In April 2018, words such as “Internet + medical healthâ€, “Internet hospitalâ€, “chronic disease management†and “ telemedicine †frequently appeared and were renamed, and Internet medical care opened a new page.
On April 28, the General Office of the State Council issued the "Opinions on Promoting the Development of "Internet + Medical Health"" (hereinafter referred to as "Opinions").
The Opinions include the following three components:
First, improve the "Internet + medical health" service system
Second, improve the "Internet + medical health" support system
Third, strengthen industry supervision and security
The purpose is to promote the implementation of the Healthy China strategy, improve the modernization of medical and health management, optimize resource allocation, innovate service models, improve service efficiency, reduce service costs, and meet the growing medical and health needs of the people.
It is allowed to rely on medical institutions to develop Internet hospitals. Medical institutions can use Internet hospitals as the second name . On the basis of physical hospitals, Internet technology is used to provide safe and appropriate medical services, allowing online diagnosis of some common diseases and chronic diseases. After the doctor has mastered the patient's medical record data, he is allowed to prescribe some common diseases and chronic diseases.
Encourage medical and medical superior medical institutions to provide remote consultation, remote ECG diagnosis, remote imaging diagnosis and other services to the grassroots level through the use of artificial intelligence and other technical means to promote real-time access and mutual recognition and sharing of inspection results between medical institutions.
This time, the official launch of "Internet + medical health" was introduced, and a long time of research and investigation was conducted.
On the morning of April 26, the National Health and Health Commission held a special press conference with the theme of “Internet + Medical Health Development and Hospital Internet Medical Serviceâ€. The conference was held at the China-Japan Friendship Hospital.
On April 12, the State Council Information Office held a media briefing on "Opinions on Promoting the Development of "Internet + Medical Health". The main result revealed by the meeting was that the Internet hospital was officially certified, and the Internet would comprehensively link medical, medical, and medical insurance services, and answered questions about Internet medical security risks, data security, and Internet hospitals.
Earlier in April, Premier Li Keqiang, Shanghai Municipal Party Committee Secretary Li Qiang, Director of the National Health and Health Committee Ma Xiaowei, Shanghai Mayor Ying Yong and other leaders led a delegation to the Remote Medicine Center of Huashan Hospital affiliated to Fudan University to conduct "Internet + Medical" field visits. A new pattern of graded diagnosis and treatment established in the form of medical associations.
On the second day after the visit, the Prime Minister presided over the State Council executive meeting. Relevant to medical treatment is: First, determine the development of "Internet + medical health" measures, ease the problem of medical treatment and improve the health of the people; second, decide Implement zero tariffs on imported anti-cancer drugs and encourage the import of innovative drugs to meet the needs of the people's livelihood.
Yes, there were five big incidents about "Internet + medical health" in April. Some people said that Internet medical care keeps the cloud open for the moon. Some people say that the spring of information technology enterprises has come. Some people say that private Internet hospitals are under greater pressure. There are so many different opinions, so how do people in the industry look at it?
To this end, the arterial network (micro-signal: vcbeat) reporters interviewed the micro-medical chairman and CEO Liao Jieyuan, the good doctor online founder Wang Hang, Chun Yu doctor CEO Zhang Wei, Zhuo Jian founder Jian Jianfeng, hoping to get a real voice.
Internet + medical health is a game of chess, exaggerating its function is of little significance
"Internet + medical health" is a complicated chess game. The Internet hospital is only a part of it. It is of little significance to exaggerate its function.
In fact, on April 16th, the State Council policy routine briefing mainly published the "Opinions on Promoting the Development of "Internet + Medical Health"". The results of the discussion and discussion have three aspects, the first point mentioned is the sound " Internet + medical health." In other words, it is to define "Internet + medical health."
The original words are as follows: "The first is to improve the "Internet + medical health" service system. From the medical, public health, family doctors contract, drug supply security, medical insurance settlement, medical education and science, artificial intelligence applications, etc. to promote the Internet and The integration of medical and health services covers many aspects of medical, medical and medical insurance “three medical linkagesâ€.
From this, it can be inferred that the introduction of the "Internet + medical health" policy requires a "graduate diagnosis and treatment", "multi-point practice", "remote medical care" and "family doctor" issued by the previous countries in order to understand its meaning. Policies such as “signingâ€, “medical association†and “medical insurance†are combined.
Regardless of the combination of these policies, or separately, the main body of reform is to start around the public medical institutions. In fact, there are many services for public medical institutions to carry out "Internet +", and mobile medical construction has been carried out through disease focus, system upgrades, and platform construction.
Up to now, the arterial network has selected eight mainstream models from the excellent "hospital + Internet" process in China.
As can be seen from the figure, telemedicine is a part of “Hospital + Internet†and will become an important part of the hospital's realization of “Internet + medical healthâ€, and it is also the reason why it has been repeatedly mentioned.
