Internet + provides seven powerful weapons for smart medical care

Release date: 2016-01-05

The State Council's Guiding Opinions on Actively Promoting the "Internet +" Action (hereinafter referred to as the "Guidance Opinion") is an action guide for promoting "Internet +" in various industry sectors. Among them, the medical field closely related to people's lives is one of the areas that people are most concerned about.

"Internet +" can solve the "heart plug" problem in the medical industry? More than 7,000 medical government WeChat public numbers are helping many medical institutions to optimize medical procedures and improve medical efficiency. They are directly attacking the "three long and one short", the tension between doctors and patients, the overcrowding of top three hospitals, expensive medical treatment, and no "after-sales service" for medical treatment. Plugging the problem.

“Internet Plus” medical care helps optimize the medical experience. Internet access and re-optimization of the whole process of medical treatment, such as appointment registration, triage consultation, inspection and inspection report inquiry, payment settlement, etc., can effectively save waiting time for queuing and thus shorten the time of medical treatment. At the same time, it can effectively divert the pressure of the hospital registration window and payment window.

"Internet +" medical care can help improve the relationship between doctors and patients. Mobile health management, online consultation, etc., allow doctors to fully listen to patients' needs online. Technologies such as electronic medical records and electronic prescriptions help patients achieve higher quality medical services, thereby increasing patient satisfaction.

“Internet Plus” medical care can help change the way health is managed. Wearable devices, health management software, etc. provide a new technical means for Internet + medical care, which can help consumers to continuously understand their own health, thereby adjusting their living habits, strengthening physical exercise, and preventing disease. This in turn can improve the health of the whole population, reduce the number of hospital visits, and help reduce the pressure on medical institutions.

"Internet +" medical care helps reduce medical costs. Based on technologies such as telemedicine and wearable devices, patients can obtain medical information and medical support in a timely manner. The attending doctor can continuously track the patient's condition and rationally use the drug, which can effectively reduce the frequency of medical treatment and medical expenses.

Weapon 2: Cut into the "60+" medical health service market by chronic disease management

What is the "60+" market for Internet healthcare? Luo Baihui, a top-level design expert in the big health industry, said that with the continuous expansion of the Internet medical industry, start-up projects that directly or indirectly serve people over the age of 60 are increasingly attracting participants. The chronic disease management, health service and old-age service for "60+" consumers have gradually become the focus of Internet medical care.

“60+” medical health services are a huge market. “60+” medical health services refer to Internet medical products and services for people over the age of 60. Since 1964, China's aging curve has been going all the way. By the end of 2014, China’s population over 60 years of age had reached 212 million, accounting for 15.5% of the total population, making it the world’s first country with a population of 200 million. The aging of the population will significantly increase the demand for health care services and health care. According to statistics, the demand for medical health among the elderly population is 3-5 times that of young people.

Chronic disease management is the “60+” just-needed market. Chronic diseases are one of the diseases that occupy the highest medical resources, accounting for about 70% of medical expenses. The elderly population is the main group of chronic diseases. According to a report jointly published by BCG and SwissRe, the probability of chronic diseases such as coronary heart disease, hypertension, diabetes, asthma, and arthritis in the elderly over 65 years old is 3 to 7 times that of the 15-45 year old population. More than 60% of the elderly in China suffer from chronic diseases with a population of more than 100 million. The management of chronic diseases based on the Internet has obvious advantages in reducing medical costs. For example, studies of diabetic patients in the United States have shown that chronic disease management can reduce medical costs by 42%. Therefore, medical health services such as remote inspection and monitoring for the elderly population, lifestyle management, wearable drug administration, and drug compliance management will have broad development space. The blood glucose meter "Sugar Doctor" launched by Tencent at the beginning of the year is such a medical device. By synchronizing the blood glucose data measured by the device to WeChat, the purpose of remotely and timely monitoring the blood sugar level of the parents is achieved.

However, it should be noted that compared with younger groups, the aging population has widespread cognitive and application barriers to the Internet. The CNNIC report shows that as of the end of 2014, China’s Internet users aged 60 and above accounted for only 2.4% of the total number of Internet users. This requires strengthening user publicity and cultivation in the product development and marketing to address the characteristics of the elderly population.

