Internet+or+Internet? Analysis of the operation mode of Internet hospital

At present, Internet medical services are mainly divided into four categories: remote diagnosis and treatment, remote diagnosis, post-hospital management and health management. According to the Internet hospital management policy, Internet hospitals are only allowed to provide patients with some common diseases, follow-up services for chronic diseases and contracted services from family doctors.

Patients are triaged online through the Internet hospital. If they require face-to-face consultation (re-visit for uncommon diseases and chronic diseases), they can make online appointments for offline outpatient clinics and laboratory tests. Form a first-diagnosis case, which is convenient for subsequent patient management and Internet hospital follow-up. If the patient determines that there is no need for face-to-face consultation, the electronic medical record and prescription can be directly issued online. After the online prescription is reviewed, the prescription will be distributed to a designated pharmacy. , prescription, payment, delivery and health management” closed loop of online medical services.

Internet hospital operation model

At present, Internet hospitals are mainly divided into two types:

· "Hospital + Internet": Internet hospital as the second name of a physical medical institution.

· "Internet + Hospital": An Internet hospital set up independently by physical medical institutions.

According to the "2020 Internet Hospital Report" launched by the Arterial Network Eggshell Research Institute, with the liberalization of Internet sales of prescription drugs and the implementation of Internet hospital policies, the construction of Internet hospitals has accelerated since 2019, and is affected by medical resources, policy support and approval processes. , except for Hainan and Ningxia provinces, all of which are based on the "hospital + Internet" type.

The “Hospital + Internet” model and the “Internet + Hospital” model have different advantages in terms of medical resources (resources such as medical staff and patients), Internet hospital platform operation and technical capabilities, breadth and depth of medical information accessibility, integrity of policy supervision, and patient experience. There are advantages and disadvantages to each aspect such as medical management, whole process (including pre-diagnosis and post-diagnosis management) and medical insurance docking, but no matter which mode is adopted, it cannot be operated independently from the physical hospital.

The operation essence of Internet hospital is medical service management

In the "hospital + Internet" model, a lot of experience has been accumulated in medical resources, policy and medical insurance support, medical quality management and patient safety assurance, but how to effectively replicate it online is a problem that needs to be considered and solved. In the "Internet + hospital" model, commercial institutions, as non-medical institutions, have strong platform operation and drainage capabilities, but the types of services are often limited to health information services or regular and chronic diseases. Physical hospitals and multi-site practicing doctors. In addition, there are many participants in the "Internet + Hospital" model, and most of them are cross-border operations. Medical supervision is more complicated and more important. More attention should be paid to the management of online practice behaviors to achieve healthy development.

As policies encourage brick-and-mortar hospitals to establish Internet hospitals, more and more brick-and-mortar hospitals are now leading the way in online hospitals, realizing the online extension of existing medical services, and forming a large number of single "hospital + Internet" model hospitals. However, many physical hospitals, especially public tertiary hospitals, are already operating at full capacity, and they are often out of reach for allocating more resources to operate and improve their own Internet hospitals. In addition, relying on "single-point breakthrough" is difficult to realize the transformation of the overall service model, and it is still necessary to develop in the direction of grouping.

For the "Internet + Hospital" model, its own Internet operation and innovation and transformation capabilities and ecological chain partner resources are its strong advantages. However, because the policy clarifies the necessary participation of physical hospitals in Internet hospitals, the industry entry threshold for such models has also become higher, and in the case of a large number of physical hospitals online Internet hospitals, it will also lead to the loss of patient and doctor resources. .

Therefore, the mutual compatibility and in-depth cooperation of these two modes is the best mode. The Internet embraces brick-and-mortar hospitals, and brick-and-mortar hospitals also use the Internet to open channels. On the basis of mutual cooperation, they integrate resources from all parties, reconstruct the medical service process, extend the medical ecosystem, facilitate hierarchical diagnosis and treatment, and continue to promote innovation and reform in the industry. To balance medical resources and improve the efficiency of medical services, to achieve the ultimate goal of "Healthy China 2030", that is, to improve the health level of the overall population.