Internet Medical "Heavy Play" On The Stage: Pattern First Set To Rush To Slow Disease Management Market

Recently, the national health and Health Commission issued the circular on further promoting the development and standardized management of internet medical services. It pointed out that in carrying out any experiment and exploration, it is not necessary to break through existing laws and regulations and "clear guidance on the implementation of the" Internet + "medical insurance service during the period of promoting the prevention and control of new crown pneumonia.

An internet medical veteran told the economic news reporters in twenty-first Century that the notice was only more than 600 words, but in conjunction with the national development and Reform Commission's document, it was mentioned that "exploring the first medical care system and the appointment triage system" in the field of health and health is referring to the Internet medical consultation, which is the first diagnosis of medical insurance. This is a more accurate interpretation. And this visit is mostly chronic diseases and common diseases.

"The prevention and treatment of chronic diseases has risen to a national strategy. The development of Internet Medical reinsurance and the second batch of drug purchasing and collecting prices recently implemented throughout the country can be seen in the national attention to the prevention and treatment of chronic diseases." A senior medical professional pointed out to the twenty-first Century economic news reporter.

Wang Shirui, founder and CEO of the Medical Association, believes that chronic disease management is one of the most important topics for future medical treatment. From the epidemic situation, internet medical treatment has shown prominently in the prevention and treatment of chronic diseases. In fact, Internet health care is also a very good tool for chronic disease management. Chronic diseases are characterized by a large number of patients, long duration of illness, complex etiology, high cost of treatment, and frequent communication between doctors and patients. Internet medical treatment can well squeeze into it, and is conducive to patient education and compliance management.

In fact, many Internet companies including medical alliance, Ali health and other Internet companies are exploring the Internet chronic disease management mode, but their entry points are different. The above industry veteran pointed out that internet medical chronic disease management needs to have the professionalism of diagnosis and management of chronic diseases, and integrate the internet medical supply chain with the patient's feelings and experience as the center.

More than ten million people with chronic diseases every year

According to the survey data released by the China Center for Disease Control and prevention in 2019, 75.8% of the elderly people aged 60 or above were troubled by at least one chronic disease.

According to the latest statistics from the national health and Health Committee, there are nearly 300 million patients with chronic diseases in China, an increase of 10 million per year. China has entered a high incidence of chronic diseases, and it is also the largest group of chronic diseases in the world. In 2019, the prevalence rate of chronic diseases has reached 23%, and the number of deaths has accounted for 86% of the total deaths. It is estimated that China's chronic disease expenditure will rise to around 5 trillion and 500 billion yuan by 2020.

AI believes that the expense of medical insurance reimbursement for chronic disease treatment is relatively high due to the total expenditure of urban basic medical insurance fund, so if we want to effectively control the growth of total expenditure, we need to manage effectively the slow disease through the primary first visit, two-way referral, quick and slow treatment and up and down linkage, thereby indirectly reducing the treatment cost of chronic diseases.

At present, the prevention and treatment of chronic diseases has risen to a national strategic level.

China's long-term plan for prevention and treatment of chronic diseases (2017-2025 years) points out that by 2020, the chronic disease prevention and control environment has significantly improved, reducing the premature death rate caused by chronic diseases, and striving to reduce the premature mortality rate of 30-70 year olds due to cardiovascular, cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes compared with 2015 by 10%. By 2025, the risk factors of chronic diseases can be effectively controlled, and the whole population life cycle health management can be achieved. The early mortality rate of people aged 30 to 70 due to cardiovascular, cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes is 20% lower than that in 2015. We should gradually improve the health expectancy of residents and effectively control the burden of chronic diseases.

Wang Shirui, who has been exploring the management of chronic diseases, points out that hepatitis B, AIDS and some tumors are redefined as "chronic diseases that can be regulated, treated or even cured" from the original "incurable diseases". How to manage chronic diseases in the future will become the most important proposition in the future.

Zhang Jingchuan, director of national retail management at Bayer China's prescription drug administration, looks at the aging trend of China's social structure. One of the concerns of the state is chronic disease prevention and control. The core of chronic disease management is the biggest obstacle to chronic disease management. Through what means to intervene patients, and even allow patients to participate actively in a series of behaviors of chronic disease management, this is also a key element of a series of planning from national treatment to prevention.

Internet chronic disease management

Chronic diseases are characterized by a large number of patients, long duration of illness, complex causes, high cost of treatment and frequent communication between doctors and patients. With the help of Internet, medical treatment can better manage chronic diseases.

Tang Ming, director general of the center for Pharmacoeconomics Evaluation of Chinese Medical Doctor Association, believes that chronic disease management has become the common demand of patients and hospitals. Intelligent integration can make chronic disease management more successful and meet the needs of patients, doctors and hospitals.

In twenty-first Century, the economic report reporter also combed the Internet related medical policy in China since 2005, and found that since 2018, the policy of the national internet medical field has been intensified, and all provinces and municipalities are speeding up the construction of the provincial internet medical service regulatory platform.

