The Arterial Net and Eggshell Research Institute continued to pay attention to the development of Internet hospitals. In November 2016, the “2016 China Internet Hospital White Paper†was launched, which analyzed five dimensions of medical services, medical qualifications, connection breadth, connection depth and connection dimension. The service maturity of 25 connected hospitals that had been operational at the time was comprehensively evaluated.
In March 2017, the Eggshell Research Institute released the "Internet Hospital Industry Model Analysis" report, which conducted an in-depth analysis of the industry model of 48 Internet hospitals operating online.
Nowadays, standing in the new era of Internet hospital construction, Eggshell Research Institute launched the "2018 Internet Hospital Report". Based on the in-depth investigation of about 119 Internet hospitals across the country, it comprehensively analyzed the landing conditions, construction standards and operational specifications of Internet hospitals. The business model and other aspects are expected to provide reference and guidance for industry practitioners.
This report is divided into five parts: Internet Hospital Overview 2018, Internet Hospital Landing Process Practice, Internet Hospital Model Analysis, Actions, and Internet Hospital Enterprise Investment and Financing Analysis. The following points are drawn:
1. The business scope of Internet hospitals has expanded from the ups and downs of medical resources to the commercial transformation around prescription rights.
2. Internet hospitals are experiencing the third wave of establishment. Internet medical enterprises and hospital-led models go hand in hand, and are currently growing at a rate of two per week.
3. The first half of 2019 will be the centralized construction period of the provincial-level supervision platform, and the second half of the year will usher in the tide of construction of public hospital Internet hospitals.
4. Specialized Internet hospitals account for nearly 20%, and women and children specialist Internet hospitals have the most
5. Internet hospitals are aimed at the spontaneous innovation of core medical care, promoting the establishment and improvement of supervision. Welcome everyone to actively participate in the scope of risk control.
6. Various types of Internet hospitals have explored multiple business paths based on their own business accumulation.
Note: This article is excerpted from the latest report of the Eggshell Institute: "2018 Internet Hospital Report", this report was published on December 18-19, "The Future Medical Top 100 Forum".
I. Internet Hospital Overview 2018
1.1 Internet hospital connotation expansion
Time to return to 2016, after three years of rapid development, light consultation has become the largest segment of the mobile medical giant, but it is also one of the most competitive areas.
The small conversion rate, value-added services and other charging models have low conversion rates, and the complete commercial closed-loop is difficult to form. The light consultation platform cannot rely on the online model to support long-term development, and it is urgent to find a new extension model.
The government proposed the "Healthy China 2030" program. Under the background of the government's vigorous promotion of the "Internet + medical" and traditional medical resources can not meet the market demand for medical treatment, "Internet hospitals" came into being. By the end of 2016, the national Internet hospitals had 25 online.
Image source: "2016 Internet Hospital White Paper", "Internet Hospital Industry Model Analysis"
On March 19, 2017, the Yinchuan Municipal Government and 15 medical enterprises signed a new batch of Internet hospitals in Yinchuan. There were 17 Internet hospitals in Yinchuan. At that time, Internet hospitals were still in a stage where the model was unclear and the regulations were unclear. The Yinchuan Municipal Government's move was equivalent to opening a new situation for Internet hospitals from the policy level.
At this time, there were 48 Internet hospitals operating online, covering 25 provinces. In the same month, the Eggshell Institute released the report “Analysis of the Industrial Model of Internet Hospitalsâ€. According to the differences in the medical service routes of Internet hospitals at the time, the two major operating modes of Internet hospitals were summarized.
Following the introduction of “one method and two systems†in December last year, Yinchuan issued “three rulesâ€, which is the first system in China to establish a relatively complete system supervision system for Internet hospital management, and it is also the most innovative and most supportive. Policy support system. Innovative policies have pushed the institutionalization of Internet hospital management a big step forward.
However, shortly after the introduction of this rule, the Internet Hospital was inserted as a result of the "Internet Treatment Management (Trial) (Consultation Draft)" and "Opinions on Promoting the Development of Internet Medical Services (Draft for Comment)". Cold palace.
