The "Internet Treatment Management Measures (Trial) (Consultation Draft)", which has been circulating in the past, has not been announced since it was circulated in May last year. In the unstoppable "Internet +" tide, people who are good at swimming have begun to obtain real money.
“In 2017, there were 170,000 doctors in the online doctors, and there were 60,000 people with income, with a total income of 310 million yuan. The highest income was 1.39 million yuan, the second was 1 million yuan, and the third was 96. Ten thousand yuan." On the 20th, Wang Da, the founder and CEO of Good Doctor Online, announced such a set of data at the "Conductor Conference - 2018 Brand Doctors Annual Festival".
1.39 million yuan, the use of free online consultation services can also bring such a high income to a doctor, this temptation has become the most original driving force behind Internet medical .
With the deepening of medical reform, the “medical treatment†model of public hospitals has collapsed. According to the notification from the National Health and Family Planning Commission, as of the end of September 2017, all types of public hospitals at all levels across the country cancelled drug additions and implemented zero-difference rates. Cities such as Beijing have established a mechanism for “doctors rely on quality medical services to guarantee and increase income†through the establishment of medical service fees and adjustment of medical service prices.
At the same time, in order to curb the "drug rebate", the medical anti-corruption efforts have been continuously strengthened, and in 2017, it has entered a high-pressure situation. The Shanghai and Anhui provinces and municipal health planning committees have issued strict regulations on this. The "Measures for the Treatment of Commercial Bribery by Medical and Health Institutions and Their Staffs (Trial)" issued by the Anhui Provincial Health and Family Planning Commission clearly requires that the staff of medical institutions should personally request and accept commercial bribes worth 5,000 yuan or more, depending on the circumstances. Dispose of, dismiss, and revoke the practice certificate.
These policy interactions are also urging doctors to abandon their dependence on “selling medicine bonuses†and relying on kickbacks to earn gray income.
"We should see that the online doctor brand has begun to profoundly affect the patient's offline decision-making, which in turn affects the doctor's clinical business and benefits in the hospital." Wang Hang said.
Driven by the medical reform policy, the Internet medical service platform undoubtedly opened up a road that can be sun-baked in the public hospitals by taking advantage of their spare time and relying on professional services to generate income.
Among the 3 million practicing doctors, 60,000 medical personnel earned 310 million yuan in their spare time. Although they accounted for a small proportion of the total medical and health expenses, this cake is already tasteable. Correspondingly, the country began to practice more than a few years ago, and opened up the path of earning money for practicing doctors, but the effect was not good.
"Doctors practice more than a pseudo-proposition. Many public hospitals say that you are holding my full-time money, what benefits are enjoyed, and you are still doing private work outside, I don't agree - this is why many public hospitals oppose multi-point practice. "Daily Red Doctor", Duo Tao, former dean of the Shanghai First Maternal and Child Health Hospital, said.
However, this format is not all prepared by practicing doctors. According to Wang Hang, "In fact, at the beginning of this format, our medical staff was not ready. Starting in the second quarter of 2017, we gradually implemented a new regulation on the doctor's online, that is, the specified target. Doctors' consultations require payment. This is a recognition of the value of doctor services."
Wang Hang said, however, as this rule is gradually implemented, they receive more and more complaints from paid patients. In the peak period of July and August, the number of complaints per day was as high as 1,800. The main complaints were concentrated in two aspects. First, the doctors responded too slowly, often waiting for more than 24 hours. Second, the doctors responded too easily, and the patients often uploaded well. A few inspection reports, written a thousand words of the disease description, get a reply of 4 words: come to the clinic.
“The patient called and said that I paid for a better service quality. I need some specific explanations, not simple ones.†Wang Hang said.
With the "Administrative Measures on Registration and Recording of Medical Representatives (Draft for Comment)" promulgated by the State Food and Drug Administration, medical representatives shall not undertake the task of drug sales, and shall not participate in the number of prescriptions prescribed by the doctors. After the medical representative can no longer sell the medicine to the doctor, the medical practitioner who is deposited on the Internet will become the next target of the pharmaceutical marketing.
The document "Administrative Measures for Internet Diagnosis and Treatment (Trial) (Draft for Comment)", which is used to regulate the healthy development of this industry, will eventually be introduced. (First Finance)
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