In April 28, 2018, the general office of the State Council issued the opinions on promoting the development of "Internet + medical health", which allowed the medical institutions to prescribe some common diseases and chronic diseases online, and encouraged "Internet +" medical education and popular science services.

The three supporting documents issued by the State Health Protection Commission and the State Administration of traditional Chinese medicine in July 2018 were "Internet hospital management (Trial Implementation)", "Internet diagnosis and treatment management method (Trial Implementation)" and "telemedicine service management standard (Trial Implementation)", which means that Internet treatment and Internet hospitals have been officially recognized.

With the setting up of the Internet related medical policy, many internet medical enterprises will also focus their attention on chronic diseases.

For example, since 2018, the medical alliance has made use of the Internet technology, combined with the technical advantages of AI and medical data, to focus on the field of chronic disease management, providing long-term standardized chronic disease management services for chronic disease patients. At present, there are more than 800 thousand real name certified doctors and more than 4.8 contracted doctors nationwide, covering twelve chronic diseases such as liver disease, diabetes, HIV and cancer. Provide online inquiry, electronic prescription, door-to-door service for patients.

"Restricted by the knowledge reserves and abilities of doctors, even a good expert in chronic disease management can only answer 100 questions a day. The new human-machine collaboration team can answer almost 2000 questions online. Wang Shirui thinks internet medical treatment improves the efficiency of chronic disease management and saves costs.

In China, chronic diseases constitute 87% of the death rate of the population, including cardiovascular and cerebrovascular diseases, tumors, respiratory diseases and metabolic diseases of diabetes. In the prevention and control of chronic diseases, Internet health care can play a great role.

Professor Sun Ningling of Peking University People's Hospital believes that the internet medical practice is a new medical service mode, which takes the Internet as a carrier and takes information technology as a means, including mobile technology, cloud computing, Internet of things, big data, and so on.

With the rapid and continuous development of Internet, the coincidence degree between chronic disease patients and Internet users will be further improved. Based on the large population foundation of chronic disease patients, the long duration of patients' illness, the need for monitoring the disease with high frequency, and the high viscosity of users, the Internet chronic disease management service will be one of the most advantageous subdivision development areas of internet medical treatment.

Explore the "whole industry chain" slow disease management

Huatai Securities Analysis said that in the field of Internet hospitals, enterprise led micro medicine, Internet based health and safety good doctors provide medical services to the resources under the wiring. The hospital information enterprise type Wei Ning and the pioneering cloud hospital are mainly integrated online and offline, and promote inter hospital collaboration and medical Confederation construction. "Internet + health services play an important role in the education of patients, and also apply to chronic disease management."

It is understood that China's Internet chronic disease management enterprises are mainly in a variety of services, including information: chronic disease information and social platforms; service categories: Registration enquiry, data monitoring and chronic disease reminders; trading categories: pharmaceutical equipment and others. Among them, each kind of service mode also includes a number of subdivision services, for example, the social platform includes the sick community, the doctor community, the doctor-patient community and the patient's family member community, and the overall segmentation service is diversified.

"Now the Internet slow disease management, to adhere to patients, not only to provide advice, but also need in-depth services. If doctors manage chronic diseases, they can also get medication easily, do well in patient education and improve patient compliance. Platforms need doctors and drugs to get better business models. " An internet medical practitioner told the economic news reporters in twenty-first Century that Internet health care ultimately needs to look at the business model, depending on profitability.

Beijing Economic Group Chairman Li Zhixiang twenty-first Century economic report reporter pointed out that internet medical needs to pay the bill, the best target is insurance and pharmaceutical companies.

In the management of chronic diseases, with the "Internet diagnosis + medical insurance" to get through, it will provide the payment for chronic disease management services. At present, the combination of a large number of pharmaceutical companies and internet medical enterprises is more conducive to create a closed loop of internet medical management.

For example, Lilly pharmaceuticals recently entered the 1 diabetes network management platform. At the same time, Guo Anfeng, vice president of the former Bristol Myers Squibb cancer department, officially became the chief Innovation Officer of the 1 drug network, and is responsible for the operation and innovation of the internet medical platform.

Earlier in the year, Ali Health announced that it had launched a "chronic disease welfare plan" on the basis of Tmall's "reassuring purchase plan" before, providing a series of slow disease management services for the chronic disease population, including "cloud doctors", original medicine direct supply, personalized medication guidance and so on.

"The focus of Internet healthcare is still around health care. We need professional doctors, pharmaceutical companies, and the whole industry chain. " The senior official said.

In early 2018, the medical alliance began to layout the Internet hospital business characterized by specialist chronic disease management, and established a strong doctor-patient relationship chain on the platform. First, it tried to break through the hepatitis C breakthrough, and brought together nearly 16000 hepatosts nationwide in one year. More than 8000 hepatitis C patients were identified in the half year of the project. It is understood that the medical association is also working with hepatitis C as a "template" in the field of other chronic diseases.

Du Yuantai, vice president of Beijing Hospital, believes that the Internet hospital, represented by the medical alliance, has a more flexible operation mechanism. The scope of its business development is broad. It not only involves the diagnosis and treatment of diseases, but also extends to the aspects of business insurance and health management.