The wave of sharing economy flocks to the medical field

The wave of sharing economy has gradually extended to the medical field. Recently, the Zhejiang Provincial Health and Family Planning Commission approved a new medical resource sharing model that triggered social debates. The country's first Medical Mall opened in Hangzhou Grand Mall. Currently, 13 medical institutions are stationed. The Hangzhou Health Care Clinic is It provides shared services such as inspection, pathology, ultrasound, medical imaging and other medical technology departments, pharmacies, and operating rooms.

In addition to Hangzhou, the shared medical model in other cities in China is constantly testing. In Guangzhou, doctors practiced a multi-practice policy to promote a shared doctor platform, which can accommodate 2,000 doctors; Tencent Penguin Hospital announced its official opening, and has already landed in Beijing, Chengdu, and Shenzhen. The future self-service testing and testing projects will be like Like a shared bicycle, it is placed in a place where users can quickly touch it. The industry believes that the shared medical model can reduce the investment and operating costs of social capital, but there are still problems such as the medical insurance system has not yet been opened, and whether the reform is really tested. Success depends on whether the people are recognized and whether quality and safety can be guaranteed.

The “marketing” of the medical malls that have been “spelled” is differentiated and positioned to make the market “squid”

“Medical Mall” is simply a “medical mall” and a hospital that is “spelled” by multiple medical institutions. Li Qing, a brand consultant of the medical profession and a researcher at the Heisen Hospital Management Institute, said that Medical Mall focuses on improving the customer experience and paying attention to the comfort during the service process, which will make the big hospital feel the competitive pressure and improve the medical service. Enthusiasm and consciousness. As a “squid” in the market competition, Medical Mall is very meaningful for the improvement of service level in the industry.

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Zhao Naiyu / Painting

“Medical shopping malls” have long existed in the international market. In the 1980s, the United States established the first medical mall. So far, there have been many models in the United States, Singapore, Japan, New Zealand and other countries, including "medical + commercial complex", "medical + medical research", "clinic building", "medical mall" and so on.

The Medical Mall in Hangzhou is built in the large commercial complex, Hangzhou Building 501 City Life Plaza. It combines shopping and medical care. The first floor to the fifth floor is the shopping area, and the 6th to 22nd floors are all medical institutions. . People can enjoy medical services while shopping, and Hangzhou Tower's core customer base and stable flow of people have become an important guarantee for the Medical Mall.

It is understood that the "medical shopping mall" not only has the international medical center of the Shaoyifu Hospital affiliated to Zhejiang University School of Medicine, but also selected a number of well-known domestic specialized clinics, such as Zhang Qiang Doctor Group Sijun Surgery Clinic, Weieruo Pediatrics, Fang Huichun In the Tang Chinese medicine clinic, a total of 13 medical institutions have settled in, and 10 of them have started trial operation.

Yu Xinle, director of the Medical and Medical Management Department of the Zhejiang Provincial Health and Family Planning Commission, said that the original intention of the Medical Mall sharing model was to improve the efficiency of medical resources utilization. There is no need to invest heavily in the medical institutions that have settled in. The doctors who have the skills and reputation can even “stay in the bag”, which greatly reduces the investment and operating costs of social capital.

“We encountered some confusion when we laid out the physical organization in Hangzhou. We felt that there was a clinic outside, and there would be less resources. Later, we went to the Medical Mall for an inspection. They are very welcome to visit our brand specialist clinics.” Founder of Zhang Qiang Doctor Group Zhang Qiang introduced his experience in opening a clinic at Medical Mall in Hangzhou.

When the Sijun Surgery Clinic of the Zhang Qiang Doctor Group officially settled in the Medical Mall, Zhang Qiang discovered that there were many familiar specialist medical institutions in the Medical Mall. By introducing more leading brand specialist medical institutions, Medical Mall has achieved agglomeration in medical resources, which has certain appeal to patients, and the “shopping + medical” format can also gather customer resources for medical institutions, on a commercial basis. Targeting groups of consumers with spending power and needs.

“This is a three-win process. For medical institutions, the combination of business and medical care can play a large role in crowd gathering; for shopping malls, medical resource agglomeration can better serve customers; for customers We can get quality service in the shortest time.” Hu Yongrong, the chief marketing officer of Weierno Pediatrics, commented on the Medical Mall format.

The reporter visited three medical institutions, including Weieruo Pediatric Clinic and Fanghuichuntang Traditional Chinese Medicine Clinic. The warm and comfortable environment, privacy and appointment system are their common points. Compared with traditional public hospitals, the cost of medical treatment is higher. Wu Yunxia, ​​manager of Weieruo Pediatric Clinic, introduced three to five appointments a day, with a registration fee of 350 yuan and a return visit fee of 210 yuan.

