Ming Qiang, chairman of Minghe Zhonghe
From the provision of a series of comprehensive services including management, drug supply and grading diagnosis and treatment for grassroots medical institutions (mainly rural areas), Minghe Zhonghe received a financing of 60 million in Series A financing in the third year of its establishment. In the past three years, Minghe Zhonghe has occupied the territory of China's central region, with more than 80 cloud pharmacies covering more than 100 prefecture-level cities. Regarding how to use the Internet to empower rural medical services, and to improve the diagnosis and treatment capacity of small and micro medical institutions in the existing grassroots stocks, Mr. Jiang Qiang, founder and chairman of Minghe Zhonghe, made the second grassroots medical innovation practice summit in 2018. Sharing, the arterial network has done this.
The following is the arrangement of the arterial network on Jiang Qiang's wonderful viewpoint:
First, the concentration of medical consumption has caused a deformed medical system.
Second, the contradiction between the structural contradictions and the quantity in the existing medical system is more serious.
Third, use the power of the Internet to empower grassroots small and micro institutions, and solve the basic medical needs of 600 million people in rural areas.
Centralization of medical consumption has caused a deformed medical system
I am a member of China's “Primary Care + Internet†exploration and practice. I will share with you all the progress we have made in China's most basic (rural) medical field in the past three years and our views on the entire industry. China's greatest contribution to the world's medical field and institutional innovation is the rural doctor system, which trains junior people to be competent and solve the problem of medical supply in remote areas. But in the past, for some institutional reasons, the function of this system has continued to weaken. Therefore, people at the grassroots level are getting harder and harder to see a doctor, and the radius of medical treatment is getting bigger and bigger. China's existing medical system has serious structural problems.
The first big problem is that China's medical consumption is in an inverted triangle. The entire Chinese medical market has a scale of 4.61 trillion, and hospitals with less than 3.2% of the total institutions consume more than 74% of medical consumption funds. This shows that the huge medical institutions that are closest to the people are idle and semi-idle. The needs of the people who are close to the doctors are difficult to meet and the experience will not be good. Therefore, the medical reforms accumulated over the years have not given sufficient attention to primary health care, and have hollowed out the bottom of medical care. The radius of medical treatment for the common people is getting bigger and bigger, and it is only when the minor illness is seriously ill. The next step in medical reform is that many experts have proposed that “strong grassroots†should be centered on county-level hospitals. This matter should be taken care of to prevent the county hospitals from having another impact on the underlying medical care, just like the “siphon effect†of tertiary hospitals on county hospitals in the past years. "Like, don't take the bottom medical care that is closest to the people."
The second problem is the structural problem of medical consumption expenditure, and the value of doctors is not reflected. What is the distribution structure of medical consumption? In the distribution of medical expenses of ordinary people, hospitalization spent 53%, outpatients 36%, and retail sales 11%. In the outpatient market, hospitals account for another 80%. An outpatient treatment, a hospitalization, absorbed 71% of medical spending in Chinese hospitals. This is the status quo of medical consumption concentration, and from the big classification, medical consumption can be divided into three parts: one medicine, one inspection, one medicine. The most sad thing in China is that medicine and inspection account for 83% of the total medical consumption. The medical part only accounts for 17% of the entire plate.
In the current malformed medical structure, we have a lot of startups say this "Internet + medical", we can calculate that in the context of the entire medical cake, "medical" is only 17% of the background, the power of the Internet is "medical" "This piece is hard to make a difference in improving efficiency. The proportion of the structure of medical consumption of traditional Chinese medicine, medicine and technology shows that the value of "medical" has not been given due respect, and the efficiency in "medical" is already high enough. The power of the Internet should pay more attention to the efficiency improvement of “medicine†and “checking†on medical expenditures, and provide Internet-based solutions to promote the change of the current situation of “medicine-based medicineâ€.
The structural contradiction of the existing medical system is more important than the contradiction of quantity
Next, we look at the distribution of medical expenses at the national level. What is the difference between different residents? This is a relatively heavy number. China currently has more than 600 million rural residents and more than 700 million urban residents. However, the total cost of medical consumption is more than 3 trillion, and more than 700 million urban residents account for it. 240 million, more than 600 million rural residents spent 0.68 billion.
Let's take a look again, on this more than 3 trillion, who is the money? Just now we saw the flowers on the body, the population is 1:1 contrast, on the medical plate, one is a medical insurance account, one is an individual. From the perspective of medical insurance merchants, we can calculate that the total amount of support for medical insurance reimbursement is 180 million, but in almost 180 million, it is almost always a town, and the real real medical insurance account supports rural residents. Less than 15%.
