China's medical industry may see 10 major changes in the post-epidemic era!

After the outbreak of novel coronavirus pneumonia, although some experts predict that the tragedy of SARS will not be repeated 17 years ago, the fact shows that the outbreak is more ferocious than SARS, and the severity is far beyond SARS The number of infected persons exceeds 70 thousand, and the number of severe cases is nearly 10000, with the death toll exceeding 2000, which is called the super plague Experts are still debating whether the turning point has arrived, but we can be sure that with the full response of the Central Committee and the overwhelming efforts of the medical staff, the epidemic will eventually pass However, the great plague has a huge impact on the whole medical industry 1、 The social status of medical care or the great promotion at this stage! When the vast majority of industries were hit by the epidemic, the biggest impact on China's society may not be the economy, but the people's psychology: without health, everything is floating When the virus launched indiscriminate attacks, only the medical staff were the main force to fight against the epidemic, and paid a huge sacrifice Therefore, it can be said that since the outbreak of the epidemic, the whole society, including the media, has given more respect and praise to front-line medical care than the sum of the past 17 years "War" will always pass How should the whole society treat and treat the medical community after the war? I believe that in a period of time, both the government level and the public level, will give the medical industry a lot of respect and courtesy It is understood that in order to reward the doctors and nurses participating in the war, some places and industries have already issued a series of policies on courtesy treatment of doctors and nurses Hubei Province has added scores to the middle school entrance examination of medical and nursing children, and many scenic spots across the country are open to doctors and nurses for free However, we need to remind that memory is often short-lived, and harmonious doctor-patient relationship relies more on the acceleration of medical reform to promote high-quality medical care into the mainstream, and the culture of respecting medical care is rooted in Chinese society Otherwise, when disgraced doctors and wounded doctors return, the triumphant white clad soldiers may feel cold and cry 2、 Hospital sense prevention and control may usher in a major upgrade! At the critical moment of the epidemic war, the medical community wept over 3000 doctors and nurses were infected, many doctors and nurses were sacrificed, and some tertiary hospitals even suffered from the collective hospital infection In addition to the super transmissibility of the new coronavirus, the slow warning of disease control departments, and the lack of medical protective equipment, there is also a very important reason, that is, the lack of awareness of protection of front-line doctors and nurses in the early stage of the epidemic, the lack of protective experience, and the lack of hospital management at the hospital level Wu Anhua, chairman of the infection control branch of the Chinese Preventive Medicine Association and professor of the Xiangya Hospital, Central South University of Hunan, admitted in an interview that this should not have happened If we do a solid job, at least we can reduce many medical infections The academic sense of the subject has now reached the time of non construction It is understood that this is related to the lack of hospital sense management and awareness of prevention and control for a long time Taking outpatient doctors as an example, it is more common not to wear masks, and some hospitals have asked doctors and nurses to "remove masks" to shorten the distance between doctors and patients It is understood that for a long time, although shouldering heavy responsibilities, it is related to the health and even life of medical care and patients, the hospital sense Management Department of administrative type has not attracted enough attention in many hospitals, and the infection department responsible for clinical diagnosis and treatment of infectious diseases is also so, and the gap between relevant professionals is huge It can be predicted that, after the impact of the epidemic, the construction of hospital management department and infection department in China's hospitals will usher in a huge opportunity, not only the awareness and level of hospital and medical hospital sense protection will be greatly improved, it is estimated that going to the hospital to see a doctor and wearing a mask will also become a habit 3、 China's disease control system will usher in modern reform! Although after SARS, the government invested heavily in the work of disease control and prevention, the performance of China's disease control system was difficult to satisfy the senior management, the industry and the public when the new SARS epidemic hit, so that when the big test came, the leaders of individual centers for Disease Control and local health departments were like sitting on the powder keg of public opinion In an interview with China News Agency, Feng Zijian, deputy director of China Center for Disease Control and prevention, admitted that the disease control system has always had problems such as weak power, unclear boundaries between functions and administrative departments, as well as management, assessment, evaluation, incentive and other issues Therefore, after the epidemic, China's disease control system is bound to usher in a significant reform Leaders also pointed out the direction for this: "we should take the construction of the national disease control system as a fundamental construction, strengthen the construction of prevention and control talents, scientific research forces, legislation, etc at all levels, and promote the modernization of the disease control system." 4、 Large hospital beds may usher in a new round of construction tide! In fact, Wuhan is one of the cities with relatively developed medical resources, which is positioned as the "central medical capital" Therefore, when the outbreak comes, the news of shortage of medical resources in Wuhan comes out, not only makes people feel the seriousness of the epidemic, but also makes the industry shocked According to the national ranking of large hospitals, Wuhan Union Medical College Hospital, Tongji Hospital and Hubei people's hospital have nearly 20000 beds in total, ranking among the top 10 hospitals in China However, in the face of severe epidemic situation, in the face of tens of thousands of confirmed cases and nearly ten thousand severe patients, the serious shortage of ICU and the non-compliance of ordinary ward with the standard of infectious disease ward and other restrictions, Wuhan could be proud of the rich medical resources, suddenly become inadequate In the view of the insiders, after this round of epidemic, the mode of Affiliated Hospital of Zhengzhou Dayi may be favored by more local governments, and the ICU ward of provincial and municipal hospitals may usher in a round of expansion Moreover, the general ward may also usher in a new round