In the Taixue Eye Clinic, the reporter saw a business person undergoing eye fumigation treatment, the independent clinic was clean and private, and one-on-one full-time nursing staff was on the side of the inquiry record. Ms. Wang, who is shopping at the mall, said that she hopes that the Medical Mall can solve the "pain points" in traditional medical treatment. For example, the famous doctors are hard to find on the 1st.

Although most clinics are in trial operation, Bi Ling, the chairman of the International Health and Medical Management Company, is cautious about the official opening of the business. “We will observe the market feedback and operation before making adjustments. The 1.0 version of Medical Mall we want to Grinding is more refined."

Bi Ling said that from the beginning, the three parties decided to be a Medical Mall, positioning high-end medical services, misaligning with public hospitals, meeting diversified market demands, and putting health management services such as mild, chronic, and sub-health. First, “Medical Mall hopes to continue to advocate a more humane and quality medical service concept. Appointment consultation, one-on-one 'healthy butler' tailor-made physical examination, providing 24-hour life cycle health management service……"

Medical operation model faces transformation and seeks a balance between public welfare and business

The sharing of medical resources provides a convenient choice for people to get one-stop medical services, reducing the investment and operating costs of social capital, but the new model puts higher demands on investors, regulators, medical institutions and practitioners. Claim. The industry believes that medical institutions have a public interest, even if they cooperate with capital, they can't be commercial.

Yu Xinle described the establishment of Medical Mall in Zhejiang with “the first crab in China”. “Zhejiang has tens of thousands of social medical institutions in Zhejiang Province, and has more than 10,000 practicing doctors. The strong entrepreneurial and innovative atmosphere has created a good atmosphere for the emergence of new business models and new models in the medical industry .” Yu Xinle said, opening a medical mall. It is not for the sake of “sharing”. Zhejiang does have the realistic background of developing shared medical care.

Approved by the Zhejiang Provincial Health and Family Planning Commission, allowing the whole health medical clinic in Hangzhou to provide medical services such as inspection, pathology, ultrasound, medical imaging, pharmacy, operating room and other shared services to other medical institutions stationed in Medical Mall. Tencent Penguin The hospital also officially opened its business, from gathering doctor resources online to laying out offline clinics. Penguin Hospital successfully landed in Beijing, Chengdu and Shenzhen. The word “sharing” is also one of its characteristics. It is revealed that in the future, self-serviced inspection and inspection projects will be placed in the same way as the shared bicycles.

In Zhejiang, it is no longer a new thing to run a doctor in society. In 2016, the General Office of the Zhejiang Provincial Government has issued the “Implementation Opinions on Promoting the Accelerated Development of Social Medicines”. The opinions clearly pointed out that it is necessary to “play the role of market mechanisms in arranging medical resources, optimize the development environment, and stimulate market vitality”.

According to a data from the Zhejiang Provincial Health Planning Commission, as of the end of 2016, there were 14,345 social medical institutions in the province, including 693 hospitals, 62,766 beds, accounting for 24.17%, and 98,846,600 full-time emergency services. 17.74%, discharged 911,900, accounting for 10.49%, the number of practicing doctors was 38,900, accounting for 23.11%.

"In such an atmosphere, the management department should provide a more relaxed and inclusive environment for the innovation of the medical industry under the premise of maintaining the medical safety bottom line." Yu Xinle said that just as the traditional retail industry needs transformation, the medical industry operates. The model is also facing a transformation.

The 17th to 22nd floors of Hangzhou Medical Mall is the self-operated medical institution of the international health medical management company - Shao Yifu International Medical Center. The Shaoyifu Hospital of the public top three hospitals is the only operation management party. At the same time, it aims to establish a corresponding technical standard and standard requirements for the entire “medical shopping mall” shared service pilot, and lead the organization of medical quality control and hospital infection management departments.

Lin Hui is the medical director of the Shao Yifu International Medical Center and the deputy director of the Party and Government Office of Shao Yifu Hospital. In his view, medical institutions have a public interest, and even if they cooperate with capital, they can't be business-oriented. Otherwise, they will become the only ones in the eyes of the people who are profit-seeking.

“Investors are used to starting from a business perspective, but we must have strict professional judgment in hospital management. The starting point is quality and safety. We should share the same values ​​with investors. They agree and respect professional judgment is the basis of cooperation.”

For example, medical commercials generally amplify some of the benefits or consequences, guiding patients to costly and profitable projects, and doctors comply with medical rules to consider whether patients need it. "This is the benefit of the hospital's deep involvement in managing operations. To a certain extent, it can curb the profit-seeking nature of capital and supervise and restrict each other." Lin Hui said.

