Interpretation of remed2015 China Internet Medical Development Report (2)

Source: minenet's 2015-7-13 social hot words list, "Internet +" ranked second, I'm afraid that no words can be the top In many industries of "Internet +", medical treatment is considered to be the biggest outlet this year Various emerging Internet companies and capital flow into the medical circle, setting off a boom of reconstruction of medical ecology At present, Internet + medical tries to reconstruct the traditional medical ecosystem, change the health management mode, medical treatment mode, medical experience, drug purchase mode, doctor-patient relationship and other aspects This point of view is clearly put forward in "remed2015 China Internet Medical Development Report" (hereinafter referred to as "the report") However, in the field of Internet health care, there are still not enough successful profit models and widely applicable solutions for reference In order to explore the development direction of the industry and deeply understand the development trend of the Internet + medical industry, the Internet Medical China Conference held the second Remed reconstruction medical ecology Summit Forum in Beijing from July 10 to 11, 2015, and released the remed2015 China Internet Medical Development Report (Second Edition) 》It further discusses the role and development opportunities of Internet medicine in reshaping the efficiency of medical resource allocation, improving the national hierarchical diagnosis and treatment system, optimizing the structure of medical insurance revenue and expenditure, and reconstructing the form of medical relationship The following is the highlights of the report: the unreasonable distribution of medical and health resources in the traditional medical industry of diagnosis and treatment has a long history No matter the regional differences between the East and the west, or the siphonage of talents and resources from the third-class and first-class hospitals to the grass-roots hospitals, the current distribution of medical and health resources is unbalanced According to the statistics of the outline of national medical and health service system planning (2015-2020) adopted by the executive meeting of the State Council on January 19, 2015, the total number of beds of health institutions in the east of China accounts for more than 40% of the total number of hospitals in China, while that in the west is only 29% There are nearly 42000 more medical institutions in the east than in the West The resources of doctors in eastern developed cities are three to four times higher than those in western cities Not only in quantity, but also in quality, high-quality medical resources are excessively concentrated in large hospitals in big cities, which leads to problems such as poor medical treatment in small hospitals and "difficult and expensive medical treatment" in large hospitals In order to drain the patients to the primary medical institutions, China vigorously promotes the hierarchical diagnosis and treatment measures, hoping to establish and improve the two-way referral between the three-level medical institutions and the primary medical institutions, so that the health and diagnosis and treatment information of patients can flow in time between the various medical institutions, and establish a medical service system of mutual cooperation However, seven years after the new medical reform, the construction of hierarchical diagnosis and treatment system in China still has no obvious effect Another important task of the new health care reform is to separate medicine from medicine, and cancel the policy of "supporting medicine with medicine" Since the implementation of the policy in 2013, all regions have implemented it The government hopes that the proportion of medicine income of public hospitals in hospital income will not exceed 30% by 2017 Before that, the cost of medical services in hospitals was low, but the burden of medical insurance was heavy due to the high drug price and excessive medical treatment, in which drug revenue accounted for 45% of the total revenue of hospitals From medicine to medicine, grass-roots hospitals need to enhance service capacity, increase the number of people seeking medical treatment to increase medical service income Public hospitals need to reduce the use of high-priced drugs, prevent excessive medical treatment to reduce medical insurance expenses, and implement hospital information management to reduce the cost of hospital operation However, it puts forward higher requirements for medical and hospital operating costs In addition to the contradictions and problems among the demand for profit, the public welfare required by the function itself and the administrative intervention Doctors and patients also have many pain points in the current medical ecology For doctors, especially doctors in large hospitals, the pain point also comes from the heavy workload brought by the strong medical demand, the public welfare required by the function itself, and the low income and promotion difficulty brought by the policies and regulations According to statistics, more than 92% of doctors feel tired in daily work For patients, "expensive and difficult to see a doctor" has become a recognized social problem The three pain points aggravate the tension between the medical service parties, and the lack of mutual trust leads to a huge waste of medical resources that are not enough The structural problems in China's medical insurance industry are also a big challenge The classification of medical insurance is unreasonable, the proportion of government medical insurance is too high, the burden is heavy, the total amount of commercial insurance is low and the types are few The medical insurance revenue and expenditure are unbalanced, and the pressure of expenditure is great The lack of fee control mechanism, the inability to prevent excessive medical care, medical insurance fund management model is not perfect The payment of medical insurance is not convenient, the payment standard is unreasonable, and it is difficult to meet the needs of the insured Lack of personalized insurance scheme, lack of diversification of medical insurance scheme Internet reconstruction of medical relations first breaks the tradition, can take the patient as the core to reconstruct the relationship between all parties, and improve the experience of patients in all aspects of medical treatment is the value of internet medical treatment Its main entry is the needs and pain points of patients in medical information acquisition, medical treatment process and communication At present, a hot spot online consultation service can not only connect to health management forward, provide health consultation service for users, but also connect to guide and register service backward Through online consultation, patients in need can be led to offline hospitals and pharmacies In addition, with the rise of online social network services, medical social sites for patients have emerged The online patient exchange platform gathers a large number of data, such as medical condition, patient treatment evaluation and quality, drug response and efficacy It can not only provide effective treatment related information exchange place for patients, but also provide valuable data support for pharmaceutical enterprises, hospitals and scientific research institutions The application of big data in the field of public health is gradually spreading, and the application value is increasingly valued From the perspective of doctors, the current services take mobile electronic medical records, drug dictionaries, medical literature databases and other clinical decision-making tools and medical social networking sites as the two main streams, so as to open the information island and connect doctors to reconstruct medical relations The services from the perspective of hospital mainly focus on the mobile information and telemedicine Medical mobile information connects hospital services with patients' intelligent terminals, enabling them to complete registration, doctor-patient communication, medical insurance and drug payment and other operations on mobile phones Relationship reconstruction is the core of the development of Internet health care At the same time, if the Internet can reconstruct the medical relationship in the above three aspects, it will be able to reshape the efficiency of medical resource allocation to a large extent, improve the national hierarchical diagnosis and treatment system, and optimize the structure of medical insurance revenue and expenditure With the development of cloud computing, Internet of things, mobile Internet, big data and other information technologies, Internet medicine has the conditions and capabilities in the reconstruction of medical resources With the help of the characteristics of Internet beyond physical time and space, it promotes the transformation of medical and health service mode and management mode For example, through the establishment and dynamic update of three databases of population information, electronic health records and electronic medical records covering the whole country, information sharing and business collaboration of medical services, medical security and public health services at all levels can be realized With the help of mobile Internet and intelligent terminal, the time for medical service is ripe At present, China has opened a number of pilot projects of online hospital grading guidance mode, Internet Medical Association and community health management and chronic disease management platform with the help of Internet, using doctors' fragmented time to provide services for patients, expanding doctors' practice radius and promoting the development of grading diagnosis and treatment system In addition, the Internet can ensure the balanced development of medical insurance industry by reducing medical insurance expenditure, preventing malicious insurance behavior, improving the convenience of medical insurance payment, and improving the diversification of medical insurance.