Experts of the Ministry of Health interpreted and banned Weibo medical treatment and guarded against 140 words of side effects

Doctor Weibo, guard against 140 words "side effects"

"Jiangsu Weibo doctor", "Yangtze microblogging famous medical group", "Jinling microblogging famous medical group", "108 expert group of People's Liberation Army Bayi Hospital"... According to the statistics of Sina and Tencent Weibo, the present province and Nanjing In the medical institutions of the city, more than 400 doctors were opened by microbiologists and doctors and more than 50,000 fans.

However, starting from January 11th, the “News News” published by many media, “The Ministry of Health prohibits medical personnel from microblogging,” has stirred waves in the hearts of these “microblogging doctors,” and has become a “micro” during the Spring Festival. topic". The reporter found that in the past 20 days or so, some of the original doctors who interacted with Weibo had apparently silenced themselves, and others had “only talked about the Spring Festival Evenings and talked about nothing about illnesses”, leaving Internet users at a loss.

“What is the background of this ban? Doctor Weibo is unavoidably involved in the topic of medical treatment. Where is the boundary? Is it hard to open the microblog after spare time?” “Yangzi Weibo members and network name” "Zhao Xiaoming, deputy chief physician of the Department of Thyroid Surgery of the Provincial People's Hospital issued a series of questions.

The bell must be tied to the bell. Yesterday, the reporter dialed the phone number of the press office of the Ministry of Health.

Positioning for the first time "Dissemination of knowledge without treatment"

“The ban on microblogging diagnosis came from the first press conference of the Ministry of Health on January 10th. Our original words were 'cannot' rather than 'forbidden'. Actually, the spokesman, Deng Haihua, answered very clearly. Probably the media's attention has been focused on the publication of 'China Health Top 10 News'. The report on the doctor's microblogging issues involved in the following questions has been somewhat brief. The Comrades of the Information Office have reassumed the reporters to answer questions on the spot.

A reporter has asked questions: Many medical institutions and doctors have engaged in micro-blog interactions with patients on the Internet. They have also brought some risks in the promotion of communication, such as involving patient privacy or intensifying medical disputes. Has the Ministry of Health noticed this trend? ?

Deng Haihua replied: 2011 is the era of micro-broad growth, including many health and medical institutions and medical personnel, are exploring the use of microblogging dissemination of health policy and medical science knowledge, to strengthen communication between the health sector and the masses, especially the spread of scientific health Knowledge, medical knowledge, played a very good role. We still need to strengthen the standardization and management of microblogs. Our point of view is based on the dissemination of knowledge, and we cannot use microblogs to conduct clinical activities. To really see a doctor, you must go to a regular medical institution to seek treatment.

It can be seen that the Ministry of Health has fully affirmed and encouraged the establishment of microblogs for medical institutions and medical personnel, and for the first time given a clear positioning of “disseminating knowledge without treatment”. This also indicates the end of popular arguments such as "microblogging" and "online medical treatment."

Why "Weibo Medical Treatment" is not desirable

Dr. Tian Xiangyang, assistant director and chief physician of the China Health Education Center (news center of the Ministry of Health), a physician, official, and blogger, has 83,000 fans. In an email replying to an interview with this reporter, he said that the doctor's Weibo is equivalent to a "miss doctor," not an "attending physician," and the Ministry of Health's regulation is to prevent the confusion between the two duties and Weibo doctors to "offside."

He summed up the three reasons for microblogging diagnosis and treatment: “Inappropriateness”: From the perspective of the practice of doctors, the diagnosis and treatment of patients by doctors must be a face-to-face information communication process. The use of any indirect communication media to “see doctors from other places” is not a legal practice, nor is it right to make prescriptions.

From the complex performance of human body structure and disease, a disease, in different stages, will appear different or even diametrically opposed symptoms; the same disease, in different people, will show different symptoms; different diseases, in different people On the body, it may show the same symptoms. The patient, according to his own feelings, often complains, and is often not described accurately. Based solely on the "one-side word," it is difficult for doctors to draw correct judgments.

