New regulations expanding the scope of telemedicine and the issuance of prescriptions are to take effect on July 1, which are expected to benefit millions of people, the Ministry of Health and Welfare said yesterday.
The ministry has amended the Rules of Medical Diagnosis and Treatment by Telecommunications (通訊診察治療辦法) that would add five special circumstances in which telemedicine would be allowed, as well as ease the rules on issuing prescriptions and expanding the types of healthcare services provided through telecommunications.
According to Article 11 of the Physicians Act (醫師法), physicians may not treat or issue prescriptions or a certificate of diagnosis to people they have not examined in person, Minister of Health and Welfare Hsueh Jui-yuan (薛瑞元) said. However, they may use telemedicine to treat people residing in certain areas (such as mountainous or remote areas) or under special or urgent circumstances, Hsueh added.
Photo: Chiu Chih-jou, Taipei Times
As telemedicine became more widely used during the COVID-19 pandemic and is becoming a new normal for healthcare, regulations have been carefully modified to expand the special circumstances in which it might be used, he said, adding that it is expected to benefit up to 2.47 million people.
The five new special circumstances cover patients in a chronic care program, under hospice care, institutionalized at correction agencies, under disability care or under care for illness or injury from a disaster, infectious disease or other major incidents, Department of Medical Affairs Director-General Liu Yueh-ping (劉越萍).
These would bring the total number of circumstances eligible for receiving telemedicine to 10.
However, not all patients in any of the 10 circumstances are directly eligible for telemedicine, Hsueh said.
They must also be included in one of two categories: programs approved by the local health department and National Health Insurance (NHI) bundled payment programs.
“This means that when healthcare facilities want to provide telemedicine to patients under special circumstances, they must write a proposal and obtain approval” from the competent authority, he said. “It does not mean every patient who fall under any of the 10 special circumstances can directly book a telemedicine appointment with a doctor.”
Physicians who use telemedicine on patients who do not meet these qualifications may be fined between NT$20,000 and NT$100,000 for breaching the Physicians Act, Hsueh said.
The amendments would also allow physicians to issue prescriptions through telecommunication methods under certain conditions, and expand the types of healthcare services they can provide, including medical consultation, physician-to-physician consultation, psychotherapy, and issuing examination and check-up sheets, Liu said.
Asked why the draft amendments were announced last year, but it took almost a year for the ministry to announce their formal implementation, Hsueh said that some clinics expressed concern that the changes would encourage people to ditch clinics in favor of telemedicine consultation in hospitals.
However, clinics have since accepted the changes, as only clinics can provide healthcare services from the NHI bundled payment programs, such as the home-based medical integration program and the family physician care program, he added.
To prepare for the implementation of the amendments on July 1, the ministry is preparing and working on supplementary measures, including the digital NHI card system, e-prescription system, drug delivery method and information security verification standards.
GEARING UP: An invasion would be difficult and would strain China’s forces, but it has conducted large-scale training supporting an invasion scenario, the report said China increased its military pressure on Taiwan last year and took other steps in preparation for a potential invasion, an annual report published by the US Department of Defense on Wednesday showed. “Throughout 2023, Beijing continued to erode longstanding norms in and around Taiwan by employing a range of pressure tactics against Taiwan,” the report said, which is titled “Military and Security Developments Involving the People’s Republic of China (PRC) 2024.” The Chinese People’s Liberation Army (PLA) “is preparing for a contingency to unify Taiwan with the PRC by force, if perceived as necessary by Beijing, while simultaneously deterring, delaying or denying
PEACEFUL RESOLUTION: A statement issued following a meeting between Australia and Britain reiterated support for Taiwan and opposition to change in the Taiwan Strait Canada should support the peaceful resolution of Taiwan’s destiny according to the will of Taiwanese, Canadian lawmakers said in a resolution marking the second anniversary of that nation’s Indo-Pacific strategy on Monday. The Canadian House of Commons committee on Canada-Chinese relations made the comment as part of 34 recommendations for the new edition of the strategy, adding that Ottawa should back Taiwan’s meaningful participation in international organizations. Canada’s Indo-Pacific Strategy, first published in October 2022, emphasized that the region’s security, trade, human rights, democracy and environmental protection would play a crucial role in shaping Canada’s future. The strategy called for Canada to deepen
QUICK LOOK: The amendments include stricter recall requirements and Constitutional Court procedures, as well as a big increase in local governments’ budgets Portions of controversial amendments to tighten requirements for recalling officials and Constitutional Court procedures were passed by opposition lawmakers yesterday following clashes between lawmakers in the morning, as Democratic Progressive Party (DPP) members tried to block Chinese Nationalist Party (KMT) legislators from entering the chamber. Parts of the Public Officials Election and Recall Act (公職人員選舉罷免法) and Constitutional Court Procedure Act (憲法訴訟法) passed the third reading yesterday. The legislature was still voting on various amendments to the Act Governing the Allocation of Government Revenues and Expenditures (財政收支劃分法) as of press time last night, after the session was extended to midnight. Amendments to Article 4
‘ONE BRIDGE’: The US president-elect met with Akie Abe on Dec. 15 in Florida and the two discussed a potential Taiwan-China conflict’s implications for world peace US president-elect Donald Trump has described Taiwan as “a major issue for world peace” during a meeting with Akie Abe, the widow of late Japanese prime minister Shinzo Abe, Japanese newspaper the Yomiuri Shimbun quoted sources as saying in a report yesterday. Trump met with Akie Abe on Dec. 15 at the Mar-a-Lago estate in Florida, where the two discussed the Russo-Ukrainian war and the situation in the Taiwan Strait. During the meeting, Trump spoke on the implications for world peace of a potential Taiwan-China conflict, which “indicated his administration’s stance of placing importance on dealing with the situation in
RSS