Internet Medical, registration of the story is over?

October 28, the Fun Medical network chairman Li announced "from November 1 onwards, input 400 million yuan, the implementation of free registration activities, users use the" go to the hospital "app registered, can be exempted from ordinary registration fees, not limited to the number of registered medical department, the users all over the country can be in the" Go to the hospital "app has been online hospital use, The move is meant to "change the patient's habit and foster a medical mobile internet market".

News, immediately ushered in the industry to query: "China's total health care costs about 3 trillion yuan, 3 trillion unchanged habit, 400 million want to change?" "Relatively speaking, in the Internet to carry out registration business, the interesting medical network is undoubtedly a new entrants:" From 2007, the beginning of the ambassador, many enterprises have been in this field has been a lot of exploration.

However, the use of the Internet for registration, on the one hand, there is a wide range of user registration channels, the joy of convenience, on the other hand, "registration is difficult" is still the confusion.

So, the question is: where is the root of the difficulty of registration? The internet in the registration of the medical resources allocation of the initial link, now can solve what problem?

The industry said: simple to say "registration difficult" is a false proposition

"Simply saying ' registration is difficult ' is actually a pseudo proposition. "National famous three hospitals, Shanghai Oriental Hepatobiliary Surgery Hospital Director Maixiaopo First corrected the problem itself," in the Community Health service centers, secondary hospitals and many local hospitals, registration is not difficult, even in Beijing, Shanghai's most famous hospital, many doctors are not difficult to hang. He added: "The really difficult number is the number of individual doctors in Beijing, Shanghai, China's largest city or some of the best hospitals in the region." ”

"Why are these doctors ' numbers so hard to hang?" Maixiaopo went on to say, "In fact, everyone's medical practice and the doctor's technical Labor value evaluation system out of the question." "He asked NetEase technology:" If you find the so-called most famous doctor, but the registration fee and the price and most of the doctor's fees are similar, how would you choose? ”

Maixiaopo that under the existing system arrangement, the doctor's technical labor service value does not get the reasonable embodiment, this causes the price to malfunction in the resource allocation, causes the highest quality medical resources supply and demand serious imbalance. "In addition, expert professors at famous hospitals at the same time the high prices of special outpatient and Low-cost General out-patient clinics, in fact, for the black market to provide profit for the yellow cattle empty." ”

Maixiaopo that "public hospitals have medical resources that are common resources, but we do not now want to understand the two questions: first, how much should the doctor pay doctors, and secondly, who should pay the money." "The medical expenses here refer to the registration fee, not the inspection and the medicine cost, which is the medical service and the labor income." "It is not possible to seriously underestimate the cost of medical treatment for doctors because there is no solution to the payment problem." "To solve the contradiction between the supply and demand of high-quality resources should be different between different hospitals in the price difference between the same doctor should have the same price, the so-called" difficult to register "will not be as prominent as now.

Maixiaopo, for example, "Today's apps, mobile devices, like a bowl from the porcelain bowl, into the Iron Bowl or even the Golden Bowl, but the bowl is filled with what?" ”

Is the story over?

However, in the current situation, the use of Internet means to carry out the search for registration is not in recent years to start.

According to a public information published by the Beijing Municipal Health Bureau in 2009,

Through the information means to carry out the appointment registration service form began in 1995, the earliest is some hospitals opened the telephone appointment registration service.

In the 1998, with the development of government Internet project, health informatization was also put on the agenda. September 1999, there have been enterprises and related departments to cooperate, through the Beijing Municipal Health Bureau website opened a centralized network booking registration services. At that time, the main three-level hospitals and some large specialist hospitals were involved. At the same time, there are also: enterprises through cooperation with the bank in the above-mentioned hospitals to provide similar services, a few hospitals also run their own appointment registration system.

However, with the continuous operation of the system, the increase in the number of users, the original booking registration service in many areas has been unable to meet the requirements of users, whether the company or the hospital's own appointment registration system operating beyond their means, the system operation and development is stagnant and gradually shrinking.