From the perspective of medical burden, we have been talking about difficult and expensive questions, but it is a relative concept that is difficult and expensive. With so many years of economic development and the country's continued investment in medical care, the per capita income growth rate of urban residents has exceeded the growth rate of medical consumption expenditures, but there has been no major change in rural areas, income has risen, but medical expenses have risen. More fierce. Therefore, most of the medical expenses in rural areas still rely on their own pockets, so a small problem will be a big problem, because going out for a hundred kilometers. Therefore, the gradual and moderate increase in the support of rural residents for medical insurance payment is a key consideration for the reform of the basic medical insurance system.
Therefore, my view on the status quo of China's medical care is that supply is inadequate and unbalanced; there is a huge difference between urban and rural areas in the ability to pay. From the perspective of effective supply of medical care, structural contradictions are more serious than quantitative contradictions. The structural contradiction of this supply side causes the indirect cost of medical treatment for the grassroots to be far greater than the direct cost. It is difficult to go to the hospital. The medical expenses may cost more than one hundred and two hundred yuan, but the cost of transportation and waiting time will cost one or two hundred. yuan. From the point of view of the ability to pay, the proportion of rural residents who pay less is more high, which further increases the difficulty for rural residents to see a doctor and see a doctor. Therefore, whether the power of the Internet can promote the sinking of medical supplies, allow data to run more, let villagers run less, and systematically reduce the cost of medical treatment for villagers is a cause that we have unanimously explored and practiced in the past three years.
Use the power of the Internet to empower grassroots micro-institutions to solve the medical needs of 600 million people in rural areas
Solving the basic medical supply and improving the ability of the grassroots medical institutions closest to the people may be the inevitable way for future development. Use the Internet to promote "diagnosis" Internetization and "treatment" to become near. We hope that the grassroots micro-medical institutions can be used as the implementation point of the medical front-end, and combined with the upper medical resources to reduce the radius of medical treatment for ordinary people. Minghe Zhonghe has been working on four aspects, building a structure with the SaaS platform and empowering primary health care institutions: the first aspect is knowledge and management capabilities, the second aspect is drug supply capacity, and the third aspect is The fourth clinical examination ability of outpatients, the fourth is intelligent and remote diagnosis and treatment capabilities. Using the Internet to open up the upper medical resources and the needs of primary diagnosis and treatment, the village doctors were armed as "Javelin doctors", and the village doctors were able to solve the primary medical needs with a mouse and a scanning gun (Javelin) and + Internet.
In March 2016, we launched the 1.0 medical ethics platform to bring together cases, prescriptions, files, etc. This is the first stage to solve the problem of informationization and standardization of daily management. In the second phase, we launched the Medical Dedication 2.0 cloud platform to help grassroots doctors solve problems such as drug purchases. In the next step, we are advancing the construction of the “Shared Outpatient Clinicâ€, using the Internet to improve the testing and diagnostic capabilities of primary medical institutions, and providing medical data preparation for the opening and docking of medical resources with the upper end. Minghe Zhonghe has now achieved its location in the central region of China. We have now built more than 80 cloud pharmacies, covering more than 100 prefecture-level cities, and have achieved multi-dimensional services for nearly 60,000 clinics.
At the point of profitability, we only derive revenue from the full cost of medical care: including the benefits of drug supply chain management services, the benefits of outpatient clinical services, and the benefits of smart and telemedicine services. After more than three years of exploration and practice, we have achieved profitability in our early pilot areas, and have greatly improved the ability of primary care and reduced medical costs.
China's grassroots market is relatively large and can serve the basic medical needs of 600 million rural residents. I think it is a meaningful and worthwhile cause. More than three years of practice and exploration have also proved that the use of Internet technology to empower primary medical institutions is feasible and profitable! In the future, we can enhance the diagnosis and treatment capacity of small and micro-medical institutions with existing grassroots stocks in a wider dimension, and facilitate the grassroots people to seek medical treatment and improve their health.
Ming Medicine Zhonghe has no difficult clinics in the world. The qualification certificate, the problem of medical insurance docking, the supply of medicines, the problem of testing ability, the problem of improving skills, the problem of IT system management, etc., we all give a comprehensive solution. We want to open a clinic and think of a clinic in the countryside. We want to serve the people and institutions of primary health care and residents, and provide a system-wide support and service platform to help medical “strong grassrootsâ€. So we are interested in serving the countryside, we work together, thank you!
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