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Internet + classification of treatment can wipe out the kind of spark

   For the classification of treatment, the Internet + in the end do not fly Kaopu? Will it lead to monopolies or other problems? From the clinical and economic management of these two points of view, in the wave of the Internet, the classification of treatment what will happen? We have some doubts and problems in the observation process.
   Internet + can not solve all problems
   First of all, for the classification of health care, there have been many constructive comments, but why is difficult to implement?
   Second, all the medical industry will emphasize the medical market is characterized by "information asymmetry." In the information asymmetry of the industry to solve, the most famous is the marriage intermediary and real estate intermediary, they are still in the market development is very good, demand matching play an active role. So why some of the relevant Internet medical companies in the diversion process of medical treatment did not play a corresponding effect? In other words, in the Internet + elimination of information asymmetry in the process, it will play a very important, very significant intermediary role?
   Thirdly, the Federation of Medicine is very much hope by many people, because in the supply side reform, including telemedicine and other initiatives, has been demonstrated to some extent to expand the supply of quality medical resources. However, there are still many people will have doubts, this will be good?
   Below, on our team's research results to talk about a few comments. First, solve the structural problems. At present the hospital's control costs achieved good results, according to some industry sources, to the average cost of outpatient services, for example, community less than 100 yuan, townships less than 60 yuan, 221.6 yuan more than two hospitals. However, the community average cost of out-patient services so low? Because the grass-roots medical staff's labor compensation is relatively low? Or because the hospital has learned a lot of "quality" patients? In the community, township and two or more hospitals in the structure of the pyramid, the patient how to flow in order to truly achieve the level of medical care?
   Our research team using a large number of official statistical data to do a simple comb and found that the top three hospital supply and demand imbalance does not stem from the rigid demand for treatment, but because the treatment of common diseases occupy a relatively limited resources, the allocation of medical resources efficiency is not the most excellent. Among them, 65% of the outpatients and 77% of the inpatients in the tertiary hospitals of the city can be diverted to the secondary health care institutions, and will not affect the quality of medical care. This is the observation of all the conclusions, but also classification of health-related policies and a series of important basis for the theory.
   The second question, the technology is a panacea? Internet + medical model to solve the problem? Generally speaking, the Internet + business model B2B, O2O, B2C several, from the supply side of the framework of reform, B-side, C-side what happened? The Internet as the core of information technology has been introduced into the traditional medical service supply process, such as WeChat registered payment, the actual B-side play a cost control and process reengineering role. In the demand side, the use of information technology to improve the product, the user experience, the demand in the C-side will be a series of responses. Some of these responses will be affected, which is a positive demand for technology, but there are some who will not be interfered with by this demand. Today's weight, heart rate how? This information may be free, it may be very convenient, but free means that it is valuable? Convenience means to be effective? This process will not have a new interference? This is the Internet + medical B-side, C-side change at the same time, people can not help but generate some questions. A series of studies have shown that technology intervention itself does not alleviate the difficulty of medical treatment, medical treatment of your social problems. In other words, the Internet + can not solve all the problems.
 Change is still unstoppable
   Objectively speaking, the Internet + from the cost control, medical experience or do a very good mitigation, such as waiting for tips, the hands of the wearable device will remind patients to go to the doctor. Typical cases at home and abroad also verify this judgment, B-side, C-side play what role, who benefits, who may gain greater profits, the Government can give better support, have a lot of Good conclusion.
   Technical means in the process of ice-breaking will encounter some problems. Such as Wuzhen Internet Hospital this type of new institutions, often by management scientists, economists asked the question is, they fly it? Do they have a doctor qualification? But we have to say, mobile Internet technology really brought about a huge change. For example, Tongji University has an old lady selling roasted potato, she found that students pay for change, the potato is difficult to sell out, because most students are accustomed to pay with a mobile phone, so the old lady in her roasted potato stands put up a sign : "WeChat available. Alipay available." Hospital will also face these changes.
   It can be said that mobile Internet technology in the B-side, C-side make an important contribution, and the formation of irresistible momentum, although it has some difficulties. For example, the top three hospitals are more concerned about the cost reduction, secondary and primary hospitals are more concerned about the "quality" of the absorption of the disease, IT companies are more concerned about the technology in the process of addition and subtraction, the parties will have some benefits deviation, can not be effective . For example, the strong base is the hope that the data sharing, but now a relatively low degree of sharing; the formation of a regional medical platform, inspection fees and other benefits how to segment, will have a greater impact; medical system, the difference in medical level , Forcing the grassroots first visit does not meet the residents of the medical habits, facing the total amount of medical insurance control, the source back to induce rent-seeking behavior, to grading medical and Internet + medical new problems.
   What is the ideal scenario for graded diagnosis and treatment? Of course, is the best resources in the most difficult illnesses. The rigid demand, the general needs of a simple classification, with its resources to do some matching. This is the path of the future. In this process, each link should bear what kind of task, policy in this process and how to support, it is worth to explore.
   Breakthrough barriers need cross-border cooperation
   Many people in the discussion will have some sigh, such as government is not open enough to form and share the effective data is not enough and so on. I have searched all relevant policy documents on internet health consultation on Internet and health care. I think that the Government should be open enough in this respect. It is basically a "no attempt to be banned," and only a serious problem halted. right. As a researcher, we believe that the ideal model of the future should be this: the medical community corresponding to incurable diseases, Internet + medical focus on the B-side, and ultimately the two sides to form a superior medical resources cross-regional radiation; general practitioners to standardization and modular direction Development, corresponding to the common and chronic diseases, Internet + medical assistance in the C-side, the final form of market competition + service increment.
   The future in the Internet + medical care, to achieve the ideal scene in front of people, financial and material in three areas will also face some difficulties. First, the medical association, the Internet + the hospital will bring doctors more practice, the current flow of medical personnel in the body is a good attempt, in line with Chinese characteristics. Second, the Internet + Medicare payment coverage by the health care coverage and the difference between the level of payment constraints, will encounter some obstacles, such as a breakthrough, the formation of the Internet + medical model will be very large forward.

   As a management scholar, we observe the Internet + more attention to two aspects of medical care; first, the advantages of the Internet + in the current system can play an active role, some of the original law can be broken; Second, the Internet can Embedded in the medical process and the existing management system, which requires cross-border cooperation, the platform of competition.