As of October 2017, more than 6,800 public hospitals across the country have launched telemedicine services. Taking the Huashan Hospital Telemedicine Center as an example, more than 6,500 remote consultations have been completed so far, of which the central and western regions accounted for 72.3% of services (the central region accounted for 26.3% and the western region accounted for 46.0%). Covering 24 provinces including Yunnan, Inner Mongolia, Tibet and Xinjiang, covering various diseases.
Liao Jieyuan: Continue to promote the perfection of Internet medical health services
If you remember correctly, this should be the first time that the Internet hospital will be written into the national policy document, and the market will be given a “fixing hammerâ€, which is a good industry advantage.
In Liao Jieyuan's view, first of all, micro-medicine is the first batch of Internet hospitals relying on physical medical institutions. At that time, the positioning was not to conduct initial diagnosis, to locate common diseases, chronic diseases, online referrals, and remote consultation services. The Health and Health Commission also recognized the "offline + online" model for Internet hospitals;
Secondly, the document categorizes medical and health services based on the Internet, and promotes Internet+ from seven aspects: medical, public health, family doctor contracting, drug supply security, medical insurance settlement, medical education, popular science, and artificial intelligence applications. The Internet of insurance has a systematic impetus.
Finally, the guidance also proposes to further standardize the relevant business, which is also a test of the overall level of the industry, in order to carry out related business.
The executive meeting hosted by the Premier of the State Council clearly proposed three measures for the development of Internet + medical care, highlighting the central government's determination to promote the deep integration of the Internet + strategy and medical health industry, and to cut the people's livelihood and market demand, which is also for us. Great encouragement.
It is worth noting that on December 7, 2015, the micro-medicine piloted the operation and operation of the Wuzhen Internet Hospital in the Wuzhen Internet Innovation Development Experimental Zone. After 858 days and nights of exploration, the Wuzhen Internet Hospital business model experienced from Xiaogang Village. The exploration process of Zhongnanhai “fixing hammerâ€.
The development of telemedicine is conducive to the sinking of high-quality medical resources in the city. The Internet + Medical Union is also the key to achieving graded diagnosis and treatment. At present, the development of telemedicine is also faced with problems such as poor communication conditions at the grassroots level, insufficient supply of high-quality resources, and areas where doctors practice qualifications. However, there are reasons to believe that after the State Council executive meeting, relevant state functional departments will introduce more details. Policies provide institutional and institutional guarantees for the healthy development of Internet healthcare.
From 2010 to the end of 2017, the micro-medicine platform currently connects more than 2,700 hospital information systems in 30 provinces and cities, with more than 220,000 online experts. From the beginning, these hospitals have established a full-service service such as appointment medical treatment and inspection results inquiry. Up to now, more than 100 public hospitals across the country have established an Internet medical joint platform.
In the primary health care sector, micro-medicine began to explore the practice of Internet medical associations in primary health care institutions in 2015, and promoted the high-quality resources to sink to the grassroots level through telemedicine and other means. After nearly three years of practice, micro-medicine has formed three systems, traffic, and operations capabilities in the Internet + medical association, including remote diagnosis, remote consultation, remote referral, remote training, cloud medical records, cloud inspection and inspection. Eight system platforms, such as payment settlement and cloud pharmacy, can help medical institutions to achieve data linkage, capability linkage, service association, payment linkage, and supply association.
Next, under the encouragement and support of the State Council on the Internet + medical health policy, micro-medicine will continue to promote the improvement and upgrading of Internet medical health services, help information exchange between medical institutions, enrich Internet medical health service products, and operate national prescriptions. Sharing the platform, using technology to enable the people to obtain quality and convenient medical and health services.
The doctor's online telemedicine model has also been investigated.
According to a person familiar with the matter, on the afternoon of April 26, Vice Premier Sun Chunlan investigated the Yinchuan City First Hospital and praised the innovation and achievements of the remote expert clinic. The doctor reported the work as a representative of the operator and was recognized and encouraged.
At the media conference last November, Wang Hang announced the 2018 strategic plan. According to him, starting from June 2017, Good Doctor Online took the pilot of the First People's Hospital of Yinchuan as the pilot, and created the service form of the remote expert clinic.
The service process is: the first step, the patient hangs the expert number of the upper hospital in the local hospital; the second step, the doctor chooses a superior expert, a doctor of the local hospital for the patient online, the local doctor receives the patient, and the medical record is arranged. In the third step, the local doctor will accompany the patient and initiate a remote video consultation with the superior expert. In the fourth step, after the superior expert gives the medical advice, the local doctor will convert it into a treatment plan and at the local hospital. Treatment.
From June to November, the number of superior experts who have opened services has reached 10,000, and there are 224 counties and cities in the country that have experienced remote specialist outpatient services.