The transfer occurred in March of 2018. When the Ningxia Group reviewed the report, it asked the relevant departments to speed up the construction of “Internet + medical careâ€. The Prime Minister’s statement made the once-defunct Internet + medical care return to the hot spot of public opinion.
On April 28, the General Office of the State Council issued the "Opinions on Promoting the Development of "Internet + Medical Health"", followed by the "Administrative Measures for Internet Diagnosis and Treatment (Trial)", "Administrative Measures for Internet Hospitals (Trial)" and " Telemedicine Services". Management Regulations (Trial) has been introduced to allow the development of Internet hospitals based on medical institutions. On the basis of physical hospitals, the use of Internet technology to provide safe and appropriate medical services, allowing online to carry out some common diseases, chronic disease review. After the doctor has mastered the patient's medical record data, it is allowed to prescribe some common diseases and chronic diseases.
Moreover, it is encouraged to provide medical services such as remote consultation, remote electrocardiogram diagnosis, and remote image diagnosis to the grassroots level through the use of artificial intelligence and other technical means to promote real-time access and mutual recognition and sharing of inspection results between medical institutions.
Today, Internet + medical health has become a national key strategy, Internet hospital regulatory policies are clear, and local governments are beginning to embrace Internet hospitals. The concept of the Internet hospital is no longer limited to the diagnosis and treatment. The modules such as diagnosis, doctor education, family doctors, and post-hospital tracking are introduced into the Internet hospital system in practice.
In 2018, the penetration of the Internet into the hospital scene became deeper and deeper. The multiple points of diagnosis, diagnosis, treatment, post-treatment and health management found a connection point with the Internet hospital. The concept of the Internet hospital was gradually expanded, and various Internet hospitals were established. The purpose and emphasis of the business direction are different. The supervision redefines the diagnosis and treatment behavior of the Internet hospital. The inspection of the medical treatment part does not reflect the current operation status of the Internet hospital. Therefore, we do not evaluate the ranking of the Internet hospital in this report. Observed the development path of the Internet hospital, and draw the range of the tentacles and the growth space of the Internet hospitals we have seen.
The Internet hospital is a 2.0 model of Internet medical care. It bids farewell to the 1.0 era, which provides medical peripheral services such as information and online consultation, and enters the 2.0 era of online medical treatment and electronic prescriptions. Internet hospitals are a revitalization of traditional medicine rather than reconstruction, improvement rather than subversion.
The difficulty of seeing a doctor is mainly due to the uneven distribution of medical resources and the disorder of traditional medical procedures. The new medical organization of Internet hospitals can optimize the allocation of medical resources and re-create the diagnosis and treatment process, from consultation, examination, treatment, and opening. Improvements are made in all aspects of medicine and post-diagnosis management. This is also the main business scope of the Internet hospital in the first two years of development.
"Internet Hospital + Medical Association" has become an industry-recognized grading diagnosis and treatment. In the future, with the deepening of the layout of Internet hospitals, the Medical Association will also promote the establishment of medical associations among various Internet hospitals, realize inter-institutional data intercommunication, establish a patient data sharing platform on the basis of ensuring information security, and realize medical internal medical care. Equipment sharing, inter-institutional work, patient remote examination, maximum level of diagnosis and treatment.
With the continuous deepening of the practice of Internet hospitals, Internet hospitals have gone out of the simple diagnosis and treatment process and expanded their business to the entire life cycle of people.
At the same time, the focus of the operation of Internet hospitals has expanded from the ups and downs of medical resources to the commercial transformation around prescription rights. Pharmaceutical e-commerce and pharmacies have joined them. Internet hospitals have realized the full cycle of business lines and the complete commercial path. The Internet Hospital is a spontaneous innovation for core medical care, promoting the establishment and improvement of supervision. Welcome everyone to actively participate in the scope of risk control.
