SINGAPORE – Amid the fallout from the MaNaDr Clinic scandal, Health Minister Ong Ye Kung has affirmed that the existing telemedicine regulations are sufficient and that enforcement measures are effectively curtailing malpractice. In a parliamentary session on 11 November 2024, he addressed concerns raised by Members of Parliament regarding the integrity of telemedicine practices in Singapore.
Effective Enforcement Measures
Mr Ong reported that the Ministry of Health (MOH) had swiftly acted against MaNaDr Clinic. The clinic faces the revocation of its licence to provide outpatient medical services due to lapses that included:
- Teleconsultations lasting less than a minute
- Issuing multiple Medical Certificates (MCs) within short periods
- Poor documentation practices
Furthermore, 41 doctors were referred to the Singapore Medical Council (SMC) for alleged professional misconduct. Taking these necessary actions demonstrates the government’s commitment to maintaining health care standards.
Rigor of Current Guidelines
Responding to MPs’ inquiries about the need for revised telemedicine guidelines, Mr Ong reiterated that the current standards remain applicable. Telemedicine providers must be licensed under the Healthcare Services Act and comply with strict regulations, including:
- Conducting consultations via real-time, two-way audiovisual communication
- Maintaining a private, closed environment during consultations
- Adhering to the Ethical Code set by the SMC
He emphasised that these guidelines ensure that medical practitioners gather adequate patient information and conduct proper clinical assessments.
Seizing Opportunities Amid New Technologies
Mr Ong acknowledged that while regulatory frameworks cannot eliminate offences entirely, they play a crucial role in correcting irregular practices when they arise, especially with the evolution of technology. He remarked, “When we have new technology, we have an opportunity to make service better… But just like all new technology, someone will try to abuse it.” The minister stressed that excessive regulation could hinder the potential benefits of new technologies, highlighting the balance needed in enforcement.
Patient Care Above All
To maintain equitable access to healthcare, the minister pointed out that patients in polyclinics require in-person visits for MCs, reflecting a cautious approach to acute treatment methods via telemedicine. This step is part of the broader strategy to ensure responsible medical practice while allowing innovation to flourish.
Mr Ong’s remarks reaffirm that Singapore remains committed to evolving its healthcare landscape, particularly in telemedicine, with a focus on providing quality patient care.