Wang Hang proposed the goal of the good doctor online in 2018: At least 50,000 senior experts will be invited to open the remote expert outpatient service; the operational capacity of the downward delivery expert service should be improved, covering 80% of the cities and counties in the country.
In order to make more rational use of the experts' time, the doctor has launched an expert team platform. The superior doctors and lower-level doctors use the mobile phone platform to form a team of experts. At present, 4353 expert teams have been successfully formed and business has begun. In the expert team, the lower-level doctor who receives the consultation first responds to the patient. If you encounter a problem that cannot be solved, you can come to the superior expert to solve the problem at any time online.
Regarding the "Internet + medical health" policy intensively enacted by the state in April, Wang Hang believes that the Internet + medical health mentioned in this policy has a role of promotion and promotion for the whole industry, and it is worthy of pleasure. From the information disclosed so far, the state functional department is also the first time to write the Internet + medical health policy. The content is not only very deep, but also very grounded. It involves the concerns of the people and meets the needs of the people. This has greatly promoted the development of the medical industry throughout the country.
He said that the business of Internet hospitals is only part of their overall business and cannot exaggerate the share of Internet hospitals. The whole "Internet + medical health" is a big concept, and the service covers a wide range.
The key point is that the country is deeply thinking about "Internet + medical health" for the first time. Internet hospitals are only one of the links. From its birth to the present, it still has not introduced a relevant normative system. I look forward to the follow-up more detailed documentation.
The so-called enterprise grabs the hospital, Wang Hang believes that it will not happen. Medical treatment is a very complicated disk. If you get a hospital alone, you will get things done. It will pass smoothly. This assumption does not exist. If you have a hospital, you can do a good job in Internet hospitals. In theory, they have done a better job in Beijing Union Medical College Hospital, and there are opportunities for enterprises.
It can be seen that having a hospital is not a key point of business success, but whether you provide core value and what kind of pain points are solved.
"When we interpret the policy, we also need to combine the previous policies. It is impossible to see the promotion of the Internet + medical health."
Previously, the state did not vigorously allow public hospitals to develop Internet medical care. On the one hand, it worried that large hospitals would use the Internet platform to siphon patients; on the other hand, it violated the original intention of grading medical treatment and worried that the grassroots medical system would be further disintegrated.
Therefore, each policy is related. For example, Internet + medical care encourages large hospitals to sink high-quality resources through the Internet, and can also improve grassroots medical service capabilities. The premise is to follow the system of grading diagnosis and treatment. The doctor's multi-point practice policy cannot limit the doctor's practice and mobility because of the Internet.
Wang Hang predicted that in the future, hospitals with different properties will not have the same medical services, and each can have their own world. For example, public hospitals mainly focus on solving basic medical services, and private hospitals mainly provide multi-level alternative and high-end medical services.
Whether it is an Internet hospital built by a hospital or an Internet hospital built by an enterprise, the relationship between them should be the same as that of the e-commerce platform. The division of labor is clear and the roles are different. For example, Xiaomi's free sales platform, Jingdong, Taobao, Tmall.
Dr. Zhang Yu, CEO of Chun Yu: Policy will promote medical and Internet convergence
Zhang Yu, CEO of Chunyu, said: This policy is generally good for the Internet medical industry, especially for companies with deep understanding of the medical business and mature Internet products, technologies, services and operating systems. At the same time, the policy is also good for some pioneering hospitals. It can be justified by the use of Internet means to improve the hospital's service capabilities, service quality and management level.
Since he joined Dr. Chun Yu last year, one of the leading strategic directions has been to cooperate with offline physical medical institutions and to cooperate with medical institutions to do "+ Internet" to realize the integration of the Internet and medical institutions. The path to be realized is “Energy Hospitalâ€, that is, Dr. Chun Yu continues to use the Internet to help medical institutions realize operations, services and management after completing the integration of information systems in the hospital and the Internet products, technologies and service programs outside the hospital. And so on.
Many people don't understand that this is not in line with Internet thinking. The speed of cooperation with physical medical institutions to develop business is too slow. The relationship that 2B business has to deal with is too complicated. It is not as simple and direct as pure online business. Zhang Wei said that the "physical hospital + Internet" business may not be so cool, but this is the only way for Dr. Chun Yu to develop next. The reasons are:
1. Pure online business cannot solve all medical health needs. As the leading enterprise of Internet medical care, Chunyu often faces a kind of entanglement that the core business “online inquiry†cannot meet all the needs of users. Although most users' problems, even many often, multiple, general, and chronic diseases can be answered by interacting with doctors' pictures, voices, and even videos, there are still quite a few problems that must be tested, checked, operated, and face-to-face. The means of disposal can be resolved. If the limitation is only available on the Internet, it will set up a business ceiling for itself and lose the imagination. Furthermore, Dr. Chun Yu's vision is not only to see a doctor, but also to treat a disease. Under the guidance of such a vision, only health consultation is not enough. Chun Yu should provide a complete line with partners including medical institutions. Medical health services under the "on-line" and "in-hospital + out-of-hospital". Therefore, spring rain requires the ability of medical services.
