for reference only and cannot be used as a substitute for actual practice. Hospital visits. Many diseases have different pathogenesis and formation reasons. Whether Chinese or Western medicine, they need to be seen, heard, asked, and cut. Doctors must communicate face to face with patients to make accurate diagnosis of the disease, and sometimes use B-mode ultrasound. With other aids, basic diagnosis can be made.

“Who will give you a doctor on the Internet? How to use the Internet to see a doctor? Who will be responsible for the medical malpractice? These questions all require an answer.” Pan Xiaochuan thinks that there are too many questions today.

Lawyer Yin Fuqiang from Beijing Long'an Law Firm told reporters that the risk of online medical consultation is relatively high. It is difficult to determine whether the person who provides medical consultation on the Internet has medical qualifications. The patient is inconvenient to keep evidence for treatment. Once rights and interests are infringed, it is difficult to safeguard rights. , Internet doctors should be cautious.

The person in charge of the Medical Administration of the National Health and Family Planning Commission told the reporter of the “Economic Information Daily” that online medical treatment is illegal. In June 2009, the former Ministry of Health formulated and issued the “Measures for the Management of Internet Healthcare Information Services” (hereinafter referred to as “Measures”), which clearly stipulates that Internet healthcare information services “must not engage in online diagnostic and therapeutic activities”. If you violate the relevant regulations, you will be punished accordingly. According to "Interpretation of Several Issues Concerning the Specific Application of Law in the Trial of Criminal Cases of Illegal Medical Treatment," doctors use web sites, microblogs and other internet tools to diagnose, prescribe and other medical activities for patients. They are "Individuals failing to obtain a "Practice Permit for Medical Institutions" to set up medical institutions. Illegal medical practice." Regardless of whether or not the provider is qualified as a doctor, it is an illegal medical practice to issue a diagnosis and treatment plan for the disease. The relevant penalties will be punished in accordance with the Regulations for the Implementation of the Regulations for the Management of Medical Institutions and the Law on the Practice of Doctors.

The person in charge said that this is taking into account the special nature of medical services, that is, without the doctor personally examining the patient, can not guarantee the accuracy of the diagnosis, can not guarantee the safety of the patient. However, during the implementation of the Measures, there are certain difficulties in the supervision of the health administrative department. On the one hand, the network diagnosis and treatment chaos is currently mainly concentrated in non-medical institutions, non-medical personnel to use the Internet platform to carry out illegal medical services. These units and individuals are not the counterparts of the health administrative department, and the health administrative departments lack the means of punishment. On the other hand, there is a strong need for supervision and assistance from the information management department in the professional supervision of network diagnosis and treatment services. The health administrative departments lack management authority and professional technical support.

How will it be standardized in the future? The responsible person stated that he will continue to implement the “Measures” in the future and will require local health administrative departments at all levels to coordinate relevant departments to intensify supervision. For websites and microblog platforms that conduct network diagnosis and treatment in violation of relevant regulations, relevant law enforcement agencies such as ICBC, industry and commerce, and public security shall be dealt with in a timely manner and be punished accordingly. Typical cases shall be exposed and serve as a warning and deterrent effect. .

Pan Xiaochuan said that most online medical organizations nowadays use the name of “network consulting” to conduct online diagnosis, playing the policy of cutting the ball, coupled with complicated information on the Internet, and the supervision of government departments is difficult. For this kind of behavior, we should focus on sparse rather than blocking.

He said that it is imperative to regulate the online medical consultation market through qualification certification. The platforms for foreign health medical consultations are mostly qualified health management companies certified by the national authority. They use membership to provide medical consultation services for patients, but our country does not have explicit regulations in this regard.