Research On The Subject And Content Of Medical Care Service Contract

With the aging of our country,the demand for medical care in the old age service is increasing.In order to meet the needs of the elderly and break the separation of medical care,the combination of medical care has been constantly explored and developed rapidly.The strong rise of Internet medical service also provides the development opportunity for the combination of medical care.The medical service contract under the internet medical mode is a contract to provide medical care services for the elderly through the combination of internet medical and old-age services.According to the different modes of medical care,medical care service contracts can be divided into the following types: the medical support contract of the internet medical platform and the pension institutions and the medical institutions relying on the medical institutions,the old-age institutions to establish the internet medical support service platform and the medical care service in collaboration with the Internet hospital and the pension institution.Contract.The medical service contract under the internet medical mode is a type combination contract in the mixed contract,and it is also one of the service contracts.According to the different modes of medical care service,the main body of TCM service in medical service contract is also different.In the contract of medical service contract between the internet medical platform and the pension institutions,the entities under the line medical institutions and the pension institutions are the main body of the contract for medical maintenance services.The internet medical support service platform is the main body of medical care service in the medical care service contract which relies on the medical institutions and the pension institutions to establish the internet medical support service platform.The medical institutions and the pension institutions are the assistants of the internet medical service platform to provide medical care services.In the medical service contract of the Internet hospital and the old-age institution,the Internet hospital and the pension institution provide the main body for the medical care service,and the old people accept the main body of medical care service.According to the "Internet diagnosis and treatment behavior management measures"(Draft),the qualification of internet medical service has been standardized.In view of the quality of the pension institutions and the service for the aged,the government has promulgated a series of policies and documents to standardize it.As the receiving body of medical care service,the elderly should receive different levels of medical services according to their physical condition and health level.In the medical service contract under the internet medical model,the internet medical platform and the offline entity medical institution are the medical service providers.For the elderly,their rights are mainly to obtain remuneration,the personal information of the elderly and the information of historical diseases.Relative to pension institutions,the right to obtain health status of the elderly and to formulate rehabilitation nursing programs,and to require the pension institutions to assist the rights of telemedicine.Medical service providers need to fulfil the following obligations: the obligation to provide remote diagnoses and tele consultation;the obligation to provide grading and two-way referral;the obligation to establish an electronic medical record and a health database for the elderly;the obligation to establish a rehabilitation nursing program;and to guarantee the doctor's duty to hold a lot of business.The pension institutions have the right to get service rewards,and the right to obtain personal information for the elderly.For the elderly who provide institutional support and community support,the elderly care institutions and community service centers should also have some guardianship rights for the elderly.The pension institutions should do the following: to assist the telemedicine service,to provide the necessary personnel and equipment,to ensure the continuity of the connection of medical care services,to carry out the duty of grading medical care and to adjust the level of medical care for the elderly,and to ensure the professional water level and service attitude of the medical and nursing staff.The internet medical service platform enjoys the right to obtain remuneration,the right to request medical institutions to assist in the implementation of the Internet diagnosis and treatment services,and to request the medical institutions to assist in the implementation of the Internet diagnosis and treatment services.The internet medical maintenance platform should do the following: providing medical door-to-door service;establishing the obligation of electronic medical records and health records.The elderly,as the principal part of the contract,enjoy medical services and pay service remuneration.In the contract of medical maintenance service,the elderly enjoy the following rights: the right to request the Internet for medical treatment,and the right of grading medical care.The elderly should fulfill the following obligations: to inform the medical care providers and arrange the reasonable care plan and diagnosis and treatment plan of their own physical condition and the history of illness;the family members of the elderly should fulfill their assistance obligations in the mode of integrating into the family and in the community.The development of the combination of medical care in China is still in the initial stage.Despite the great development,we still need to strengthen supervision and policy guidance,such as strengthening the supervision of the internet medical subjects,improvingthe access standards of the third party institutions,formulating the policy of medical care service,introducing the standard of grading medical service,and the contract of medical care service.The special law should be brought into force,relevant laws and regulations should be promulgated as soon as possible,the supervision of internet medical services should be strengthened,and the main responsibilities of platforms should be clearly defined.