2. The future competitiveness of most hospitals is no longer the ability to operate but the ability to serve. With the improvement of medical level, many major operations have become less due to early diagnosis and treatment, such as tumors, cardiovascular and cerebrovascular diseases. With the change of lifestyle and the aging of society, the proportion of chronic disease management in the entire disease spectrum will become higher and higher. Medical institutions are also divided into pyramids. The medical institutions at the lower and middle levels are more difficult and there are fewer and fewer opportunities for major surgery. It is necessary to develop specialties that focus on service connotation. The competition between most hospitals is from "I will do major surgery" to "I can serve patients well", which emphasizes the patient's stickiness. "Internet + medical health" precisely provides the ability to convert the hospital from a five-day eight-hour work system to a 7*24-hour work system; it is necessary to come to the hospital building to see the doctor, to be able to The doctor got in touch; released many of the needs of the repressed health service. Hospitals that establish online business early will take the lead at the entrance of customer traffic and expand market share. And those hospitals that are still immersed in the practice of surgery will be hit by the downsizing of hospitals that have established Internet service capabilities. Therefore, hospitals need Internet companies like Chun Yu who can help them build such capabilities.
3. The hospital cannot regard “+Internet†as purchasing an IT system, but instead acquires an Internet operation partner that integrates products, technologies and services. Internet-based service capabilities are not just an APP, a service number, or a suite of software. It is a highly integrated service system that integrates product capabilities, online operational capabilities and offline operations capabilities. The empowerment of hospitals is by no means the relationship between Party A and Party B, which are traditionally constructed. Both parties should be more like partners and work together to serve patients. Most of the HIS companies that I have seen so far have been transformed into Internet services, and most of them stop at the role of technology providers. Because understanding the C-end market, building C-end service capabilities is a unique set of enterprise genes, and traditional 2B companies are hard to rely on. The endogenous way is established, and the hospital is limited by the inertia of traditional business, and it is difficult to find out the Internet business entirely on its own.
4. From the global disciplinary development and business model innovation in the medical field, the information technology system with mobile Internet, Internet of Things and big data as the core is becoming the main force to innovate traditional medical services. The hospital's comprehensive informationization and telemedicine tend to be mobile. , all depends on this. In this context, hospitals should take "+Internet" construction as an opportunity to deepen their digital strategic transformation, using their own offline service capabilities, using Internet tools, and when the way of acquiring and distributing medical services changes dramatically in the future, Only have the possibility of flexible turning. Chun Yu should also standardize the methods and tools for serving C-end users, and be able to reproduce them, reduce the learning difficulty of the hospital team, and increase the speed of business expansion.
Therefore, the transformation of Dr. Chun Yu began last year, and the direction is consistent with the national requirements. There is no plan to change, and the wind is broken in accordance with the established direction.
Zhuojian empowers public hospitals and develops Internet hospitals based on physical hospitals
Zhai Jianfeng, the founder of Hangzhou Zhuojian, believes that there are two key points in this policy: one is to allow medical institutions to develop Internet hospitals, and the other is to use Internet hospitals as the second name in physical hospitals. For example, Beijing Hospital Internet Hospital is a Beijing hospital entity.
In addition, this is also the correct name for the development of Internet hospitals at the State Council level, especially the Zhejiang Yi Internet Hospital, which is the first Internet hospital built in China based on physical hospitals.
In recent years, Zhuojian has also helped Zhejiang University Internet Hospital, Beijing Internet Hospital, Zhejiang Ophthalmology Internet Hospital, Hunan Children's Hospital, Taizhou Enze Medical Center and other major influential public hospital Internet hospitals have successfully launched and operated. .
According to Wang Jianye, dean of Beijing Hospital, the Beijing Hospital’s Internet Hospital will build a “healthy cloud†to achieve health data collection and dynamic management, organically combine prevention, screening, diagnosis and chronic disease management, and gradually improve the information of the elderly health university. The platform system realizes the functions of science information transmission, network course communication, information exchange between trainees and clinical staff, and student information management.
In terms of organizational structure, Beijing Hospital will gradually improve the doctor-patient communication platform, health management platform, chronic disease management platform and scientific research data platform to regularly research, coordinate and solve the problems related to the management of the elderly health university. In addition, the hospital has established 18 teaching rooms for senior health universities including cardiovascular medicine, respiratory and intensive care.
Taking advantage of this wave, Yan Jianfeng said that Zhuo Jian's next plan is to empower public hospitals and vigorously develop Internet hospitals based on physical hospitals.
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