On July 1, 2015, the State Council issued the "Guiding Opinions on Actively Promoting the "Internet +" Action." The "Opinions" made a high-rise strategic thinking on the integration of the Internet and various fields. In the field of integration of the Internet and traditional medical care , the "Opinions" believe that the future Internet applications are more abundant, and the allocation of social service resources is continuously optimized, forming a development pattern of coordinated interaction between the network economy and the real economy. The "reMED2015 China Internet Medical Development Report (Second Edition)" written by the Internet Medical China Association was released. This is the first in-depth research report on the Internet medical field after the State Council issued the "Opinions". From the pain point of China's medical services, the United States can learn from The medical model and the direction of Internet medical development have carried out multi-angle analysis and interpretation of China's Internet medical development. Based on the further extension of the Internet medical industry chain and the impact of corporate resources in different links on the traditional service model, the report focuses on the major changes and restructuring of the current industry, and challenges to the domestic Internet medical industry. It explored and analyzed the development opportunities, and integrated the medical service industry with Internet thinking, trying to find out the future development trend of Internet medical services in China. Foreword The Internet is changing our world at an unprecedented rate, driving people's lifestyles, changing business models and the global economy. With the popularity of the mobile Internet and the maturity of multi-domain technologies such as cloud computing, the Internet of Things and big data, the Internet is making the relationship between people, people and things more unprecedented. With the further integration of online and offline services, people's lives will enter a new era of intelligence! Health is the most basic and highest demand of human beings. With the development of the economy and the improvement of people's income level, people's awareness of health management is gradually increasing, and the demand for medical services is increasing, making it difficult for traditional medical services to accumulate in the long-term. The painful point of seeing a doctor is becoming more and more prominent and becoming a sharp social problem. The integration of the Internet and the medical industry has emerged as the times require. With the joint promotion of technology and social needs, the era of "Internet + medical" is on the rise. In 2015, all kinds of innovations will bloom, and Internet medical services will further advance through re-construction process, hospital collaboration model, health management method, drug service form, insurance payment management structure, treatment diagnosis method and data analysis and processing capabilities. The reconstruction of the medical ecology. This will improve the medical experience and enable patients to feel at ease; enable doctors to concentrate on treatment and improve the efficiency of medical services; reduce medical expenses and reduce medical expenses for patients and the state. With the further penetration of the Internet into all aspects of medical treatment, Internet medical is accelerating the reconstruction of the medical industry at a geometric speed. At the same time, with the further extension of the Internet medical industry chain, the enterprise resources in different links have begun to contiguously, and the traditional service model has been impacted by a stronger situation. The medical industry is about to usher in even greater changes! Focusing on the current major changes, this report explores and analyzes the challenges and development opportunities faced by the domestic Internet medical industry, and integrates the medical service industry with Internet thinking to try to find out the future development trend of Internet medical services in China. First, China's traditional medical services have many pain points, and the service system needs to be upgraded. 1.1. Excessive concentration of quality medical resources, the Internet is expected to improve the efficiency of medical resource allocation The "National Medical and Health Service System Planning Outline (2015-2020)" adopted by the State Council executive meeting on January 19, 2015 clearly stated that the current layout of medical and health resources in China is not reasonable enough, the distribution of medical resources is unbalanced, and the development of medical institutions at all levels Objective problems such as imbalances have led to the long-term persistence of the phenomenon of “difficult to see a doctor and expensive to see a doctorâ€. The "Outline" has effectively allocated medical resources as the key tasks and directions of reform, and has also opened the door for the development of the Internet medical industry. One of the unreasonable manifestations of the distribution of medical and health resources in China is that the medical services resources are unevenly distributed and the differences are large. In terms of the number of medical institutions, the total number of beds in the eastern health institutions exceeds 40% of the national total, while that in the western health institutions