Weapon III: Targeting the subdivision of the field to develop medical wearable devices

What are the ways in which wearable devices can be used in the medical field? The medical value of wearable devices is growing. The increase in user cognition rate directly drove China's wearable device market to achieve growth of more than 200% in 2014, with sales reaching 4.55 billion yuan. Health monitoring equipment brand Fitbit's share price soared 50% on the first day of listing, which further enhances the confidence of wearable devices in the field of medical and health development. In 2014, 14% of China's Internet medical financing funds were invested in wearable devices. Internet IMG Consulting (IMS) reports that fitness and medical wearable devices will account for 60% or more of the wearable device market. Swiss company Soreon Research predicts that wearables can help save 1.3 million lives by 2020.

At present, medical wearable devices in China are not functional. There are more than 150 domestic medical and health wearable devices, mainly for the public, children, the elderly, women, infants and pregnant women, providing sports, sleep, body temperature, heart rate, blood pressure, skin moisture, maternal fetal heart rate, EEG, Recording and monitoring functions such as body circumference data. Due to the lack of “killer” applications, the homogenization competition of existing equipment is prominent. The important reason is that the medical value of the existing wearable devices is relatively small, and it does not meet the needs of the users, resulting in low user participation.

The future direction of medical wearable devices. From the perspective of foreign development, medical wearable devices often focus on product innovation and application in the field of medical technology. 1. A wearable device that records more refined vital signs data. In addition to recording regular sign data, data such as skin temperature and eye movement can be recorded. 2. It has detection functions such as blood sugar, thyroid and eye diseases. For example, ScrippsHealth's nanosensors can detect blood sugar levels in patients by injecting them into the body. 3. With biometrics and reminders. Bionym's Nymi wristband can generate unique IDs and unlock devices through heartbeat data; Brightly devices developed by LirScientific use biosensors to alert patients with chronic urinary incontinence to urinate. 4. Wearable devices for specific groups of people. For example, a healthy wristband suitable for the elderly, a baby's ankle ring that can help parents monitor baby's sleep, heart rate and other information.

Weapon 4: Transforming medical data into productivity

"Internet +" medical, what data can be shared and opened? The artificial intelligence system Watson found 8 new target drugs in a short time based on "reading" all the 70,000 relevant data. By artificial research, all tumor researchers around the world may only be able to find a new potential target drug every year.

Medical data is exploding and presents complex and diverse characteristics. Traditionally, medical data includes patient basic data, admission and transfer data, electronic medical records, medical treatment data, nursing data, medical imaging data, medical management, economic data, and other clinical data generated in hospitals. With the proliferation of medical devices and electronic medical records, the medical data has increased geometrically. The medical data includes all medical health-related data such as self-quantitative data collected by wearable devices, network data, medical research or disease monitoring data. These data are closely related to personal life, not only important, sensitive, but also more complex and diverse. According to statistics, by 2020, global medical data will increase sharply to 35ZB, which is equivalent to a 44-fold increase in the amount of data in 2009. Analysis and application based on such huge data have a great effect on clinical operations, payment/pricing, drug development, and public health. In his research, McKinsey pointed out that by removing institutional barriers, big data analysis can help the US healthcare industry create $300 billion in added value a year.

China's medical data sharing and opening up are facing "three big mountains." First, the lack of digitization leads to a lack of “raw materials”. The annual IT investment scale of China's medical industry only accounts for about 0.8% of the expenditure of health institutions, far lower than the level of 3%-5% of developed countries. The implementation rate of clinical information systems such as electronic medical records, image storage and transmission systems, and medical examination center management systems are less than 50%2. Second, the standard is not uniform and the data cannot flow. Due to the inconsistency of data collection and exchange standards and interfaces, it is impossible to achieve interconnection between hospitals and hospitals. The discrete distribution of medical data weakens the data integration and mining capabilities of medical systems. Third, privacy barriers prevent data from being used on a large scale. Medical records and disease files often involve personal privacy, but how to desensitize and standardize data to ensure the deep application of medical data without revealing personal privacy, and lack of perfect institutional guarantee.

Can China open up to share medical data like this? The first is the standardization and open sharing of medical service consumer data. This involves patient satisfaction surveys, adverse drug reactions, health data collected by wearable devices, and more. The first data that the FDA (US Food and Drug Administration) opened to the public is data on adverse drug reactions received by the FDA in 2004-2013. The “Public Review” website for medical evaluation and medical field has 40-50 in the United States. The second is to achieve regional data sharing based on medical associations and doctor groups. Through the sharing of vertical medical data, the medical association is conducive to inhibiting excessive medical treatment, repeated examinations, and repeated medications. From 2008 to the end of February 2014, the implementation of the Shanghai Medical Union project has saved nearly 80 million yuan in medical expenses for patients. The third is to encourage Internet companies to cooperate with medical institutions to share data. Tencent recently reached a strategic cooperation with Guizhou Braun on “Internet + Chronic Disease Medical Service”. Both parties will build a large health data center for chronic diseases users based on Tencent's rich user data foundation. Based on these data, Guizhou Bailing develops, produces and clinically tests related drugs. Patients provide comprehensive telemedicine consultation, management and medical services.

