Subversion of Internet medical care

Subversion of Internet medical care

Internet health , which suddenly became hot in 2014, was sought after by BAT. With the entry of large funds, market activity has increased significantly. This is reflected in the secondary market, as long as the relevant concept stocks are sought after, Jiu'an Medical's share price rose by 146% in a year. In the face of the hot market, many people even think that Internet medical treatment can subvert traditional medical care.

But under the spur of the boom, how much is a virtual fire?

Looking at the investment in the entire industry, Internet companies are far more active in this field than companies in the traditional medical industry , and companies in foreign industries are the main players. This directly leads to two problems: the difficulty of subsequent service docking and profitability.

In the US market, Google is a leader in the investment sector in the Internet sector, and IT companies such as Apple, Qualcomm and Intel are also active. But more Internet medical project takers (acquirers) and investors are traditional companies in the medical industry. This mainly includes pharmaceuticals, such as Novartis and Merck, which have set up special medical investment funds; and insurance, such as Aetna insurance and Kaiser medical care insurance and hospitals, are very active in mobile medical projects. Investment and acquisition. In addition, chain pharmacies such as Walgreen and CVS are also developing areas such as mobile medical software, hardware and services.

The US Internet industry invests in medical care mainly in the field of its own areas of expertise. Take Google as an example. The core is big data, genetic maps and group medical services. The optimistic is the combination of medical data and services behind it, as well as the entire human genetic map. The activity of the companies in the medical industry is also comparable. The core of their investment is mainly to increase the competitiveness of their traditional businesses through the Internet or mobile platforms, to enhance interaction with users, and more importantly to control medical expenses.

In short, Internet investment in the United States has gradually evolved from the concept of the Internet. Internet and mobile tools have gradually become carriers, bridging the traditional industry, and the ultimate goal is to provide new access and control channels for traditional services. Therefore, Internet medical care in the United States is not to subvert traditional medical care, but to provide a new service path for traditional medical care.

In contrast, China's Internet medical care is still very fast, but it is still far from “landing”. The current momentum is more in the concept of the Internet, which is one reason why BAT has become a leader in investment. The traditional industries in the back-end, such as hospitals, pharmaceutical companies, and insurance, have not been well involved, and the actual deployment of the entire medical service is difficult for the service providers without back-end.

The advantage of Internet enterprise investment is a strong platform that can directly guide users. This is still a typical traffic thinking, but medical treatment is different from other Internet products, and it can make money through technology or advertising, and individuals cannot become the main payers. The core of medical care is service, and the biggest problem with Internet thinking is that there is no back-end service.

The core of Internet thinking reengineers the process of traditional offline enterprises. This way of thinking has emerged in the first wave of Internet boom 20 years ago. But the Internet thinking was originally transformed into industries without services, such as the information culture industry. The current wave of Internet craze is mainly aimed at transforming industries with heavy consumer services, such as catering and community services.

Regardless of whether you eat or wash, the dominant thinking behind consumer services is still product sales. Both need to have specific product consumption, and the service is only auxiliary. While medical care is dominated by services, the consumption of final drugs is in a position of dependency. Therefore, product-oriented Internet thinking is the biggest enemy of Internet medical development. Only by completely getting rid of product sales guidance can we truly do Internet medical care.

In China, traditional medical industry investors have not been well involved in Internet medical investment. The core reason is that the medical service model of public hospitals restricts service improvements. Most traditional companies are still focusing on traditional projects. It is not new for pharmaceutical companies to invest in innovative pharmaceutical companies and hospitals, and the pace is getting faster. However, the thinking of pharmaceutical companies is still limited to the significance of the hospital as a sales channel, as well as the return on investment of the hospital itself.

If the environment of taking medicine and lacking a fee-control mechanism does not change, China cannot turn to value-based medicine. The core of Internet medical care is precisely to improve the efficiency and value of medical services through Internet means. As long as this change is not carried out, it is difficult for pharmaceutical companies to have the motivation and willingness to sell through service and efficiency improvement. The pace of investing in Internet medical treatment will not be too fast.

The hospital also has this problem. Because the current system gives doctors and hospitals the power to over-medicate, value and efficiency are not core considerations. Therefore, Chinese hospitals lack the motivation of American hospitals to enhance interaction with patients through the Internet or mobile tools, improve treatment and control costs. . Service is not a competitive point for Chinese hospitals. Therefore, the lack of investment willingness in the traditional service industry has directly led to difficulties in the landing of Internet medical services.

In addition, the lack of commercial insurance as a payer is also one of the reasons for the difficulty of landing. Internet medical care in the United States relies heavily on insurance companies as the last resort. Both Antai and Caesars Medical are actively acquiring or investing in some small projects in Internet medicine. Because most of the medical expenses paid by insurance companies are in the most severely affected population, the company has the incentive to help users stay healthy through exercise, lifestyle and dietary changes, or to intervene early in the disease to try to delay disease progression or detect lesions early. This can greatly save the insurance company's medical expenses. Internet tools provide access to users and health interventions, and are therefore sought after by insurance companies.

China's commercial insurance is developing slowly. Some of the products are only paying attention to compensation or risk compensation. They have not been combined with medical service providers, and there is no way to talk about health interventions. The lack of payers is the main reason why China's Internet medical care is difficult to make profits.

Internet medical care is not a subversive revolution, but a supplement and optimization of traditional medical services. In the face of multiple challenges, China's Internet medical care has never been able to land. Therefore, survival rather than subversion is the main picture of current Internet medical care.

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