is only 29%, and nearly 42,000 medical institutions in the east than in the west. From the perspective of the number of doctor resources, the gap between the eastern and western cities is more obvious. In some developed cities in the east, the doctor resources can reach three to four times that of the western cities (Figure 1). The difference in the number of medical service resources has led to a low level of overall medical services in the west. According to the Fudan version of the 2013 China Best Hospital Comprehensive Rankings, there are only seven of the top 100 national hospitals in the list. In general, China's medical service resources are mostly concentrated in the east, and the quality of medical and health resources in the western region is low, which affects the fairness and efficiency of China's medical and health services. Figure 1: Health technicians per 1,000 population in the East and West of China in 2013 Source: Health Planning Commission, Internet Medical China Association The imbalance in the distribution of medical resources is also reflected in the two levels of medical institutions and doctor resources. China's high-quality medical institutions are concentrated in cities. According to the statistics of hospitals in various regions in China in 2013, it is 11.2% of the four municipalities (Beijing, Tianjin, Shanghai, Chongqing), which account for 6.2% of the country's total population. The resources of the top three hospitals; among the local provinces, the top three hospitals are concentrated in the provincial capital cities. The imbalance in the distribution of doctor resources is reflected in the excessive concentration of quality doctor resources to tertiary hospitals. As shown in Figure 2, among the hospitals surveyed in China, the number of doctors with intermediate titles or above in the tertiary hospitals accounted for 55.7% of the total number of doctors; in non-third-level hospitals, the proportion of doctors with intermediate titles or above was only 19.8%. The doctor's clinical title reflects the doctor's technical level. According to the survey results, the quality of doctors in tertiary hospitals and tertiary hospitals in China is quite different, and the quality doctor resources are concentrated in tertiary hospitals. Figure 2: There is a big difference in the titles of tertiary hospitals and tertiary hospitals in 2014 Source: China Hospital Association Information Management Professional Committee, Internet Medical China Association The imbalance in the development of medical institutions at all levels is mainly reflected in the excessive concentration of quality medical resources in large cities, large hospitals, etc., prompting patients to flow to tertiary hospitals. Unreasonable patient flow on the one hand reduces the resource utilization and technical level of primary medical institutions, and on the other hand, the resources of large hospitals are not rationally utilized. In general, the current imbalance in the distribution of medical and health resources is the key to the problems of “difficult to see a doctor and expensive to see a doctor†in medical services. Restructuring and optimizing the allocation of medical resources is the main direction and core appeal of future medical reform. With the maturity of information technology such as cloud computing, Internet of Things, mobile Internet, and big data, Internet medical has the conditions and capabilities to reshape medical resources. With the Internet surpassing the characteristics of physical space and time, Internet medical care will promote the profound transformation of medical service mode and management mode, and play a huge role in reconstructing the new medical order. The State Council's "National Health Care Service System Planning Outline (2015-2020)" has clearly stated that it is necessary to actively promote the development of mobile Internet and telemedicine services, and apply information technology to promote health information services and smart medical services that benefit the entire population. The "Outline" proposes that it takes five years to complete the establishment of three major databases, electronic health records and electronic medical records covering the whole country and the dynamic update of information to realize the information sharing and business of medical services, medical security and public health services at all levels. Collaboration. This has brought a broad opportunity for the Internet medical industry and opened the door to development. 1.2. The efficiency of grading diagnosis and treatment is low, and the Internet may help the national grading diagnosis and treatment system. Since the reform and opening up, China has adopted the "Hospital Classification Management Measures" to implement administrative management of medical institutions. According to the Measures, hospitals are divided into three levels according to their functions and tasks. The first-level hospitals are responsible for providing prevention, medical, health care and rehabilitation services directly to the community, mainly for primary medical services, while tertiary hospitals are defined as Medical institutions that provide high-level specialist health services and perform higher education and research tasks. The original intention of the "Measures" is to establish a comprehensive grading diagnosis and treatment system to achieve standardized management and target