Since then, in order to love Kang Network Health Technology Co., Ltd. (that is, after the love of Kang Ambassador) for the representative of the main health management of social forces to join in. May 2005, Beijing Ai Kang Online Technology Co., Ltd. will be "Beijing appointment registration card" and "Health card" service integration, by the company is responsible for the operation. Since then, the company through cooperation with China Netcom, the appointment of registration services to upgrade the perfect. Love Kang Company also through the joint, financing, such as the formation of the Love Kang Ambassador Group, business content has been expanded. At that time in Beijing, the group had the largest number of cooperative hospitals and the most service coverage. According to media reports in 2009, the Ambassador of Love and health and more than 400 medical institutions to establish a cooperative network, can be booked in the major cities tens of thousands of specialist.

2009, the media questioned the sale of health Care card by the ambassador to the appointment of experts is the "number of traffickers group", set off a heated debate. After that, the AI Kang Ambassador gradually faded out of this field.

September 2009, the Ministry of Health on the implementation of the appointment of medical services in public hospitals, published, which said that "in the beginning of November 2009, all level three hospitals in public hospitals have to carry out the appointment of medical services, the second level of the hospital will gradually carry out this work." "In February 2010, the Ministry of Health issued" on the Improvement of public hospital service management to facilitate the public medical treatment of several views, which put forward the "insist on promoting the appointment of medical services" and so on.

April 2011 published in the "Health newspaper" in the article "to give play to the advantages of social resources to carry out intensive appointment and diagnosis and treatment services," the exploration and practice show that since August 2009, the Chinese Hospital Association and the "Health newspaper" United China Unicom Group and other units, in the national "Eleven-Five" Science and Technology Support Program science and technology achievements, based on To provide the hospital with "intensive booking service platform", the hospital can be based on the platform to establish a hospital with its own characteristics of the appointment of diagnosis and treatment services, through the telephone and network for patients to provide appointment services.

"Intensive booking and diagnosis and treatment platform" is aimed at many hospitals in the development of appointment and diagnosis and treatment of common problems encountered in the planning and design, these problems mainly focus on three aspects, such as hospital, patient and service mechanism, which are the economic waste caused by the repetitive construction of the hospital reservation system, the inconvenience to many patients, Decentralized operations inefficient, the problem of the low rate of reservation telephone, the serious waste of medical resources caused by the high turnover rate of patients, the illegal inverted number of the famous hospital "dealer", the imbalance in the appointment of the doctor, the low proportion of the patients in the Community referral appointment; A small number of hospitals due to technical and institutional problems caused Simple to deal with and so on.

According to media reports, the platform was also explored in collaboration with the medical school, the study of the Group hospital outpatient Appointment and consultation service system, the patient's entire process of service management, outpatient out-patient appointment, the different ways of outpatient appointment services, comparative research, outpatient appointment registration service customer satisfaction research and other topics. However, the work on this platform did not continue for about 2011 years.

At present, in the field of registration of Internet, there are both commercial websites and apps represented by registered network and 160 medical treatment, they either cover the whole country or focus on some regional development, also have the official registration platform of each hospital or region. In addition, some banks also carry out similar services. China Mobile integrated Information Service platform 12580, Chinese Telecom and the 114 directory, etc. also provide such services.

A number of respondents told NetEase technology, these platforms are different ways to get the source. Some hospitals are built a pool, there are seven or eight entrances, who hang out who. Some hospitals, is to take a fixed proportion of the number source allocated to the corresponding platform, the proportion of different sizes. "Each platform to fight is the user experience, generally which platform experience is good, after a period of time, that platform registered people will gradually increase." Insiders told reporters.

