Internet medical new policy makes hundreds of billions of capital bid farewell to the gray area

Medical Network September 17th Internet medical industry ushered in a major event.

On September 14, the National Health and Health Commission issued the "Internet Treatment Management Measures (Trial)", "Internet Hospital Management Measures (Trial)", "Telemedicine Service Management Regulations (Trial)" three documents, comprehensively regulate the Internet medical industry .

The above documents require that, depending on whether the medical institution intends to carry out Internet diagnosis and treatment activities, it shall implement the admission management. If it cooperates with a third party institution to establish an Internet diagnosis and treatment service information system, it shall submit a cooperation agreement. The physician shall obtain the corresponding qualifications for practicing the Internet diagnosis and treatment activities according to law. More than 3 years of independent clinical work experience, and approved by the medical institutions registered with it. Through the Internet and other information technology to carry out some common diseases, chronic disease review and 'Internet +' family doctor contracting services, no initial diagnosis.

'The introduction of this group of documents, first of all, we have seen the health care committee responsible for people's life and health, because the diagnosis and treatment activities involve the maintenance and protection of human life and health, should be treated extremely responsibly, secondly, another angle we also It can be seen that this kind of openness of management ideas, Internet online consultation has been vigorously carried out, and whether Internet diagnosis and treatment is allowed has also undergone heated debate. This document obviously allows medical institutions to cooperate with third parties, that is, willing to work on Internet hospitals. These companies in the Internet clinic have the legal basis for survival and saved the capital side. 'Deng Liqiang, director of the Legal Affairs Department of the Chinese Medical Doctor Association, said in an interview with the First Financial Times.

With the popularity of 'Internet +', the traditional medical industry has also been regarded as the target of investment, and it has quickly been pushed into the market by capital.

According to the Internet Health Survival Report released by the Arterial Network in 2016, from January 2011 to September 2016, a total of 1,134 Internet + medical companies were born in China. They are distributed in health care, medical treatment, specialist services, medical information. 10 areas, including biotechnology, etc. Among them, 533 companies have invested a total of 3.321 billion US dollars, and the average financing amount of each company is about 6.23 million US dollars.

'In the past 7 or 8 years, the market size of China's Internet medical care has expanded rapidly, and it has increased almost 30 times in 7 years, especially in 2016 and 2017, almost double the rhythm. Internet medical industry Practitioners are also rapidly increasing, from the provision of resources to third-party platform operators, pharmaceutical suppliers, and technology providers. In the past four years, the entire Chinese Internet + medical field has won more than 200 billion yuan. Investment. 'The founder of the good doctor Wang Hang said to the First Financial.

However, the Internet medical care promoted by these capitals is rushing in the gray area. 'Without policies, online medical treatment is illegal.' An Internet medical practitioner said.

In fact, last year the industry had circulated a "Internet treatment management method (trial) (draft for comments)", almost let the Internet medical industry collapse.

The above “Draft for Comment” clarified that within 15 days after the promulgation of this method, all Internet medical institutions must be cancelled and re-registered according to this method; Internet medical activities allowed to be carried out are limited to telemedicine services and primary medical institutions among medical institutions. Provide chronic disease signing services. No other forms of Internet diagnosis and treatment activities may be carried out. At the same time, Internet medical treatment activities shall be provided by medical institutions with medical institution licenses. The State Council's health and family planning administrative departments shall issue corresponding medical institution categories and basic medical institutions. 4. Standards, local health and family planning administrative departments at or above the county level may not set up and approve virtual medical institutions without authorization.

'This rule is the most talked about, the most controversial, is undoubtedly a blockbuster, meaning that all Internet inquiry platforms without physical or medical institutions can not exist, for investment institutions and Start a business In terms of all efforts, all efforts have been overwhelmed. According to incomplete statistics, many well-known investment institutions have invested billions of dollars in Internet medical fields, and the one-size-fits-all policy is for entrepreneurs and investors in this field. It is a big injury. For many platforms, it may mean a permanent break. 'The co-founder of the pottery network, CEO Zhao Wei said in an interview with the first financial.

From the market point of view, because there is no formal management norm for Internet medical treatment, the growth path of the Internet has been mixed. The quality control of Internet hospitals has not been conclusive. All the contradictions are focused on medical quality and patient safety.

On the one hand, the safety of human life and health, and on the other hand, the life and death of capital, what is the orientation of this document?

'I am the conservative party in the process of this document. I looked at the whole process and thought about it. In fact, this document is very advanced today. It has both the support for the development of the Internet intervention and the medical industry, and the safety of life. The state’s grasp of the degree of this document is still very worthy of recognition. 'Deng Liqiang said.