management of the medical system. However, in practice, many problems have arisen. In the allocation of medical resources, the old model allocates all medical-related resources, including staffing, funding, and health policies, according to the hospital level. High-level hospitals have the priority of allocating resources, which naturally promotes quality. The phenomenon of excessive concentration of medical resources and the monopoly of medical resources in the top three hospitals. Secondly, the practice of linking hospital grades to hospital beds and buildings in the “Measures†has led some hospitals to blindly pursue scale expansion in order to improve hospital grade and market profit, and form “pumping phenomenon†and a large number of medical resources on medical resources. Waste. In response to this situation, the new medical reform proposed to gradually establish a graded diagnosis and treatment system to improve the system. The graded diagnosis and treatment system is a key link in improving the current medical management system and improving the allocation of medical and health resources in China's new medical reform. It is also an important measure to solve the phenomenon of “difficult to see a doctor and expensive to see a doctorâ€. The core of the implementation of the grading diagnosis and treatment model is the establishment and improvement of the two-way referral system, so that the patient's health and medical information can flow in time between various medical institutions, and establish a mutually coordinated medical service system. The two-way referral system is the guarantee of the community's first consultation system, and it is also the necessity of the upper and lower linkage and cooperation. Promoting the construction of the two-way referral system can drive the development of the entire graded diagnosis and treatment model. However, the implementation of the new medical reform has been seven years, and the construction of the graded diagnosis and treatment system has not seen any obvious results. The phenomenon of “pumping machine phenomenon†has become increasingly fierce. The problems of “difficulty in seeing a doctor and expensive medical treatment†have not been solved for a long time. Among them, the most prominent problem is reflected in the promotion and practice of two-way referral. Two-way referrals face difficulties in the orientation of social basic medical insurance, the lack of institutional referral systems, the fragmentation of management, and the unreasonable regional health planning. At the same time, some large hospitals have expanded rapidly in recent years, and the accompanying siphon effect has absorbed many outstanding talents in grassroots medical institutions, which has further scared the lack of grassroots medical service resources. As a provider of primary medical services, there is a serious shortage of general practitioners in all regions of China (Figure 3), which greatly increases the difficulty of implementing the two-way referral system. Figure 3: City distribution map of doctors per 10,000 population in China in 2013 Source: Health Planning Commission, Internet Medical China Association Under the traditional management mode of China, there is considerable market competition in the medical service industry. The promotion of the system of regional medical service division and cooperation has been lagging behind, and the fragmentation of the medical and health service system is serious, which makes the medical institutions lack the initiative to conduct two-way referral. Especially under the effect of “pumping machine effectâ€, the brain drain of China's primary medical institutions is serious, and the overall level is low (Fig. 4). “Down referral†cannot maintain the quality of medical services, and it is more difficult to implement the grading diagnosis and treatment management system. . Figure 4: Comparison of medical qualifications between tertiary hospitals and non-third-level hospital medical staff Source: China Hospital Association Information Management Professional Committee, Internet Medical China Association How to break the industrial barriers, departmental interests, administrative divisions and professional limitations formed under the old model, and reorganize and optimize various medical resources has become the most urgent need in the new round of medical and health system reform. The Internet has the characteristics of transparent process, convenient communication, surpassing space limitation and high utilization rate of debris resources. It corresponds to the fragmentation of China's current medical and health service system and is quite targeted in the reconstruction of medical resources. In terms of operation, China's mobile phone penetration rate has reached 94.5%, and the smart phone penetration rate has exceeded 70% last year. The timing of medical services through mobile Internet and smart terminals has also matured. At present, China has launched a number of online hospitals' grading and guiding mode, Internet medical associations and community health management and chronic disease management platforms through Internet. It has become a general trend to promote the development of national grading medical treatment system with Internet medical assistance. Hijiki Salad,Hijiki Carrot Salad,Braised Hijiki Salad,Onigiri Hijiki Hiyashi Salad DALIAN HAIBAO FOODS CO., LTD. , https://www.haibaoseafoods.com
