Wuzhen Internet Hospital was born almost three years ago, but the "recognition" of Internet hospitals is less than four months - April 28, 2018, "Opinions of the General Office of the State Council on promoting the development of "Internet + medical health"" was issued, " Allowing the development of Internet hospitals based on medical institutions." After experiencing the policy from scratch, from loose to tight, the Internet Hospital finally bid farewell to the "black household" and start a new round of growth. On July 31, the National Health and Health Commission approved the construction of “Internet + Medical Health†demonstration provinces (districts) in Ningxia, and launched a national pilot project for the construction of health medical big data centers and industrial parks. Two years ago, Yinchuan started its first shot in the field of Internet hospitals. The Yinchuan Municipal Government announced that it would build Yinchuan Smart Internet Hospital with the doctor. Today, there are 29 Internet medical enterprises in Yinchuan City, Ningxia, 18 of which have obtained Internet hospital licenses. The total number of doctors registered in Yinchuan through Internet hospitals has reached 20,583, with a cumulative service of more than 7 million patients. The policy is clear and the market is gradually opening. Looking back over the past few years of Internet hospitals, it is inevitable that people will wonder why the Internet hospital broke out in Yinchuan, Ningxia. What is the entry and path of the industry today? Looking forward to the next five years, can commercial health insurance become a new variable that leads the development of Internet hospitals? This article will discuss this one by one. Asked together: Why is Ningxia Yinchuan? What are the advantages of Yinchuan in attracting Internet medical companies compared to other eastern cities? The development process of the Internet hospital in Ningxia Yinchuan can be interpreted from the perspective of geography and policy. The first is the location. Yinchuan is located in northwestern China, and its economic situation and medical level are underdeveloped. According to statistics from the National Health and Health Commission, at the end of April 2018, there were 4,296 medical and health institutions in Ningxia, including 215 hospitals and 3,984 primary health care institutions. The overall number ranked the lowest in the country. At the hospital level, there are only 3 hospitals in Ningxia. The third-grade (A) hospitals are the People's Hospital of Ningxia Hui Autonomous Region, the General Hospital of Ningxia Medical University, and the First People's Hospital of Yinchuan City. In terms of medicines, among the 7580 pharmaceutical production enterprises included in the State Food and Drug Administration, there are only 28 in Ningxia; 991 Internet drug trading service enterprises (medical electricity merchants) and only 2 in Ningxia. In response to the phenomenon of Internet hospitals lining up Yinchuan in Ningxia, in the interview of billions of health, many Internet medical companies have agreed that Yinchuan is a typical “lack of medicine†area. In response to questions related to the Yinchuan Internet Hospital Base, Wang Chuan, director of the Big Data Management Service Bureau of Yinchuan City, mentioned that as an underdeveloped western city, Yinchuan does not have much advantage, but more is a challenge. "Because Internet hospitals are a new medical model, they are very different from traditional medical institutions. However, the current industry management systems, regulations, and norms are not applicable to this new model." Wang Chuan said. But on the contrary, the geographical disadvantage has also created a pilot opportunity for Yinchuan. August 16, 2014, "National Health and Family Planning Commission on the promotion of medical institutions telemedicine services opinions" issued, requiring planning health administrative departments at all levels to actively promote the development of local telemedicine services. By January 25, 2015, Ningxia was selected as one of the five provinces for the telemedicine policy pilot. The National Development and Reform Commission and the Health Planning Commission jointly issued the Notice on Agreeing to Launch the Telemedicine Policy Pilot Project in Five Provinces and Regions of Ningxia and Yunnan, and agreed that Ningxia Autonomous Region, Guizhou Province and Tibet Autonomous Region respectively and the PLA General Hospital, Inner Mongolia Autonomous Region and Beijing Union The hospital, Yunnan Province and the China-Japan Friendship Hospital cooperated in the pilot project of telemedicine policy. In the first half of 2015, relying on the “Smart Yinchuan†project, Yinchuan City launched the Smart Medical-Yinchuan Medical Information Public Service Platform Construction Project and began preparations for the Internet Hospital with the Yinchuan First People's Hospital. In December 2016, Yinchuan successively issued the "Yinchuan Internet Hospital Management System (Trial)", "Yinchuan Internet Medical Organization Supervision and Management System (Trial)" and "Yinchuan Internet Hospital Management Measures (Trial)". In March 2017, Yinchuan launched the "Internet Hospital Professional Physician Admission and Rating System", "Yinchuan Internet Hospital Management Measures Implementation Rules (Trial)", "Yinchuan Internet Hospital Medical Insurance Personal Account and Outpatient Management System (Trial) ) and other policies, to define the scope and direction of the advancement of Internet hospitals. Lin Ying, general manager of Qilekang Strategy, said in an interview with Yi'an Health. Compared with other provinces, Yinchuan's policy system is very comprehensive and involved in all aspects. This is also the early 17 Internet medical enterprises who chose to enter Yinchuan Internet Hospital. one of the reasons. Second question cuts the entrance: What are the paths of Internet hospitals? Observing the differences in the early days of Internet medical companies stationed in Yinchuan, it is not difficult to find out. Some serve the doctor's side, but also the technology provider, medical big data company, etc. Nowadays, the pattern of Internet hospitals has become more diversified, and many companies are building an ecological closed loop around their strengths and looking for a sustainable development path. It is the medical association that is most active in Internet hospitals. After the policy was clear in May 2018, the Medical Association announced that it had signed a strategic cooperation with the Rizhao City People's