The Internet itself is a connection tool, and it is mainly to solve the problem of channel, match, and transaction. It is not a panacea. It is not a tool that can do everything. At least for the very professional industry, it needs to be gradual.
First, let's see that medical care is a very professional field. We can learn from doctors more than 2-3 years more than other majors. It is a matter of too much professional things to let the Internet do. .
Let's take a look at all the big Internet companies in China. First of all, from the perspective of the biggest BAT, Baidu is an eight-headed woman who knows everything, and Ali is a department store. Tencent is changing the way for you to make friends. For friends to entertain, the other big ones are the drip is the driver's life, the US group is the delivery + chef, you see, these are the IT, Internet skills, and can do good things; hospital What do you do with doctors? When you are young, you are saying that you are taking medicine to cure diseases. If you are big, it is a matter of life. I think that Internet + medical treatment is a false proposition. There is no way for this thing to succeed in China. There is no way to succeed in the world. .
Second, it needs to be gradual; most of the current Internet medical care is to engage in the top three, this path is completely wrong; in the same contrast, the taxi company can not find the money to take the taxi company, the US group can not find Quanjude, Beijing University The hotel, Taobao also started from the store two, rather than from the Friendship Shopping Center and Parkson Shopping.
Third, from the most important feature of the Internet "connection", the end users and service groups (C-side) of the Internet medical connection are extremely unstable. No one wants to go to the hospital. I want to go to the hospital and hope to treat it as soon as possible. Your APP is no better. I also hope to use it as little as possible. This is completely different from Taobao and Didi, and there are no repeat customers. These people are either dead. Either I am sick, I will say goodbye to you!
Can it be said that Internet investors are blind in the field of medical care, and there is no Internet in this field? Of course not. I personally think that from the characteristics of the Internet, the operational path and the current situation in China, the future Internet in this field should start with health (management and services).
First of all, a very important message was transmitted from the government policy level. The 18th National Congress of the National Health and Family Planning Commission was renamed the National Health and Wellness Commission. This first expressed that health is a very important national policy in the future.
Therefore, the development of medical care to the big health industry, in this process, medical care is undoubtedly in the hospital (even concentrated in the big three), where health is, health must not be in the hospital, unhealthy, sick to go to the hospital, the core of the big health industry What you have to do is management and service. It must be medical. This is very important. Management is what IT+ Internet is good at, and it can be done well.
Why do we say that we look at health management or chronic disease management. Providing these services is not too mysterious. The core is that individuals are constantly licking your ears: take medicine, rest, eat less. Point, more exercise, very simple, even do not need the nurse to do this level. In essence, what the Internet does on this matter is to provide connections, channels, and transactions.
But at present, domestic Internet medical care is still concentrated in medical care, concentrated in hospital doctors. We look at the top ten Internet medical treatments in 2018: Ping An Good Doctor, Micro Doctor, Good Doctor Online, Health Road, Chun Yu Doctor, Lilac Garden, Ali Health, Medical Care At home, health 160 appointment registration, Jianke.com, which is related to the health word: Health Road, Ali Health, Health 160 Appointment Registration, Jianke.com, but actually go to its official website, and health management, Health services are not related at all.
What do you do with Internet + Health (Management and Services) and where do you do it?
I think it is still necessary to return to the status quo of our country to consider, it is also problematic to consider health in isolation, and health is ultimately linked to medical care, so the management of health and health is still a department: National Health and Wellness Committee; and I The most valuable one in China for medical health is the service network of primary medical institutions (that is, community health service centers, township health centers, village clinics that we have all seen, which are not very recognized). It is a basic public health service network that the country has invested heavily and has made great efforts. The deep integration of the Internet and this primary medical network will make breakthroughs in Internet + health (management and services).
To promote Internet + health (management and services) at the level of primary health care networks in China, the core issues that need to be addressed and addressed include:
First, the problem to be solved at the government level: strong grassroots; why should we strengthen the grassroots level, because the medical insurance can't stop HOLD, it has to collapse, so we must move the medical advance (prevention first) and the patient down (less sick, small) disease).
Second, the problems to be solved by primary medical institutions must first be clear, with prevention and health services as the mainstay, supplemented by basic medical care, and serious illnesses must be turned up; secondly, empowerment, informationization is the main means; Improve quality, this is rigid, does not solve the quality problem, and finally falsification, all good things will get worse.
Third, the problem to be solved by primary medical personnel: burden reduction is the primary priority. The inefficiency and repetitive work can be achieved first through the adjustment of policies (assessment methods) and the means of informationization; the incentive mechanism is more important. The purpose of reducing the burden is to let the primary medical staff do more valuable things, but must be able to get a return.
Only these three aspects of the problem can be solved, Internet + health (management and services) is possible; but this only solves the problems of G (government) and B (medical institutions and personnel), and truly solves C (user patients) The problem, the core grasper, is to truly implement the services of family doctors, and it is also a real solution to the problem of user trust. (We had a headache and brain heat when we were young, not in our own factory, doctors, small clinics, old Chinese medicine practitioners, Tablet medicine <bulk>, up to a few needles on the butt), there is also the problem of the continuity of the C-end user. (On the family doctor team service, capacity building, incentive mechanism, will be discussed separately)
Of course, in the future, we can do it in Internet medical care and can do it! How to do? Forced!
First grasp the grassroots and grasp the end users, you can affect the higher-level medical institutions, in order to truly achieve graded diagnosis and treatment, telemedicine .
In the business profit model, the Chinese government cannot say that there is no money in medical treatment, but it is unrealistic for you to expect the government to invest in health; the government now invests mainly in large hospitals and public health (close to health, but in reality The effect is very poor) and the subsequent medical insurance, so we have to replace it with the government, how to replace it? Some engage in old-age care, this is real estate, not solving key problems, and can not be copied; some engage in medical big data (grafted in smart cities), rely on pure IT to make money, slow and risky (leadership change, urban economy Direction adjustment, etc.); the best practice, policy (this is also a big topic).
"God's return to God, Caesar's return to Caesar", medical care is still a matter of hospitals and doctors. It is not a problem that the Internet can solve (or it is of little value). Health management and health services are things that the Internet can do. The good thing is to mobilize the enthusiasm and initiative of the primary medical institutions and personnel to the greatest extent. They are the closest to the users. It is the second generation of the Internet, the chef and the driver in the health field.
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