Is the telephone "seeing a doctor" reliable?

Normal medical treatment must go through the procedure of "looking, smelling, asking and cutting", while online consultation is only through text or telephone. Is this way of seeing a doctor reliable? Charge by time, call "see a doctor". Would you like to try?

Convenient form, in line with the modern lifestyle.

Miss Wang, 29, is an employee of an Internet company. She is usually busy at work, and sometimes she has some minor health problems and has no time to go to the hospital. She came into contact with Internet medical treatment earlier and was one of the first users to use the Internet to see a doctor. "I once paid a consultation fee of tens of yuan on a website because of a low fever, and called the doctors in the top three hospitals for one-on-one consultation. The doctor gave me a lot of advice. " Miss Wang said that this kind of consultation is very suitable for young people like her and saves a lot of time.

Miss Pan, a netizen, said that generally speaking, every time I go to the hospital to see a doctor, I always consult the relevant doctors online, and I have a general direction and a bottom in my heart. "This is different from consulting and self-diagnosis on Baidu at will. Some professional doctors have settled in the platform and can help me make a preliminary judgment. " However, Miss Pan often meets several doctors who come to different conclusions. Because I can't fully understand the real condition, I finally left the conclusion that "it is recommended to go to the hospital for diagnosis", which has little reference value.

It is difficult to ensure the quality of medical treatment online.

Although Miss Zhong, a citizen, was born in the 1980s after playing the Internet, she said she was "conservative" when it came to seeing a doctor. Miss Zhong believes that you can usually get daily health care knowledge from the Internet. Once you are really sick, you will still go directly to the hospital instead of consulting online. "Patients communicate directly with doctors on the Internet. The amount of information exchanged is different from face-to-face communication, and the patient's description of its symptoms may not be in place; Experienced doctors can ask for more information through face-to-face consultation, which is helpful for diagnosis. "

Mr. Luo, a citizen, is worried about the error rate and misdiagnosis rate of online consultation. "Doctors can do health education online, but don't diagnose patients easily. Once misdiagnosis and mistreatment are caused by poor communication, who will bear the responsibility? " Mr. Zhu is a doctor. He admits that there are many health care software now, and registration is very convenient, which leads to mixed fish and dragons and worrying medical quality.

Online consultation, most people have reservations.

In fact, whether the Internet can see a doctor and how to treat patients is still controversial in the industry. In Shanghai, there is no official "passport" for online consultation. During the interview, many doctors admitted that they had reservations about online consultation. "I haven't seen patients and reports, and I haven't asked about medical history. I can't diagnose it based on the patient's description. " Some doctors also said that the "internet light consultation" discussed by startups in the market is different from the "telemedicine" in hospitals. Mainly doctors provide consultation for patients with common diseases and chronic diseases and carry out medical science popularization, but they can't make clinical diagnosis.

Deputy Chief Physician Chen from the Department of Hematology, Huashan Hospital affiliated to Fudan University gave two examples to the reporter. "A routine blood test shows low white blood cells. What does this mean? The doctor wants to know under what circumstances the examination was carried out. The significance of physical examination is completely different from that of fever examination. For another example, iron deficiency anemia is common, but the situation of male and female patients is different. Women may be related to menstruation, and men may be related to digestive tract tumors. "

At present, Internet medical services are developing rapidly, and people's demand for online medical services is growing. However, the mechanism of online consultation is not perfect enough, and there are still many problems to be solved. Chen believes that medical service itself has two preconditions: first, medical quality; The other is patient safety. The core of the whole medical service is the service between doctors and patients, which is based on the doctor's comprehensive understanding of the patient's condition. Only by fully understanding the patient's condition can consultation be carried out. "It is really convenient for patients when doctors fully understand the patient's medical history and monitor the doctor's advice in real time.