Fragmentation of medical services restricts Internet medical treatment

For a long time, especially in the current situation of the gradual failure of the graded diagnosis and treatment system in the past five years, China's medical service market is increasingly fragmented. This fragmentation is divided into several aspects. First, the entire medical system is centered on treatment. Doctors have never been able to establish a complete set of prevention and intervention mechanisms for patients, resulting in complete interruption of the continuity of the medical service chain. Leave this ring in the clinic. Before the clinic, due to the lack of professional education, false advertising information was everywhere. After the diagnosis, the lack of professional guidance and disease management also increased the possibility of recurrence of the disease, which eventually pushed up medical expenses. The entire market is full of ineffective pieces.

Second, the weakness of primary care has led to a lack of gatekeepers, which makes it impossible to effectively divert and guide patients. The lack of family doctors leads to a long-term relationship between doctors and patients. Under the premise of not understanding the patients, doctors can not make better treatment for the disease. The unclear curative effect leads to repeated medical treatment for patients and further increase the separation of medical services. Due to the lack of payment to the hospital, the entire medical service market is in a state of disorderly development, and large hospitals vying for patients have promoted the break of the service chain.

Third, the data of the entire medical service is severely fragmented. It is only possible to rely on the patient to collect past medical history and data. The doctor cannot obtain all the patient data to make an accurate judgment. There are a lot of data fragments on the market. Many of them are not structured data, so the hospital can't do the analysis and lose the value of the original data.

From data to treatment to services, the entire medical market is in an increasingly fragmented state. Under the current situation of the separation of service chains, what is urgently needed in the current market is to re-establish the continuity of the entire service system. From the classification and treatment to the establishment of the family doctor system to the data access between medical institutions, the government and the market are Directional efforts. However, rebuilding the medical service chain is not a one-time process, it is a medium- and long-term process. In this process, how to absorb the various pieces into the chain is also very important. If we can't absorb more in the process of reconstruction, but further create more debris, it will run counter to the development trend of the entire medical service, and it will not be able to get real development.

From the above simple analysis, the fragmentation of medical services is both an opportunity and a challenge for Internet medical care. If Internet medical care can promote the current graded consultation and provide supplementary services for pre-, post-, and post-diagnosis, it will be faster in response to market demand. If you rely on doctors in large hospitals to provide full-chain services, you will only create more debris and constrain your own development.

To put it simply, if the entire chain of medical services is to be opened, it is necessary to truly establish a grassroots gatekeeper system and to rationalize the entire multi-level service system with family doctors as the core. In this process, the Internet plays a more important role in revolving around the resulting needs of each visit. It not only includes remote and disease management as the core of the electronic medical record to serve patients, but also the diagnosis and treatment required for the entire service system after referral. In the service chain, some online services are already available, and many are not market opportunities, including remote data transmission and storage, disease management and mobile care.

However, this market trend is just beginning, and online services have not yet undergone major changes, such online services are still difficult to achieve explosive growth in the short term. However, from a trend perspective, the current layout will be a good entry pilot and will be able to gain a foothold in the market early. Moreover, with the entry of a large amount of external capital, especially external capital with resources for the medical industry , offline changes will soon begin, which is conducive to the slow development of such services.

If we can't follow the market factors that promote institutional change, but only based on the current distorted medical service system, blindly pursuing traffic and user volume, we will ultimately reverse our own development and fail. In essence, Internet medical care is a tool for controlling fees, mainly based on the basic medical service. Nowadays, many kinds of Internet medical services are built in large hospitals. Regardless of whether the big hospitals and their doctors have the motivation and time to do the services, the Internet medical services are one-dimensional and one-dimensional. Dimensional. If the entire service chain is built on a large hospital, this not only violates the original intention of grading diagnosis and treatment, but is also unacceptable to large hospitals. Even if the big hospital is really interested in carrying out such services, the resulting services only further increase the fragmentation of market services, because patients can never really get a consistent service.

Therefore, under the premise of the break of the entire service market chain, the development of Internet medical care is greatly restricted, but it also faces enormous opportunities. Any tool that can fill the fracture market will have opportunities, and any model that is attempted to build on it will exacerbate fragmentation and further hinder its own development. This is also the internal rationale for the development of Internet medical care.

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