Judging from the scientific requirements for medical treatment, medical treatment is a combination of physical and mental activity. Doctors must not only ask the patient's symptoms, observe their posture, color, odor, and mental state, but also touch the site where the symptoms occur, if necessary, with the aid of medical instruments. Equipment testing inspection, consultation analysis. Through microblogging, it is neither responsible nor feasible.

“The regulations of the Ministry of Health are for the protection of doctors.” Wang Changsong, director of internal medicine at the Zhongda Hospital of Nanjing University, which has 12,000 fans and a network name of “Jiangnan Healer,” said that Weibo is an open communication platform and it is hard to avoid cohabitation. One of his foreign colleagues could not stand the patient and pleaded for a "micro-prescription." One month later, the patient came to the door and said that he “had prescribed a prescription and he had become ill.” He must have lost money and made trouble. "Only advice, not treatment, can avoid unnecessary medical disputes."

Tian Xiangyang reminded doctors that they must take legal responsibility for medical treatment activities. If “internet doctors” cause adverse consequences, even if the motivation is better, the law will not be open because you are using Weibo.

Similarly, online treatment does not protect patients' rights. Professor Wu Chao, Department of Infectious Diseases, Nanjing Drum Tower Hospital, said that once there was a visit to the doctor, he had used Weibo to “stealth” to promote medicines, equipment, and health care products, benefiting the defrauders and making the patient worse.

How to Reduce Doctors' Weibo "Side Effects"

“A doctor must be cautious when speaking on Weibo.” Professor Yuan Zhong, director of the Health Science Research Center of the Chinese Academy of Medical Sciences with 63,000 fans, told this reporter that due to the unequal status of doctors and patients, the doctor’s words are only words, often Become the patient's golden rule. "Some young doctors are caring and have little experience. They often make their opinions or sloppy judgments on Weibo, making it easy for themselves and their patients to become passive."

The former doctor said in his own speech that doctors are advised to master the “four-not-notice” technique: First, only the knowledge of disease prevention and health care is introduced, and prescriptions are not prescribed; the second is related to the judgment of illness, and it is necessary to enumerate a variety of possible diseases. For patients to understand, not subjective assumptions; the third is involving the use of drugs, only that the conventional use of this type of disease, do not directly recommend a certain drug; four is involved in the prescription, resolutely refused, can not be weak. "Moreover, if you say the wrong thing, you must correct it in a timely manner and sincerely apologize. You can't use strong words to ruin the morals."

"Do not take care of the patient, only when the patient seeks medical advice" - this is the experience of Li Tian, ​​the director of the respiratory department of the Nanjing Chest Hospital with 3800 fans and the screen name "Li Tianhao." Doctors and parents are concerned that doctors cannot “operate on Weibo” for the utilitarianism of themselves and hospitals, and violate the original intention of serving patients.

He said that when faced with patient consultation, I would recommend a number of specialty hospitals for their own choices, not to engage in "close to the water". Patients with asthma are generally recommended to the Provincial People's Hospital; those with severe pulmonary infection are generally recommended to go to the General Hospital of Nanjing Military Region; patients with interstitial fibrosis are generally recommended to go to Nanjing Drum Tower Hospital; patients with tuberculosis and lung cancer , it is recommended to try this hospital. "And the general recommendation is that it is close to the diagnosis and treatment."

Gu Haitao, director of the Department of Child Heart Surgery at the Provincial People's Hospital, reminded doctors that Weibo should increase its awareness of privacy protection and should not openly disclose patient names, medical history, and medical conditions such as medical conditions and family information to avoid infringement.

"The media should not exaggerate and render the effectiveness of doctor microblogging." Tian Xiangyang and Yuan Zhong said in unison that the doctor Weibo is just a convenient tool for health consultation and communication between doctors and patients, rather than a cure for the illustrious. If you are sick, you have to go to the hospital and see a doctor. You do not have to hold too much hope for doctors.