摘要
互联网医疗作为医疗产业发展的新兴业态,既具有互联网行业的内生普遍风险,又具有规制覆盖滞后的盲区与外生风险。随着互联网信息技术不断进步,线上诊疗在当前初步发展的基础上会逐渐融合并重构传统医疗服务过程。在医学发展过程中,新技术的出现普遍带有风险特征,因此互联网医疗的监管需秉持包容审慎的理念,兼顾培育市场与规范发展,构建规制共同体,从合法性、合规性、合理性和优胜性等4个维度协同治理,以法律为底线,充分运用在线预警监测、非现场监管、声誉机制等多种措施,促进互联网医疗在合法合规的框架下创新发展。
As a new form of medical industry,internet medicine has not only the endogenous risk of internet industry,but also the blind area and exogenous risk because of lagging regulation.With the continuous progress of internet information technology,online diagnosis and treatment will gradually integrate and reconstruct the traditional medical service.In the history of medical development,the emergence of new technologies generally has the characteristics of risk.Therefore,the supervision of internet medicine should adhere to the rule of inclusiveness and prudence,and take into account the cultivation of the market and standardized development.It should also build a regulatory community,coordinate governance from the four dimensions of legitimacy,compliance,rationality and superiority.Taking the law as the bottom line,we should make full use of early online warning monitoring,off-site supervision,online supervision,reputation mechanism and other measures to promote the innovative development of internet medicine under the framework of legal compliance.
作者
谢洪彬
蒋收获
贝文
徐一鸣
孙心怡
谢作帆
卢伟
XIE Hong-bin;JIANG Shou-huo;BEI Wen;XU Yi-ming;SUN Xin-yi;XIE Zuo-fan;LU Wei(Inspecting Agency,Shanghai Municipal Health Commission,Shanghai 200031,China;Shanghai Municipal Health Commission,Shanghai 200125,China)
出处
《上海预防医学》
CAS
2021年第8期678-681,701,共5页
Shanghai Journal of Preventive Medicine
基金
上海市卫生健康委员会卫生政策研究课题(2020HP43)。
关键词
互联网医疗
多元治理
协同规制
触发式监管
internet medicine
multiple governance
collaborative regulation
triggered supervision