Weapon 5: Encourage doctors/hospitals to actively embrace the Internet

Internet + medical, who is the wing that you fly? Doctor resources are limited, and even "Internet +" is difficult to overcome knowledge-intensive professional barriers. By reducing information asymmetry, the Internet can improve the efficiency of matching between medical resources and patient needs, but it cannot quickly increase medical resources—especially doctors—in a short period of time. Because the medical industry is a knowledge-intensive industry, it has high professional barriers. Compared with 27.4 doctors per 10,000 patients in the UK, China can only reach 17.4, and high-quality doctor resources are extremely scarce. Through advanced scientific and technological means to improve the efficiency of doctors, although it can compensate for the shortage of doctors to a certain extent, it is still based on the participation of doctors. Therefore, if "Internet +" medical care, without the deep involvement of doctors/hospitals, the problem of uneven distribution of medical resources will not be resolved.

Doctors/hospitals need to actively embrace the Internet to promote the penetration of “Internet +” into the clinic. The US government has long encouraged the application of information technology such as the Internet in medical care from both policy and financial aspects to improve the quality of medical services and reduce waste. The strong drive of the doctor/hospital has spawned a large number of formats and companies that serve it. In the seven business models of mobile medical in the United States, providing "Internet +" services to doctors/hospitals is the mainstream model. Epocrates, the world's first listed mobile medical company, provides doctors with comprehensive medication and clinical reference through a smartphone app, with 80% of clinicians across the United States. Canadian startups also focus on providing diagnostic services to physicians such as Cogniciti (detecting Alzheimer's disease), Eyeread (diagnosing children's learning disabilities), and Figure 1 (medical images and medical records database). According to statistics, AlliedMarketResearch has diagnosed, monitored and treated three services in the global mobile health services sector, accounting for 74% of the market.

What can we learn from the foreign version of "Internet +" medical care?

Foreign “Internet +” medical innovations for hospitals, doctors, retail pharmacies, and pharmaceutical companies are accelerating and iterative, and they are outstanding in improving doctors' work efficiency, expanding service time and space, maximizing medical asset utilization, and accelerating the speed of new drug research and development.

Learn 1: Epocrates: Provide doctors with clinical information on the mobile phone

Founded in 1998, Epocrates is the world's first listed mobile medical company. Its service form is to provide doctors with a reference to clinical information on mobile phones, and its main products are pharmaceutical and clinical treatment databases. The company has more than 1 million users, and about 80% of American doctors use the Epocrates. The software has thousands of prescription and over-the-counter information, including efficacy, side effects, dosage, drug interactions, price, health care, etc. It provides convenient access for healthcare professionals and many other professional medical features. Even medical calculations can be done through software. Based on the Epocrates service, doctors can save more than 20 minutes of clinical decision time per day.

Lesson 2: Open a clinic in a retail pharmacy

CVSCaremarkCorp, the largest retail pharmacy in the United States, pioneered MinuteClinics' small clinic service in retail pharmacies, providing consumers with three major types of disease diagnosis and treatment services: general disease services, minor trauma and skin disease services, for the health of chronically ill patients. Condition monitoring service. Each clinic is equipped with a computer-aided decision-making system and an experienced doctor. Doctors do not need to work in the clinic, nurses or interns can call for help at any time. Every visit to the patient's medical information will be recorded. The patient's electronic medical record can also be shared with other medical institutions. Walgreens, Kroger, Wal-Mart, etc. also have similar services like CVS. Such in-store clinics do not require an appointment or wait a long time, and are service-oriented and cost-effective. 10% of children and 16% of adults in the United States have used this type of service.

Lesson 3: "Uber" in the field of medical equipment

Cohealo is a Florida-based medical startup founded in 2012. They have developed a range of technologies and tools to help hospitals maximize their use of their most expensive medical devices. The company found that for every 5% increase in equipment efficiency, it can reduce equipment costs by 20%. The company is therefore committed to helping hospitals maximize the efficiency of their existing resource equipment, thereby improving service quality and profitability. The company currently offers solutions for hospitals in four areas: Cohealo+C-Suit, Cohealo+Finance, Cohealo+Clinical, Cohealo+SupplyChain. Mainly by connecting all the equipment to eliminate the redundancy of renting or purchasing equipment. Cohealo, known as "Uber in the field of medical devices," received $1.5 million in seed financing in October 2013.