1.2 Evolution of regulatory policies and analysis of key points
China has a vast territory and a large population. The regional economic culture and medical resources are quite different. The promotion of any new policy has a wide impact, especially the medical people's livelihood foundation. Therefore, the policy evolution of the medical industry is slow and cautious.
As an industry with strong policy, the Internet hospital industry must be based on policy interpretation and supervision, so we first analyze the development path of Internet hospitals from the direction of policy evolution.
The state's supervision of Internet hospitals has experienced four stages of “testing water exploration period—testing pilot period—strict supervision period—standard development periodâ€.
(1) Test water exploration period (2014.8-2016.7)
On August 29, 2014, the "Opinions on Promoting Telemedicine Services for Medical Institutions" was promulgated. Two months later, the Guangdong Network Hospital was established, marking the launch of China's first Internet hospital.
On December 7, 2015, Wuzhen Internet Hospital, jointly established by Micromedical and Tongxiang Municipal People's Government, opened and became the first Internet hospital in Zhejiang Province.
On February 16, 2016, the First Affiliated Hospital of Zhejiang University established Zhejiang Yi Internet Hospital, the first Internet hospital led by the top three hospitals. There are no policy documents at this stage, companies are trying to innovate and explore, and Internet hospitals are beginning to appear in some areas.
(2) Pilot trial period (2016.8-2017.4)
Yinchuan is a pilot base for the construction of Internet hospitals. During the period from 2016 to 2017, the relevant departments of Yinchuan City successively promulgated the Notice on Printing and Distributing the Management System of Yinchuan Internet Hospital, the Administrative Measures for Yinchuan Internet Hospital (Trial), and the Yinchuan Internet Hospital. Policies such as the Administrative Measures Implementation Rules (Trial) and guide enterprises to build Internet hospitals.
On March 19, 2017, Yinchuan Municipal Government signed a contract with 15 Internet medical enterprises such as Lilac Garden, Peking University Medical Letter, Chunyu Doctor and Medical Association. 15 Internet hospitals were collectively stationed in the Yinchuan Smart Internet Hospital Base, which sensationalized the entire industry. Following the example of Yinchuan, the construction boom of Internet hospitals has arisen. More than 50 Internet hospitals have been established nationwide.
(3) Strict supervision period (2017.5-2018.3)
On May 9, 2017, the National Health and Family Planning Commission leaked a "Internet Treatment Management Measures (Trial) (Draft for Comment)" and "Opinions on Promoting the Development of Internet Medical Services (Draft for Comment)", requiring Internet hospitals, cloud hospitals, network hospitals, etc., which are subject to examination and approval, shall be rescinded within 15 days after the issuance of these measures, so that the newly emerging Internet hospitals have fallen into silence and the development of the industry has entered. Cold winter.
(4) Standard development period (2018.4-present)
In April 2018, the state leaders visited the Huashan Hospital and the Yinchuan Internet Hospital Construction Base, and highly recognized and evaluated the construction of the Internet hospital. Immediately on April 28, 2018, the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health"" was officially released, encouraging the development of Internet hospitals, and the industry finally ushered in "fixing hammer."
Subsequently, on September 14, the National Health and Health Commission issued the "Internet Treatment Management Measures (Trial)", "Internet Hospital Management Measures (Trial)", "Telemedicine Service Management Regulations (Trial)" three major documents, respectively Detailed regulations have been made on the management of Internet clinics, Internet hospitals, and telemedicine services, marking that Internet hospitals have entered the normative development stage.
At present, the provinces and cities across the country have successively forwarded three administrative measures on Internet hospitals, speeding up the implementation of the rules for the implementation of Internet hospitals, and the progress varies from place to place. In Chapter 2, we will introduce the specific regulations in detail.
According to the incomplete statistics of the Arterial Network and Eggshell Institute, the approval of the Internet Hospital License was approved after the 25th document. At present, the provinces that have established provincial-level supervision platforms for Internet hospitals include Sichuan Province, Shandong Province, Ningxia Hui Autonomous Region, and Xinjiang Uygur Autonomous Region.
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