However, the family also admitted that, although the continuous improvement of user experience and the fight against cattle is a long-term work, but completely eliminate the "ox" is not easy. "Like a train ticket, there are many ways to do it," he said. A person in the industry said, "the number of the best doctors is also to be robbed through the Internet registration." ”

"Informatization can only solve the problem of process, and can not solve the problem of shortage of medical resources." "Interesting medical network chairman Li have a sober understanding of this, he told NetEase Technology, registration is only a small part of the medical network business, interesting medical network to get through the whole process of medical treatment, made an open platform, in the future can be connected to more third-party applications. This is also the reason why many commercial websites adhere to the registration business, although the registration business does not make money, or even paste money, but it can help enterprises to obtain users, as for profit, can provide value-added services on this basis.

The good Doctor was founded in 2006, in the Internet medical field is one of "veteran", but has never been involved in the registration business. Good Doctor online Vice President Hepo told NetEase Technology, good doctor Online has always believed that the registration is difficult to be a resource supply and demand problem, the Internet registration and Rob train ticket, can not fundamentally increase source, "is just to line up, changed to be in the Internet grab, rob the method is not the same." "To achieve effective allocation of medical resources, professional triage is needed," she said. ”

An early career in the field of Internet registration, now has a career change to tell reporters, the national three hospitals about 1000, the existing platform has basically divided the source of these numbers. "The story is over. "He believes that in recent years, some commercial sites in the field of exploration has not shown too much new ideas," can do almost all finished.

Another voice: The story is just beginning

Yet those still working in the field believe the Internet can bring more change.

Although the Internet can not fundamentally increase the supply of high-quality medical resources, in many years of practice has not eradicated the "ox" inverted ticket, but is being able to do their best to eliminate the advantages of asymmetric information, showing new value.

"Most of the time, not enough medical resources, but information asymmetry." "Registered network CEO Liojie said," China's 2.6 million doctors, at least hundreds of thousands of are not well-known but there are skills doctors, the past people do not have a good channel to understand them, do not know which Doctor is the most suitable for their own, so that the "National People run Concord." ”

The ambition of the registration network is to do the national grading diagnosis and treatment platform. Liojie told NetEase Technology, registered network continued to launch patients in the Internet after the use of real name recommended doctors, "hundreds of thousands of unknown, there are skills doctors dug out." "At present, more than 12 million of the patients on the registration net have evaluated their doctors for their real names and have been good at voting for doctors," he said.

A good doctor does not register online, but is doing a referral plus. This is not a first-come first-served, but the "priority system", these sources do not occupy the normal hospital registered resources, is a doctor to extend the outpatient service, special to patients with the disease needs to provide the opportunity to visit. Patients need to submit information on the condition, after a good doctor online pre-audit, the doctor to review the confirmation, through the confirmation, the patient will be eligible for the plus sign.

Medical treatment 160 was founded in August 2009, was originally the Shenzhen Municipal Health Bureau, Dongguan City Health Bureau of the official booking registration website, its founder Lonning found that the hospital in the use of the Internet for patients to provide registration, also quietly changed. He told NetEase technology, at the beginning, many hospitals put the source on the Internet some passive. However, they are discovering that the use of the Internet to carry out registration services has two advantages: first, can help the hospital wrong peak, many hospitals peak is Monday to Wednesday morning, other time also not so many people, registered online, the doctor registration is transparent, patients will stagger the peak; second, it can help doctors filter patients, Registered in the Registration window, many patients do not know which doctor to hang, registered sometimes more blind, but through the Internet registered patients, generally to their own doctors have a certain degree of understanding. "So, now many hospitals from the past passive into the initiative, often give us the initiative to ask." ”

According to figures published by the National Health and Family Planning Commission, the number of outpatient clinics in the national medical and health institutions in 2013 was 7.3 billion. And in the registration network and medical treatment 160 of these two currently larger medical platform, the published services are only more than 20 million patients. To medical treatment 160 For example, Lonning told NetEase Technology, Shenzhen is the online booking registered more active city, medical treatment 160 in Shenzhen is the official booking registration platform, the number of registered per year also accounted only for Shenzhen City out-patient volume of about 20%. "Internet registration is just beginning. Lonning said he believed that if anyone could become an Internet health portal in the future, it would surely grow into a great company.

Registration, will be such a "entrance"?

(Responsible editor: Mengyishan)