Sharing medical roots everywhere | Policy barriers still to be cleared

Pharmaceutical Network January 10 hearing sharing economy gradually popular in the medical community.

Share of medical services appeared densely on the occasion of the arrival of old age and the old: the first major medical doctor who played the banner of a shared doctor signed a free medical appointment on the market after the launch of 'night market.' Guangdong Weir Hospital and the Joint Doctors Group settled in the first shared medical center in southern China. China Traditional Chinese Medicine, a listed company, announced the first Chinese herbal medicine distribution center to be held in Foshan Hospital of Traditional Chinese Medicine.

Behind a series of landing, the emergence of shared hospitals is becoming more and more popular in 2017 because of the sharing of medical services, but this is not a new phenomenon. In overseas countries, there are mature and shared medical models such as clinics, medical care, medicines, inspection and imaging in China , Before they were multi-point practice, wisdom pharmacies, third-party inspection and video and other forms exist.

Ma Changqing, deputy chief physician of Wuyi Chinese Medicine Hospital of Jiangmen City, pointed out that 2017 is the first year of sharing medical treatment and various forms of shared medical services such as shared clinics and medical supermarkets have emerged in Shanghai, Hangzhou and Shenzhen.

In recent days, many practitioners interviewed by 21st Century Business Herald reporters said that shared healthcare is more like a 'new garment' that integrates the sharing pattern of the whole industry chain and mixes chemical reaction, but the integration also faces various kinds of Challenge January 8, Ma Changqing research found that shared health care in the country face the risk of control, policy constraints and inter-hospital barriers and other problems.

Ma Changqing thinks: 'The sharing model has the effect of leveraging in other industries. Before China's medical reform, it can not find an operable floor-standing model. There are long-standing problems with the resources of medical institutions and equipment. Institutions are independent, competitive and closed. Barriers can now be broken through shared medical treatment, coupled with the higher willingness of medical staff to participate in sharing, which may eventually lead to the revitalization of social medical resources.

Around the hospital, the doctor's shared platform first appeared.

New Year's Day just passed, five months ago with the 'shared doctor' debut in the industry, opened in late December last year, Department of Medicine, and launched the 'free medical appointment' shared doctor services, direct access to national physicians more practice requirements, and patients Free consultation on the platform doctors and doctors group.

Li Zhi-rong, executive director of the Department of Medicine, introduced that there are currently over 500 doctors who have signed contracts with Dafei and the signing time is divided into six months and one year, with about 300 doctors signing long-term contracts. Meanwhile, Family doctors signed a contract, such as Donglei brain, Hongdae video, Xinglin Chinese medicine among them.

'Grand Medical Exchange also can share medical equipment, including imaging, anesthesia, testing, disinfection room, etc. Our department covers 80% -90% of public hospital services, there is no inpatient department, but can provide day surgery.' Li Zhirong Say.

With its front and rear feet is a large medical exchange 'Night Market', that is, in addition to providing day-time operations, including day clinics outside, with the public hospital peak misdiagnosis services Zhan Zhiyong said: The Department of Medicine will implement a doctor, a clinic payment way, starting from the 40 registration fee, to provide different levels and different needs of medical services.At the same time to create a platform for doctors to incubators, so that more doctors in the Department of Medicine Entrepreneurship Set up more doctors' groups.

Coincidentally, was also born in Guangzhou Yuexiu District, the main 'IAB + doctor incubator' in South China's first shared medical center has recently been announced.

This reporter learned that the center of a total area of ​​about 4,000 square meters, equipped with MR, CT and other medical inspection equipment, and third-party medical institutions to provide doctors and doctors team to provide shared clinics, sharing inspection and testing equipment, medical cloud system, Doctors and assistants and other supporting services for experts and scholars provide production and research platform, incubation of medical high-tech products.Currently the number of centers has been extended to 11, the scope of coverage from Guangzhou to Guangdong Province, the city and beyond, the future will set 50 shared clinics, is expected to The total area of ​​30,000 square meters.

The center also achieved a one-stop free practice platform for doctors, playing the concept of a doctor incubator However, the launch of the center of Guangdong Weir Hospital, the joint medical group Lin Zi-hong told 21st Century Economic Reporter, the market on the main platform for sharing medical treatment More and more, but each has different emphases.

'We all hope to see doctors practicing on a shared platform that can change the original service model and focus on the patients and serve the doctors. This will require the collection of medical full supply chain platform services,' said Lin Zihong. 'Patients, doctors The pursuit of more than just hardware, but to enhance medical experience, in addition to the environment but also specialized personnel appointment, triage, post-clinic management, patient health data management services, while connected drug , Insurance perfect sharing service.So what we need to do is to provide medical whole supply chain sharing platform.