In addition, Shao Yifu International Medical Center doctors are full-time doctors of Shao Yifu Hospital, and the salary is obtained from the hospital; patients need to take prescriptions to go to the pharmacy to buy drugs, and the interest chain between medicines is cut off. These measures regulate the practitioners. Treatment behavior.

“Sharing” medical care to improve regulatory requirements to keep the bottom line is still fundamental

Ma Weihang, deputy director of the Zhejiang Provincial Health Planning Commission, said that a reform can cause such concern, indicating that the organizational changes in medical services are very concerned by the society and the people. The “shared” exploration in the medical service field is in line with the requirements of the supply-side structural reform. However, to truly test whether this reform is successful or not, it depends on whether the people approve whether the medical services at different levels are accepted, whether doctors are willing to practise in them, and whether quality and safety can be guaranteed.

How far can the Medical Mall go? Whether the innovative medical model can be accepted by people, there are different opinions. Most people are not familiar with independent medical institutions, because it is a matter of concern for the health of life, how to establish trust, medical insurance and other policies. At the same time, sharing hospitals in the prosperous area, how to reduce medical costs is also a big problem.

Some public opinion believes that there are at least three difficulties in "shared medical care" that need to be solved urgently. First, it is difficult to put more practice policies into practice. Second, the medical insurance system has not yet been opened. Most medical sharing activities have not yet been incorporated into the social basic medical insurance system, which has become a constraint. Important factors for development; Third, policies and regulations need to be improved. Most of the existing management regulations are set according to the requirements of traditional medical institutions. Some regulations do not apply to “shared medical care” in terms of practice types, qualification approval, medical specifications and technical requirements. New format.

In this regard, Yu Xinle believes that no new things should be killed by a stick. Under the premise of holding the safety bottom line, you should observe more practice, find highlights, and solve problems.

The existing medical structure and the mode of operation of the hospital often expose various problems. Although “shared hospitals” have some thresholds, they can integrate quality medical resources together and provide better service standards based on users. As a product of the shared economy, the Medical Mall has some advantages that are not available to ordinary medical institutions, and will bring many touches to medical institutions within the system.

For example, traditional hospitals should pay more attention to patients' experience of medical services and dilute the atmosphere of depression, fear, and crowding; no matter where they practice, doctors must realize that their technology and word of mouth are the most important; in addition, the shared service model of Medical Mall It can meet the medical needs of different levels of people, help to promote the survival of the fittest in the entire medical market, and raise the level of social medical treatment.

“Medical Mall will touch traditional hospitals, but it will not impact the current hospital system. Within five to ten years, it will still be a supplementary form of the public top three hospitals.” Cai Xiujun, Dean of Run Run Shaw Hospital, Zhejiang University School of Medicine think.

Most of the public's focus on Medical Mall is focused on the field of medical security. "The key is the problem of who is responsible for the accident. Such a hospital has low cost and high efficiency, but management is difficult." Netizen "naughty monkey 5610" said.

The sharing of medical resources provides convenience for medical institutions and provides another option for people to receive one-stop medical services. However, the new management model puts higher demands on post-event supervision.

As the direct management department of Hangzhou Medical Mall, Li Hong, director of the Jianggan District Health and Welfare Bureau of Hangzhou, said that the medical safety bottom line requires the combination of industry self-discipline and departmental supervision, and strengthens the post-event supervision mechanism, requiring both Medical Mall and other medical institutions to sign. The agreement clarifies the relevant responsibilities, rights and interests of medical safety and medical quality; at the same time, it leads the establishment of a quality management committee composed of members of various medical institutions to promote the formation of mutually independent and mutually coordinated collaborative development relationships among medical institutions, so that sharing Medical resources are more secure.

At present, the size of the Medical Mall in Hangzhou is not large. Each medical institution has a high-quality management team, but the operational efficiency of the entire Mall depends mainly on the management level of the entire international health care management company.

“In fact, the departments of traditional public hospitals also use the shared method, but there is no policy permission for independent medical institutions. The focus of our attention is on whether these resources can be shared and whether the risks can be controlled.” Bi Ling said, “Medical Mall introduced Shao Yifu The hospital conducts in-depth cooperation and uses the management experience of the top three hospitals to form a quality control, safety control and binding inspection mechanism to minimize risks."

For the next development plan of Medical Mall, Cai Xiujun said that this will not become an important development direction of a public top three hospital, but this form has the possibility of copying and promotion, and it can be made into a nationwide chain store in the future because it meets The modern lifestyle has a certain market base.

Bi Ling also believes that copy promotion is not the current focus. At present, more efforts should be placed on improving the visibility and quality control. "Our positioning is a good platform. This is the advantage of the retail service industry. It will be too far across the border, but let professional people do professional things, so that the platform has more content and added value." (Economic Information Daily)

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