Government of Shandong Province, and joined hands with Rizhao Dongchen Group to jointly create the “Shandong Medical Union Chinese Internet Hospitalâ€. Chen Junsheng, general manager of the medical doctor platform, said that the Shandong market is still the main market for the medical association. The medical hospital's Internet hospital model is based on doctors, that is, "taking the doctor as the entry point and becoming the hub of the medical Internet." Established in 2014, the medical association initially served as a doctor. After entering the Internet hospital, the idea of ​​the medical association was to build a platform for upstream (doctors, medical devices, payers) and downstream (medical institutions). In addition to the doctor's end, the entrance to the Internet hospital also has a medical end, and the representative companies in this field are Jianke, Qilekang and so on. In the development strategy plan of Jianke, online pharmacies and medical e-commerce are just preludes, and Internet medical treatment is the “big pictureâ€. In an exclusive interview with the health of 100 million euros, Jianke CEO Xie Fangmin said that in the next five years, the health care company will continue to adhere to the strategy of “taking medicine and raising medicineâ€, and empowering doctors with drugs and information technology to build an influential Internet in China. Hospital brand. The development path of Qi Lekang also starts from the drug pharmacy, and after upgrading the offline stores, the coverage and reach of the Internet hospitals in the grassroots communities will be realized. Shi Zhenyang, the founder of Qi Lekang, believes that the development model of Internet hospitals is diverse, and the big ecosystem has become the inevitable result of this industry. As one of the medical subdivisions, Internet hospitals are bound to involve all aspects of the medical upstream and downstream. Therefore, in addition to doctors and medicines, technology, equipment, management, and big data can all become the footholds of Internet medical companies. . The Red Sea of ​​the Internet hospital industry is far from coming, and there are still many different development paths. The question is how Internet medical companies should think about their positioning and layout. On the other hand, including the doctors online, micro-medicine, clove garden, Peking University Medical Letter, Medical Union, Weiji, and doctors, they settled in Yinchuan, and we can find a commonality, that is, before they set up an Internet hospital. There is already a prototype of "Internet + medical" business. When policies and markets become clearer, it is a matter of course to carry out a good exploration of Internet hospitals. To rationalize this relationship, the path of the Internet hospital is not difficult to find. Three questions: The commercial health insurance can become a new variable? Whether it is a physical hospital or an Internet hospital, a complete medical ecology includes different aspects from consultation to payment and management. Specifically, doctors, patients, drugs, medical examinations, and insurance are indispensable roles. Considering that it is difficult for the number of doctors to achieve substantial growth in the short term, there is little breakthrough in the pharmaceutical circulation and medical examination market, and insurance has become the most probable factor. In July this year, the China Insurance Industry Association issued the "China Business Health Insurance Research and Policy Recommendations Research Report" pointed out that based on the compound growth rate of 38% in the past five years, it is estimated that by 2020, China's health insurance market will exceed 1 size. One trillion yuan. However, the relative growth rate of commercial health insurance fell from 10.9 times in 2013 to 3.16 times in 2016, reflecting that the inclination of Chinese consumers to purchase insurance preferences for different types of insurance may be reduced. According to the analysis of the China Insurance Industry Association, commercial health insurance is still in the initial stage of development, and the degree of similarity among more than 4,000 products is high. In addition, the decline in the growth rate of commercial health insurance is also due to the weak capacity of health care management and the lack of health management services. However, this situation is expected to be improved by the advancement of Internet hospitals. The breakthrough of commercial health insurance lies in three key elements, one is health data, the second is health management, and the third is the integration of medical resources. At present, due to the lack of effective patient health data, the control model from treatment to health has not yet been established, and a large number of patients with chronic diseases are not covered by commercial health insurance. The intervention of Internet hospitals can drive the testing and exploration of the entire health insurance from the data side. One of the characteristics of Internet hospitals is online. After accessing Internet hospitals, physical medical institutions are presented electronically from registration to diagnosis, medical records, and prescriptions. When the patient's medical data is accumulated to a certain extent, big data companies can conduct trend analysis to reveal the dynamic relationship between different diseases and quality of life, and provide reference for product development, pricing and risk control of commercial health insurance. In order to achieve effective control fees. In addition to medical data, Internet hospitals will further extend downstream, such as post-hospital rehabilitation and health management. Internet hospitals can realize real-time detection of patients' diseases through technologies such as the Internet of Things, and further manage the diagnosis and treatment of patients. This kind of interaction is conducive to the recovery of patients' health and promotes the transformation of commercial health insurance from purely “insurance protection services†to “managed medical careâ€. The patient is the precise customer base for commercial health insurance. Therefore, the value of future commercial health insurance lies in the realization of the payment loop of medical services from the perspective of patients. From this level, it is understood that how to set up an Internet hospital enterprise to achieve breakthroughs in health insurance will help to further improve its medical ecology and seize the market of Internet hospitals.
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