Introduction

Telemedicine is rapidly growing in the field of medicine as technology has become a huge part of our daily lives. 88% of our population owns a smartphone while 7% of Malaysians uses their smartphone to track heath.

Doc2Us is a mobile telemedicine platform allowing the general public and corporate partners to connect with their professional healthcare providers (HCP) like doctors and pharmacists. Doc2Us provides online teleconsult, electronic prescription (e-prescription) and online health promotion information by posting daily health articles.

HEALTHCARE PROVIDERS AND PATIENT CARE

  1. All medical professionals including doctors, who are listed in the Doc2Us platform shall be screened through and verified by the Medical Board in ensuring only fully qualified medical professionals are listed on the platform.
  2. All registered medical professionals (RMP) listed in the Doc2Us platform shall be registered with the Malaysian Medical Council (MMC) and has a valid practicing certificate.
  3. Only gazetted specialists (with or without the NSR) shall be listed as a specialist.
  4. All RMP shall practice telemedicine in accordance to the MMC’s Code of Professional Conduct and Ethical Code & Guidelines.
  5. The standard of practice of telemedicine on Doc2Us should not be any lower than physical practice.
  6. Prescription of medicine and laboratory testings shall be done by RMP only.
  7. RMP shall take full responsibility and take proactive steps to ensure that their login credentials are not used by any other party apart from themselves.
  8. Telemedicine is NOT meant for medical emergency. RMP shall ensure that the practice of telemedicine does not involve any emergency or life-threatening situations.
  9. RMP may choose to provide virtual consultation and care to selected acute medical cases at their own discretion. RMP may also use Doc2Us as a follow-up tool for their own patients if medically indicated.
  10. RMP shall always ensure that patients’ safety is the top priority.

PRESCRIPTION OF MEDICINE

  1. Doc2Us has a strict prescribing policy developed and vetted by the Medical Board in ensuring safe and ethical prescribing and dispensing of medicine. RMP MUST adhere to the “3C” approach when prescribing:
    1. Control. Patients show good control of their chronic conditions
    2. Compliance. Patients need to show good compliance to their medications.
    3. Cautious side effects. Patients need to be free from any cautious side effect of drugs.
  2. RMP shall NOT prescribe any medications to any patients that do not comply with any of the “C”s.
  3. RMP shall always advocate and embark on the “3E” approach in handling patients online. The three E’s are :
    • Education. Doctors are to educate patients on their current health conditions as well as health promotion and preventive measures
    • Empowerment. Doctors are to empower patients to take charge of their own health and own medical records. Patients can monitor their chronic disease on their own and are taught on identifying red flags.
    • Encouragement. Doctors are to encourage patient to be compliant to medication and lifestyle advice. Also doctors are to set health goals to motivate patients to stay well and healthy.
  4. In ensuring safe practice of medicine, RMP shall at all time follow the following policy strictly to our clients (corporate or public):
    1. RMP shall gather and assess the general condition of the patient as much and complete as possible before making a prescription.
    2. RMP shall prescribe safely and practice ethically at all time.
    3. RMP shall ensure that their prescription is valid and complete with patient’s details (Full name as per IC, IC number, Address, Medical History and Allergy History)
    4. RMP shall refer the patient to a physical doctor if the patient fails to satisfy 3C, detected red flags or develop any acute conditions.
    5. RMP shall not prescribe medications to treat acute or emergency conditions as the role of telemedicine is not to manage emergency conditions.
    6. If chronic medications are to be prescribed for top up, a maximum of 3 months duration can be prescribed.
    7. In the event that the patients have not seen a physical doctor for a duration of more than 3 months, RMP shall refer the patient to a physical doctor and NOT to continue prescribing.
    8. RMP shall be judicious on the use of antibiotics and MUST always comply with the Malaysian National Antibiotics Guideline.
    9. RMP shall be a steward on the usage of antibiotics to prevent occurrence of antibiotic resistant organism.
    10. Prescription of antibiotics by RMP is only allowed under the following conditions:
      1. A picture of a valid physical prescription produced by the client, RMP shall re-prescribe the medication on the portal without making any changes.
      2. In the event where the patient needs a top up to complete a course of antibiotics (eg: an additional 3 more days to complete a course of 7 days)
      3. Antibiotics needed for disease prophylaxis (eg: penicillin prophylaxis for Chronic Rheumatic Heart Disease).
      4. Antibiotics needed for eradication regimen (eg: H. Pylori eradication)
      5. First line (narrow spectrum) beta lactam antibiotics, first generation cephalosporins or narrow spectrum macrolides can be prescribed by RMP at their own discretion.
  5. To ensure safe prescription and dispensing, the management shall conduct regular audits and provide feedbacks to RMP to ensure adherence to available treatment guideline.

“Together for a better healthcare tomorrow”

Updated 10 January 2019
Medical Director
Doc2Us