互联网医疗法律规制论要.pdf

医学与法

医学与哲学2024

年6

月第45

卷第

11

期总第742期

互联网医疗法律规制论要

李润生1

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。

关键词：互联网医疗，互联网医院，互联网诊疗，法律障碍

中图分类号：R-05文献标识码：A文章编号：1002-0772(2024)11-0062-05

DOI：10.12014/j.issn.1002-0772.2024.11.13

1

OntheLegalRegulationofInternetMedicalServicesLIRunsheng．1.

CollegeofHumanity,BeijingUniversityofChinese

Medicine,Beijing100029,China

Abstract：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

treatm