Internet Medical path dispute: Subversion or service?

According to the attitude towards the large general hospital, the development of Internet Medical Service has been divided into two camps: serving hospital or replacing (subversion) hospital.

The typical representative of the service hospital includes Clove Garden, Kingdee medical treatment, registration NET, Kyushu Pass and so on, the spring rain Doctor and Doctor group always play the role of subversion. The differences between the two sides were particularly pronounced in the "Internet Medical China Meeting", which was established on January 31, 2015.

"2003, if Taobao store department as a retail industry center, to supply it, optimize warehousing, do shop staff etiquette training, then, there is E-commerce?" "In 2015, if we were to treat hospitals as medical centers, to do the same for hospitals, to optimize registration queues, to do doctors ' on-the-job education and to put academic heads to sell pharmaceutical products, would there be future medical care," said Dr Rui, founder of the Chinese medical service in the Internet? ”

Spring Rain Doctor was founded in 2011, claiming to be the pioneer of China Mobile medical, doctors and patients through the spring Rain Network platform online interrogation, according to Rui statistics, the current doctor spring rain has gathered 100,000 doctors, 40 million users.

Lilac Garden founder Li Tiantian not entirely agree with Rui's view, he said on the same occasion: "Light on the network or mobile phone can not complete the diagnosis, some medical behavior is not moved, the Doctor is the core of medical services, and will never be replaced by procedures or machines, hospitals will never disappear." "Clove Garden was founded in 2010, is to serve the doctor's diagnosis and treatment, academic, in-service education, such as the network platform."

And as a representative of the hospital, Peking University People's Hospital Dean Wang San and Beijing Friendship Hospital director Liu that the Internet is difficult to subvert medical or hospital, "the relationship between the two is to grow together, not one side to subvert the other." "Liu said.

In fact, there are two major trends in China and the world that break down hospital functions and strengthen hospital functions, and thus produce a completely different business model, both of which have been supported by huge capital in recent years, but who will represent the future of medical care.

The Subversive is coming!

Recently, Deloitte Consulting published the 2020 health-care forecast, which predicts that by 2020, online patients will grow exponentially and a large number of retail clinics will emerge.

Rui quoted Deloitte as saying that patients became their own patron by the development of genetic technology, quantification of self and precise medical care, and that the family would be the main place for health care, as online clinics were being integrated into health care and mobile surgery centers, and online patients were growing exponentially.

"By 2020, today's Union hospital will only have acute severe treatment, difficult treatment, large-scale surgery, medical research and other functions, most of the diagnostic behavior online completed, the doctor and patient across the hospital to establish a point-to-point relationship, artificial intelligence part of the replacement of doctors, transnational interdisciplinary consultation becomes the norm." "Rui said.

Rui's predictions are not unfounded. In recent years, there has been a large number of disintegration hospitals in China, the commercial companies that replace the hospital functions, and are favored by the capital, these startups, in addition to the spring doctor, including Zhang Qiang Doctor Group, Huada Gene, Dean Diagnosis, Ali Health, and a large number of wearable equipment companies, the hospital surgery, detection, imaging, chronic disease management, Pharmacy and other functions gradually separated.

Zhang Qiang, a group that separates the most lucrative surgical procedures in the hospital, was established in mid-2014, also known as the "Doctor's practice group" or the "Doctors ' practice organization", in an attempt to build a free practice platform for doctors who have gone out of the system.

Zhang Qiang told the 21st Century Economic Report: "The establishment of more than half a year, the medical Group has formed five team of experts, with the Harmony family, Ward Medical Center, completed outpatient, surgery 700 cases, is scheduled to open in 2016 in Hangzhou Day Surgery Center." ”

The Huada gene is the representative of the gene technology mentioned by Rui, it was founded in 1999, undertook the Human Genome Project 1% Sequencing task, has developed the tumor, noninvasive prenatal, congenital disease, cardiovascular disease gene detection technology, the HUADA gene although still rely on hospital channel promotion products, but its slogan is "My genes I know , my health I am the Master ", from the date of birth, the hospital will be part of the detection function separation.

