When the Internet enters the territory of traditional industries, the business logic is actually not complicated, most of the time it is the same quality than the price, or the same price than the quality. Such tactics are very effective under the technical advantages of the low marginal cost of the Internet. For example, e-commerce and offline shopping malls are easier to achieve the same quality and lower price; the app for car and car is easier to achieve the same price and quality than the taxi that stops at the same time.
So the question is, when the Internet tries to enter the medical industry , looking at the huge market that patients and doctors are complaining about, can the same business logic still work? As the current family of doctors, and the author who worked hard on health economics during the medical reform period in Suqian, I believe that such a normal market-oriented thinking will not work in the extremely distorted medical system, and it will only be the core of the problem. Hard bones.
The biggest distortions in the current medical market are the public top three hospitals that should have become the pyramids of the medical system. They have become the basic medical providers who can directly flock in regardless of major illnesses.
If we divide the medical product into three dimensions of price, service and level, we can find that the high-level medical services of the top three hospitals are artificially distorted into low prices and poor services. It is difficult to tell exactly who is the low price and poor service. Who is the result, but it is certain that according to the current work intensity of the medical staff in the top three hospitals in China, it is impossible to provide the kind of time and money that the patient thinks is time-consuming and costly. service.
In the past decade or so, it has been difficult to make the reform of the medical system that patients, doctors and the government are satisfied with. Suppose we think that the medical services provided by the top three hospitals are expensive and the service is poor. Then private hospitals should be able to achieve better services at the same price, or better prices under the same service. Unfortunately, the distorted system has created more distorted results. The contradiction between doctors and patients has deteriorated significantly from a decade ago.
Putian Department Hospital provides medical services similar to those of the top three hospitals, but the overall medical level is very low. Not only do doctors who are poor to high levels are unwilling to have a relationship with Putian, but even the owner of Putian does not want his hospital to be labeled. The labels of the Putian Department, many employees do not even know that they are working for the Putian Department Hospital.
Private hospitals can attract high-level doctors to join and provide high-level medical care similar to that of the top three hospitals. However, the prices of hospitals such as Yijia and other hospitals far exceed the top three hospitals. The Shenzhen Hong Kong University Hospital, which is not expensive, lost 1 billion yuan in two years. . The increase in the number of medical staff services enjoyed by a single patient is naturally more comfortable, but such high costs are not affordable for China, which has a large population base.
This is the current state of the medical system that is distorted under high levels of control. Yes, there are a large number of patients crying that the medical expenses are too high. Unfortunately, under the premise that the state does not increase the investment in subsidized medical insurance, the price of the top three hospitals that have become the basic service providers has been distorted. The result of low price and poor service can be seen as a state mandatory welfare. It should have been the pyramid of all kinds of problems in the entire medical system, and was strongly transformed into the main force of basic medical services. The result of this is not only the overall shrinkage of the grassroots hospitals outside the three, but also the new entrants who are trying to reverse the situation. A huge obstacle.
Can the Internet enter the medical industry to smooth out such distortions? From the current Internet medical project, the final landing is still concentrated on the clinic. Dr. Chun Yu, who has a large doctor and user base since online consultation, plans to open the clinic himself. The clove garden, which has long served for doctors and worked in the medical and biological industries, plans to open the clinic himself. In addition, there are The Putian Department, which occupies 80% of the country's private hospitals, and a large number of domestically-funded foreign investors who are waiting to enter the medical and pension markets, also aim to open clinics.
The public top three hospitals are at the heart of the current medical system. Do not rationalize the price, function and responsibilities of the top three hospitals. Whether it is to pull out high-level doctors to practice clinics freely, or to help existing public hospitals become high-tech smart cloud hospitals, there is no way to increase the supply of the entire medical system. On the contrary, the more costly service will reduce the total medical supply. Under the premise of not pursuing substantive reforms in the top three hospitals, it is hoped that external forces such as the Internet will force reforms, and I am afraid that only a more distorted result can be created under the distorted medical system.
The future of the medical field is bright, and this market is so large that countless Internet companies and capitals are swarming in. At the same time, this area is so elusive, long-term policies with huge influence are difficult to be clear, and those who have already sold out real money may not be able to see the future. The only thing that can be certain is that the wave of aging that is blessed by the family planning policy has left us with less time to transform the Chinese medical system.
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