Lesson 4: Mousera: Redefining the new drug development model

According to data from the Tufts Drug Development Research Center, a new drug is approved from the R&D to the FDA (US Food and Drug Administration), with an average cost of $2.5 billion. The higher drug failure rate has greatly increased the cost of research and development. The Moussa, a San Francisco Bay Area medical startup, is working to address the pain points of “drug drug collection and analysis methods are lagging behind”, thereby increasing the value of data and accelerating the discovery and development of preclinical drugs. Based on the Mousera-based platform, researchers can design, run, and analyze experiments and quickly obtain results that more accurately predict the effects of drugs on the human body. At present, the company has entered the B round of financing, and received $20 million in financing.

Weapon 6: Capital-driven development of new formats with medical resources as the core

How strong is the “Internet +” medical absorbing power? Although most of the investment in medical entrepreneurship projects is in the stage of burning money, investors generally believe that this is only a “strategic loss” before dawn, and the enthusiasm for investment in medical health has not decreased. According to incomplete statistics, in the first half of 2015, there were 66 financings in China's medical and health market, and the disclosed financing scale reached 3.4 billion yuan.

The value of “Internet +” medical capital has risen sharply, reaching a new high in 10 years in 2014. Since 2010, various capitals have entered the medical and health industry on a large scale. In 2014, the amount of financing and the amount of financing reached new highs, and the amount of financing disclosed in the year exceeded 7.7 billion yuan. The funds raised from medical health in January-June 2015 were twice as large as in the whole year of 2013. Among them, the pharmaceutical e-commerce “Yangyao.com” has become the project with the highest single financing amount by virtue of the C-round financing of 450 million yuan.

Medical e-commerce, health management, and medical informatization are the three major segments of capital enthusiasm, mostly in the early stages of growth. According to the disclosure amount in various fields, in the first half of 2015, pharmaceutical e-commerce financing was 1.46 billion yuan (7 transactions), health management financing was 990 million yuan (30 transactions), and medical information financing was 530 million yuan (7 transactions). Ranked in the top three. The investment scale of medical health hardware and software for assisting doctors is about 60 million yuan, which is relatively low. From the perspective of investment rounds, “Internet +” medical care is still in the early stage of development. More than 84% of the financings are seed angels and A rounds. There are fewer rounds of rounds B and C and more than nine rounds.

The investment focus should be shifted from the consumer-centered to the Internet medical entrepreneurship project centered on medical resources. At present, most of the projects in the capital market are based on consumers, providing registered appointments, online consultation, healthy community, and chronic disease self-management. These projects generally face problems such as unclear business models, low user stickiness, and low sustainability. In contrast to foreign Internet medical financing projects, in addition to consumer-focused health IT projects, there are many doctor-centered entrepreneurial projects, including auxiliary diagnostic tools, managing patients, monitoring adverse drug reactions, clinical consultation, and communicating with patients. , medical research and other functions. These applications can help doctors improve diagnostic efficiency and levels, and reduce medical costs. The enthusiasm of the doctors is high, and then introduced to the C-end users, thereby enhancing the participation and stickiness of doctors and consumers in both directions, further highlighting the value of Internet+.

Weapons Seven: Promote policy breakthroughs

How large incremental market can Internet + medical care form? Luo Baihui, a top-level design expert in the big health industry, believes that Internet + medical care is a huge market with a scale of 10 billion yuan.

With the acceleration of medical system reform, capital intensive inflow, rapid development of information technology and accelerated release of demand, mobile medical health equipment, Internet medical health services, online diagnostic products and services, medical e-commerce and other market segments are promoted. It will gradually be released to form an industrial scale. The data shows that the overall size of China's Internet medical market in 2014 was 11.39 billion yuan, and will reach 36.53 billion yuan in 2017, which is expected to become the second largest medical health market in the world after the United States.

However, under the existing medical system in China, hospitals and doctors generally lack the power to improve the quality of medical treatment and reduce medical costs based on “Internet +”, medical e-commerce, telemedicine, online diagnosis, “Internet +” chronic disease management and other market segments. The development also requires the simultaneous separation of policies such as medical separation, freelance employment, medical insurance payment reform, and data sharing. Therefore, to solve the essential problems faced by the existing medical system, the unblocking of the “Internet +” medical tens of billions of dollars requires a simultaneous breakthrough in policy.

Source: Industrial Control China

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