Independent testing companies also include Dean Diagnosis, Haina medical letters, and so on. Dean's testing is almost entirely a replacement for the hospital's testing center, an independent third-party medical diagnostics service that provides diagnostic services as its core business, which was launched in 2011, while the medical letter is focused on the image of the hospital, which replaces the functions of the imaging centre.

Representatives of wearable equipment for nine health care, since 2010, the company has been involved in mobile health care, and in the last year, the millet company injected 25 million U.S. dollars, has developed a sphygmomanometer, blood oxygen instrument, blood sugar, weight meter, heart rate meter, users can collect data upload cloud, in order to achieve healthy self-management.

Trying to subvert the hospital's Internet medical company Ali Health chose to advance the hospital service, and then take part of the hospital function path. At present, Ali's healthy landing projects include mobile payment and pharmaceutical electric dealers, the former through Alipay save patients to register, take medicine and other aspects of waiting time, the latter through the pharmacy competition instead of hospital pharmacy function.

For future development plans, Ali Health chief operating officer Zhangshouchuan to the 21st century Economic report reporter said: "You want 10 minutes, can think of Ali want to do." Jack Ma, the founder of Alibaba, predicts that most doctors will lose their jobs.

Describing the future medical picture, Rui said: "The 2020-year Chinese medical landscape is specialized (specialist hospitals, third party testing, surgery centers), fragmentation (convenience store clinics, home clinics) and networking (online diagnostics, chronic disease management)." ”

Who is willful?

But Rui's assertion of medical subversion has been questioned, even by the view that he is too "willful". The voice of doubt also comes from Internet medical practitioners.

"There is no diagnosis on the Internet or on a mobile phone, some medical behavior is not moving, the Doctor is the core of the medical service, and will never be replaced by a program or machine, and the hospital will never disappear." Li said at the founding ceremony of the Internet medical China meeting every day.

Li Tiantian that medical care can sometimes be moved, moving links in the process, such as payment, look at the test sheet, navigation, and simple interrogation can bring huge risks.

Li Tiantian, a neurologist who used his own treatment of patients to refute the assertion of subversion. "Some people say that a few lines of typing on a cell phone can complete the interrogation, but I have to look at his speed, reaction and demeanor in addition to the patient's condition, and I don't see it on the phone," he said. Although the video can observe the patient's expression, but I can not touch him, pinch him, take a small hammer hit him. In addition, the patient should be made blood routine, urine routine, or to more comprehensive data collection. ”

In fact, the number of Internet medical companies serving hospitals and medical care is much larger than that of subversive people.

Kingdee Medical, registered network, such as mobile payment software is widely used in hospitals, patients through such software, can be registered on the phone, pay, check, etc., save the patient waiting time.

In addition, some more professional Internet Medical Service systems include the storage Management system (LMIS) developed by Kyushu, the equipment Control system (WCS), Transportation Management System (TMS), Drug regulatory Code collection and other systems to serve the hospital's drug procurement and logistics links.

With the help of the Internet in the hospital, the People's Hospital of Peking University integrates the front and the courtyard, including the CCU, the catheter room, the emergency room and so on, and realizes the whole process management of assets, logistics, high value consumables and low value consumables.

In fact, the hospital side or the doctor is more inclined to serve the hospital Internet medical rather than subversion, a doctor after watching Li every day "future medical is sour" speech, said, "Lee everyday very realistic, have ideals, not impulsive." ”

Compared with the Internet application of Subversion Hospital, the service hospital system has gradually formed a more mature business model and started to realize profits, such as Kyushu Tong, Clove Garden. The business model of the subversive is still not widely accepted.

Wang San said: "For Internet health care, we rely on investors to invest in future expectations." In fact, so far not clear about its operating model, it is now on the expectations of the investment, although the United States last year, 4.1 billion of dollars in the U.S. investment, but which business model has not been perfected and recognized. ”

Although the Peking University People's Hospital and Beijing Friendship Hospital in the introduction of Internet medical treatment in the forefront of the country, but the two hospital directors do not believe that the Internet can subvert medical or hospital.

In Wang San's view, "Internet, IoT, mobile platform, large data, cloud computing, cognitive computing and other technology applications, whether for clinical, or research, teaching, has brought new opportunities, but it is not possible to subvert the essence of medicine itself." ”

"The relationship between the two is growing together, not one party subverting the other." "Liu said.