"Internet + medical " is regarded as the gulf in the market by the capital market, but the ideal is full, but the reality is very skinny. There are many uncertainties in the marriage of the two, but this does not hinder the surging capital. However, the backward technology of hardware equipment, the vague business model, and the lack of talents in grassroots hospitals have become difficult problems in the development of telemedicine . To this end, the author visited some grassroots hospitals in real time, analyzed samples of listed companies, and visited industry experts to try to show readers the current status and development prospects of the telemedicine industry .
Looking at the new equipment, Zhang Guangyou’s joy is beyond words. "Our hospital X-ray machine has been used for seven or eight years, and the funding has been unable to be replaced." He paused. "It is very difficult for us to become a pilot."
The pilot in Zhang Guangyou's mouth is a new round of grassroots hospitals initiated by General Electric in the United States. It provides free digital X-ray imaging equipment and supporting methods to cooperate with three grassroots health units in Sichuan Province.
It is understood that many overseas medical device giants, including the three giant GPS (GE, Philips, Siemens), have frequently cooperated with grassroots hospitals in recent years, trying to use the new technology and capital to incite the "hard ice" of telemedicine. Not only that, but many domestic listed companies have also accelerated their layout and want to get a piece of it.
Equipment vendors rushed to the basic hospital
The Xinminchang Town Public Health Center, where Zhang Guangyou works, is 10 kilometers away from the central city of Jixian County, Chengdu. Recently, the reporter of "Daily Economic News" visited this grassroots health unit on the spot. According to reports, the hospital covers an area of ​​3 acres, 20 beds, the size and hardware and software are ranked in the county health center.
In fact, the basic health units of the public hospitals in Xinminchang Town are countless in the country. Although the original intention was to facilitate the convenience of the people, the constraints of hardware and software have made local patients far-reaching. Zhang Guangyou told reporters that the X-ray machine used in the hospital is a simulator. It has been used for seven or eight years and is washed with developer. “This kind of simulator has poor filming effect, the film is not easy to store for a long time, and the syrup used to wash the film will also pollute the environment.â€
In fact, digital devices are not only regarded as luxury goods in grassroots hospitals, but also in county hospitals. To this end, many foreign equipment manufacturers tailored various strategies for the grassroots market. In addition to free trials of equipment, GE has launched a layout for the grassroots market such as “Blue Ocean Strategy†and “Spring Breeze Plan†since 2008, trying to open the door to grassroots hospitals with low-cost equipment. Siemens also launched the "Healthy China" program in 2011.
It is a good thing to become a telemedicine pilot for the Xinmin Health Center. However, after the trial period, high equipment costs are bound to become a burden. Zhang Guangyou said, "It is impossible to spend hundreds of thousands or millions of purchases of these equipments, and the hospitals cannot afford them." "The manufacturers provide equipment free of charge, in order to seize the hospital resources, the success or failure of the future telemedicine market depends on the hospital resources. The scale." Song Bin, deputy chairman of the Radiology Branch of the Chinese Medical Association and director of the Department of Radiology of Huaxi Hospital explained.
Shi Lichen, the head of Dingchen Medical Management Consulting Center, believes that equipment manufacturers provide equipment for free, which is a bundled sales model. “Device vendors don’t have to make money from equipment and can benefit from maintenance, testing and other value-added services.â€
Medical treatment habits are difficult to change
Since the equipment for acquiring images can only provide analog signals, the development of telemedicine in China has been in the stage of converting analog signals to digital signals for a long time. Zhang Guangyou said that the imaging equipment provided by GE can convert the analog signal of the traditional X-ray machine into a digital signal. "The image resolution is high, and it can be directly transmitted to the superior hospital through the network at the first time."
Although digital devices have solved the problem of hardware shortages for many years, the scale of telemedicine is still difficult to achieve. It is understood that the current number of consultations in primary hospitals is very limited. "The number of radiology consultations is about 3 people/day, and it is basically maintained at around 100 patients every month." Zhang Guangyou said. Compared with the radiology department of Huaxi Hospital, which receives 5,000 patients per day, it is a far cry.
In this regard, Shi Lichen said, "The long-established medical habits of Chinese residents are difficult to change in a short period of time." In fact, this medical habit is also deeply rooted in the health care workers in primary hospitals. Song Bin believes that because of the small amount of regular consultations and the relatively regular cases, doctors in primary hospitals lack the motivation to continuously learn and improve their level, as well as the skills and abilities required for telemedicine.
In addition to public hospitals, many listed companies have also launched the idea of ​​telemedicine. According to incomplete statistics, among the A-share listed companies, Jiu'an Medical, Sannuo Bio, Langma Information, Lepu Medical, Wanda Information, Yuyue Medical, Aier Ophthalmology, etc. are actively developing telemedicine related activities based on their own advantages. business.
However, most of the diagnostic projects currently available for telemedicine are still limited to some routine examinations, and high-end projects such as remote surgery and teleconsultation are still few. Shi Lichen believes that in addition to the lack of large-scale equipment, grassroots hospitals lack a mature business model and interest chain. “The state has limited financial input, and it is difficult for grassroots hospitals to bear the cost of supporting hardware for telemedicine. On the other hand, there is no uniform standard for the settlement of benefits between primary hospitals and higher-level hospitals, and there is no incentive to promote telemedicine.â€
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