of construction tide 5、 Hierarchical diagnosis and treatment upgrading: strengthening the grassroots is imminent! Novel coronavirus pneumonia is regarded as a good medicine for solving the difficult problem of Chinese medical treatment From the perspective of Wuhan, which is the most serious epidemic area, the test of primary medical care is also very severe It is hard to imagine that due to the lack of beds, the community health center has also rushed to the front line of treatment for the new mild pneumonia patients China's Liu Sheng, the victim of the outbreak, came from a community hospital in Wuhan As we all know, under the inverted pyramid medical system, China's high-quality medical resources at the grassroots level have been siphoned by large hospitals for a long time Some grassroots hospitals are even mainly engaged in public health work, and their medical functions are seriously degraded It can be predicted that as the epidemic situation gradually ends, strengthening the grass-roots level is not only related to the success or failure of the construction of hierarchical diagnosis and treatment system, but also very important for the prevention and control of major epidemics The state's investment in grass-roots medical treatment will be further increased, and the training of general practitioners will be further put on the agenda 6、 The tide of large-scale social medical construction may accelerate! Novel coronavirus pneumonia has been encouraged by many local governments on the way to social medicine The government has provided large scale subsidies to hospitals of three levels When the new crown pneumonia epidemic strikes, this measure has been rewarded Large private hospitals, especially large comprehensive hospitals, have obvious advantages Take the Wuhan novel coronavirus pneumonia as an example As a three level comprehensive hospital, the Wuhan General Hospital of Asia provides 400 beds for the epidemic prevention, and is used to treat new crown pneumonia patients Not only that, among the medical teams going to Hubei, Xi'an International Medical Center, a social medical institution from Xi'an, sent a medical team composed of more than 200 doctors and nurses at the call of local health authorities It can be seen that in the face of disasters, especially major epidemics, large-scale social medical institutions are an important force that the government can rely on to fight the epidemic It can be predicted that under the impact of the epidemic, local governments will not only continue to increase the investment in the construction of beds in public hospitals, but also further encourage the development of large-scale social medical institutions, and increase the high-quality medical resources for disaster response in a market-oriented way 7、 A number of medical institutions may go out of business! The reshuffle has come In the reader group, there are many doctors who are interested in the market and have gone to the market In recent years, with the support of the national policy of vigorously developing health industry and encouraging the society to run medicine, the medical entrepreneurs who run clinics, hospitals and doctor groups have sprung up in large numbers, including those who are not in the medical field, but also those who are experts and laymen In 2019, the medical market experienced a winter of financing, which frustrated some medical entrepreneurs' plans However, the real test is coming A number of health care entrepreneurship projects with unhealthy cash flow, especially large-scale chain clinics, general hospitals, and doctor groups, may face the tide of bankruptcy It is said that Xibei catering chain affected by the epidemic has obtained bank loans, but for some medical entrepreneurs in trouble, because there is no brand, the access threshold of medical institutions is getting lower and lower, it is difficult for white knights to appear, collapse, change owners or high probability events Therefore, it can be predicted that after the epidemic, the field of medical entrepreneurship will usher in a big reshuffle, and the era of medical entrepreneurship mainly relying on financing will never come back 8、 Medical insurance settlement in different places may be accelerated! As we all know, with the continuous promotion of reform and opening up, China has already entered the era of large population flow, and the demand for medical treatment in different places is huge However, due to the historical reasons of medical insurance fund management, the medical insurance payment system in China has been not active in promoting the settlement of patients' medical treatment in different places Some areas with tight medical insurance fund have set many obstacles for patients' outflow The speed of medical insurance settlement in different places is relatively slow However, after the outbreak, a large number of people flow from Wuhan to the whole country All treatments are reimbursed by medical insurance first, and other parts are borne by the state finance Therefore, no matter where medical insurance pneumonia patients flow, in theory, the cost of treatment should be paid by the medical insurance fund of the place where medical insurance is paid first Therefore, a smooth remote settlement system and mechanism of medical insurance is very important It can be predicted that this epidemic is a large-scale preview of accelerating the construction of remote settlement system of medical insurance, which is of great significance to promote the remote settlement of medical insurance after the epidemic 9、 The era of Internet health care and intelligent health care is speeding up! In recent years, whether it is internet medical or intelligent medical, it is no longer a new term, more and more mature in technology, but the development is not ideal In the case of internet medical treatment, online diagnosis and treatment is almost limited to institution to institution After a gust of wind, Internet hospitals are almost contained, and the Internet of hospitals is not ideal, which mainly provides online services for patients with chronic diseases As a result, an internet medical founder who started from the Internet put forward a pessimistic view that "mobile medical care can't be moved" and went to the entity clinic However, under the impact of this epidemic, in a period of time, the offline diagnosis and treatment of common diseases are strictly limited, and some hospitals cannot afford to even actively close the outpatient service In other words, under the impact of the epidemic, the necessity of Internet diagnosis and treatment of some common diseases has been put on the agenda According to the monitoring data of Analysys Qianfan, during the Spring Festival in 2020, the daily activity peak of independent app in the field of Internet Medical online consultation reached 6.712 million, with a maximum increase of nearly 1.6 million, or 31.28% In addition, novel coronavirus pneumonia free Internet treatment / online consultation service was carried out in over 200 public hospitals according to incomplete statistics It can be predicted that in the next few years, no matter the third party, such as Haofu online, Weiyi, Ali health