In interpreting this document, Deng Liqiang believes that the "Internet Treatment Management Measures" reflects several problems: First, the Health and Welfare Committee is responsible for people's life and health. Because medical activities involve the maintenance and protection of human life and health, it should be extremely Responsible treatment of this problem. According to the method announced this time, Internet hospitals should rely on the existing physical medical institutions as a support. All these institutions are approved and recognized by the state administration, so they are guaranteed for these medical security. of.

Secondly, Internet doctors who are engaged in medical activities in medical institutions must have more than three years of professional experience. It also ensures that these doctors' medical treatment can meet the minimum requirements for medical safety. drug They have also given the corresponding specifications. Another responsible performance is chronic disease management and return visits for chronic patients, remote consultations on the Internet, etc., which are not allowed to be diagnosed because of the initial diagnosis of a disease. The aspect also guarantees the safety of medical treatment.

'From another perspective, we can also see the opening of management ideas, which also saved capital. The current document allows medical institutions to cooperate with third parties, that is, those companies that are willing to work on Internet hospitals, Internet clinics, they There is a legal basis for survival. This legal basis is to sign a contract with a physical hospital, and then use a doctor in a physical hospital or a doctor in another medical institution, but these doctors must be registered and have corresponding professional qualifications. These doctors can guarantee medical safety. At the same time, it also stipulates the qualifications of the hospital, patient information, prescription management, etc. This is a big step forward. 'Deng Liqiang said.

Although Internet medical care is favored by capital, the Internet medical industry as a whole is still in the market cultivation period, or is still a supplement and extension of existing medical services. It has not really become an integral part of medical services, and more as an efficiency tool. And means of connection, providing services to medical providers and patients.

After nearly seven or eight years of hard work, Internet Healthcare itself has developed a mature product system and a sufficiently segmented market system, and has formed a relatively stable user population. The user education and market education work for related services has been basically completed. Internet Medical The problem is that although it has formed its own system, it is limited by policies and regulations and has not really entered medical care. medicine And in the field of 'three doctors' of medical insurance, there is no way to provide medical services such as diagnosis, prescription, prescription drug retail and medical insurance settlement. 'The above-mentioned Internet medical practitioners said.

There has been no relevant policy, although it seems to be messy and disorderly, it actually hampers the development of the industry.

'The problem that can solve the problem of Internet medical care is in front of us, that is, the three documents are out. They provide a clear access path and corresponding management norms for Internet medical access to medical treatment. According to the document regulations and relevant supporting implementation rules, By cooperating with physical medical institutions, the Internet medical industry can become a provider of medical services, and can provide legally available online medical treatments such as common diseases and chronic diseases, and truly enter the medical service. At the same time, the introduction of documents also means Internet medical treatment. The end of the 'grass era era', simply doing an information or service intermediary platform, it will be difficult to compete with the opponents who have an online + offline integrated service system. At the same time, the introduction of this approach may also promote the business model of Internet medical treatment. Variety, enterprise The competition between the two will no longer be the number of registered users, but the frequency of users using the service, as well as the depth and breadth of the service. 'The above Internet medical practitioners said.

In fact, the introduction of this method also confirms a core judgment of Dr. Chun Yu since 2016 that Internet medical care will be accelerated with traditional medical care.

'Internet medical care will gradually integrate with traditional medical informationization, telemedicine and national population health informationization, and become an important promoter of promoting medical information from informationization to Internetization. 'Tan Wanneng, Director of Brand Marketing Department of Chunyu Doctor A financial statement.

In fact, the Internet has already demonstrated its value in the medical industry. Wang Hang, who has been a good doctor for 12 years, believes that the value of Internet medical care will be displayed in four aspects: First, continuous promotion of medical service quality improvement, patient feedback feedback mechanism incentives Or force the doctor to improve the quality of service. Secondly, the Internet makes it easier for doctors to conduct online services, and the Internet payment habits will naturally become the market pricing of doctors, which can effectively change the thinking that doctors think that doctor services are not worthwhile, and promote doctors. The embodiment of value. Third, the open and fair mechanism of the Internet will bring about full competition, which will make the cost performance of medical services better and better, and everyone will eventually receive quality services. Fourth, improve the accessibility of quality doctor resources. Here, especially refers to trans-regional telemedicine services. The end result of all these must be that doctors use the Internet and spare time to establish public hospital A new set of service systems besides, changing the supply side of medical services.

Experts believe that the above-mentioned documents have affirmed the value of Internet diagnosis and treatment, supported Internet diagnosis and treatment, and at the same time adopted an 'inclusive and prudent' attitude. The future development of the industry still requires the participation of all parties in the construction of the support system and supervision system. In particular, the construction of medical information systems with electronic medical records as the core, the medical big data system based on population health information, the construction of Internet medical treatment and supervision systems based on dynamic supervision and privacy protection, and the supporting policies for online medical insurance reimbursement will become Whether Internet treatment can really bring benefits to all parties involved, can promote the main factors of medical reform and the development of large health industry.