In addition, around the laboratory, imaging department, pharmacy, sterile supply room, ultrasound department, electrocardiogram, operating room, outpatient and other subdivision areas are also sharing one after another.As penguin hospital CEO Wang Shirui revealed to reporters, which is being built Shared testing, testing services, related equipment will be like sharing a bike on the same place quickly touched by users; Kang Mei medicine, Chinese medicine and other exploration of the smart pharmacy, but also with a strong sharing color.

Ma Changqing adopted an electronic questionnaire and collected 128 valid questionnaires. The survey results show that respondents generally hold optimism about shared medical services and are optimistic about the attitude. They think that sharing medical services is an inevitable trend with a ratio of as high as 82.03%.

Interested in sharing enterprise Surrounded by the medical industry chain upstream and downstream, but each get 'identity card' there are differences.

Reporter noted that the sharing platform has been established into the government approved the establishment of a public hospital Participation and self-publishing of private institutions such as the first 'medical malls' throughout the Hangzhou International Medical Mall, Run by the Shaw Shaw Hospital, Zhejiang University Medical College, the new solution Group 100, Dean Diagnostics and the 100 largest group to establish cooperation, got Zhejiang Provincial Health and Family Planning Commission approved a shared medical pilot.

Ma Changqing told 21st Century Business Herald Reporter: 'The form of participation should be diverse. Public hospitals and government-led advantages have great influence and co-ordinate resources quickly, but they are not flexible enough, such as doctors' income distribution. The achievement of the performance allocation soon is more competitive in salary but less influential and may not be able to attract quality hospitals and doctors.

Whether to allow the sharing platform to join the 'public' color, is the layout of many thinking questions.Guangdong Provincial Health Commission former inspector Liao Xinbo said before the establishment of the Department of Medicine also hesitated to find an influential hospital to do 'backstage '.

The reason, the shared medical model with the doctor more practice, free practice is closely related to, and mostly high-quality doctors in public hospitals.Lin Zihong told reporters: 'Multi-point practice has now become a regional practice, is the provincial registration, the doctor You can practice freely in the province and you will gradually implement interprovincial practice. '

The higher the willingness of doctors to participate in the sharing, Ma Changqing's research focus on medical practitioners, accounting for 87.5%, of which 73.44% of clinicians, most of whom were employed for a long period of more than 10 years accounted for more than Bacheng , 96.88% of respondents said they are willing to participate in shared medical services.

However, the attitude of the hospital is still a major factor in the implementation of more practicing.Chinese Academy of Social Sciences Research Center for Public Policy Zhu Hengpeng bluntly: 'It seems that more practice to the head of the top three hospital management has brought trouble, and his doctor to use part of Time to go outside to work.

Ma Changqing also admitted that the domestic implementation of physician management and fixed-point registration management system, although in recent years let go more practice, doctors and some medical institutions are hoping to move more freely, but in reality the obstacles are still widespread, we still feel more Practitioners will have a hit on the hospital, resulting in loss of resources for doctors and patients.

'Shared mode may be able to solve this problem, human resources is one of the core shared resources, with the hardware resources to get through, the long-standing hard problem of multi-point practice can be solved, but also to avoid the interference of subjective prejudices.

As a new thing, regulatory, licensing policies and Regulations Supporting is inseparable from the Kare. Most of the existing management requirements set in accordance with the requirements of traditional medical institutions, in the type of practice, qualification approval, medical standards and technical requirements, etc. are not necessarily applicable to shared medical .Li Zhirong that lack of policy support , Multi-point practice where to go 'more' where the doctor within the system how to balance the relationship between the time and benefits of different platforms, how to carry out multi-point treatment of patients.

Lin Zihong told reporters: 'How to set a breakthrough in the existing model, so that the sharing platform to expand the service, the most urgent or policy support, but will be more cautious around, and now more practice provincial registration, medical institutions license, drug registration The policies are all set up in the 90s of last century, and once we have taken the lead, the people behind us can use it.

Liao Xinbo pointed out: 'At present, the policy allows exploration of shared medical services, but there are some legal obstacles, such as Hangzhou, where the government allows day-time surgery in non-hospital institutions, and then back to a third-party inspection and test center, which was originally a non-medical institution, This all needs further exploration.

According to Ma Changqing's research, there are many difficulties in sharing medical treatment in reality. The most serious obstacle that respondents report is the hospital barrier (81.25% of the medical institutions). Policy constraints and risk control are also more worrisome among respondents Problems, accounting for 70.31 and 68.75% respectively.The performance allocation, administrative intervention and lack of ideological awareness can not be ignored.

Ma Changqing pointed out that the realization of shared medical services needs the common transformation of hospitals, doctors and patients, and said: "Doctors should create personal brands and do a good job of individual fan groups, including medical standards, improvement of service levels, and changes in communication concepts. Model, patients now recognize the hospital, the future is to recognize doctors, identify quality doctors is the most important.