From the data of 107 Internet hospitals, insight into service innovation mode and future development path

Looking back on the five-year history of Internet hospital, from the exploration period of water test, pilot test period, regulatory rectification period, setting support period to today's accelerated landing period Although each stage presents different characteristics, innovation is the eternal melody of Internet hospital Eggshell Research Institute continues to track the development and changes of Internet hospitals, and launched 2019 Internet hospital report: from model change to service innovation This article mainly extracts the service innovation and the trend part Scan the small program code and download the report of 2019 Internet hospital for free According to the relevant national policies, there are two modes of Internet hospital: one is the hospital leading Internet hospital, the other is the enterprise platform Internet hospital The former is mainly represented by the top three hospital, which mainly uses the doctors of the hospital to carry out Internet diagnosis and treatment activities; the latter is represented by internet medical enterprises, such as micro medicine, good doctor online, Chunyu doctor, etc., which carry out Internet diagnosis and treatment activities by relying on offline entity medical institutions and using the doctors registered in the institution and other medical institutions In order to better analyze the direction and content of Internet hospital service innovation, eggshell Research Institute has collected data from app or official website of 107 Internet hospitals and interviewed relevant enterprises Through sorting out and analyzing relevant data, we have come to the following conclusion: Perspective: Internet hospital service innovation is more active in enterprise platform service innovation Of the 107 Internet hospitals, 44 are hospital leading Internet hospitals and 63 are enterprise platform Internet hospitals, accounting for 41% and 59% of the sample respectively Among them, 21 hospitals have optimized and upgraded their services, accounting for 51% 47 enterprises have innovated service content, accounting for 975% Therefore, from the perspective of innovation enthusiasm, the enterprise platform Internet hospital is higher The proportion of two types of Internet hospital service innovation in the number of disease diagnosis and treatment has become the focus of Internet hospital service innovation At present, the comprehensive service functions of two types of Internet hospitals, in addition to the pre diagnosis basic functions such as health information, disease consultation, appointment registration, etc provided in the early stage of development, At present, the key construction and operation services of Internet hospitals are mainly divided into three categories: disease diagnosis and treatment, health management and doctor services The first type of Internet hospital service innovation is disease diagnosis and treatment, such as special disease specialty, online prescription drugs, cloud diagnosis and treatment, secondary diagnosis and treatment, family doctors, private doctors, etc they deepen services around disease consultation, improve the accuracy of diagnosis and personalized diagnosis and treatment services Special disease specialty refers to the establishment of specialized online departments according to different diseases, the establishment of expert resources in the field of disease, and the provision of professional services for patients with such diseases from consultation registration, disease diagnosis and treatment to post diagnosis management Cloud diagnosis and treatment is to cloud electronic medical records, images, ECG, pathology and other data, break the boundaries of the hospital, realize the Cross Hospital sharing of patients' basic information and inspection and test data, provide patients with cloud consultation, cloud diagnosis and cloud treatment between hospitals, and provide patients with the best treatment scheme through the integration of hospital resources The second diagnosis and treatment is aimed at the patients who have doubts about the results of the first diagnosis and treatment Experts in related fields can be organized to provide diagnosis and treatment for the patients again, and give the results of the second diagnosis to make the diagnosis more accurate The second is health management, including chronic disease management, family doctors, etc There are more than 300 million people with chronic diseases in China Hypertension and diabetes have become the main chronic diseases Patients with chronic diseases need long-term medication guidance and rehabilitation management, and the condition is relatively stable, which is very consistent with the Internet hospital service mode The third type is doctor service, such as doctor studio, distance education, etc Doctors are the core resources of medical treatment Whether patients can be cured or not, doctors play a decisive role Based on the clinical needs of doctor's disease diagnosis and treatment, according to the treatment field that doctor is good at, doctor's studio conducts patient link diversion, and provides patient management services such as medical record management and patient follow-up, so as to reduce doctor's burden Doctors can also carry out online live broadcast, academic exchanges, etc to improve personal popularity and create super IP for doctors with dreams Distance education solves the needs of doctors' skill promotion and promotion through academic meetings, expert classes, remote guidance and other services The hospital leading type focuses on the advantageous disciplines to create specialized disease services Through combing the services of 21 hospital leading Internet hospitals, at present, the key services are specialized disease services, cloud diagnosis and treatment, family doctors, distance education, chronic disease management and health management The hospital has the advantages of medical experts and technical resources The specialty includes oncology, neurology, hepatobiliary surgery, breast surgery, urology and other departments It provides diagnosis and treatment services for the difficult and miscellaneous diseases in these fields Relying on the advantages of offline physical hospitals, the hospital leading Internet hospitals set up internet hospital specialty services according to the advantages of disciplines, and more high-quality medical services will be online Through the expert number source, the patient can make an appointment with the expert clinic of the Department with one key, enjoy the expert's diagnosis and treatment service, and access the pharmacy management system according to the expert's prescription at the same time, and the patient can take the medicine directly after the treatment If the patient's condition is serious and needs surgical treatment, the hospital operating room can be connected immediately, and experts can be arranged for operation, and a special inpatient area is also provided for the convenience of doctors to manage the patients Therefore, the hospital leading Internet hospital has the advantages of offline medical resources, which can realize the seamless online and offline docking of specialized diseases and create a green channel for specialized diseases As a typical representative of hospital leading Internet hospital, Heilongjiang provincial hospital intelligent hospital has been committed to providing patients with better and more convenient Internet hospital services through technological and medical service innovation As the first batch of Internet hospitals in the province, Heilongjiang Provincial Hospital, together with Zhuojian technology and Longjiang media, has built three service systems of integrated appointment, Internet hospital and electronic health card with the help of Internet platform and technology Through the integration of regional resources, cloud diagnosis and treatment has become the innovation highlight of the hospital leading Internet hospital in 2019 Different hospitals are good at different disease areas Through cloud diagnosis and treatment (cloud medical record, cloud image, cloud ECG, cloud pathology, etc.), the superior expert resources of hospitals in the region are gathered together to solve the difficult and miscellaneous diseases The Internet Hospital of Yinchuan first people's Hospital, the Internet Hospital of Zhejiang University First Hospital and the Internet Hospital of Guangdong Sanjiu brain hospital are all exploring the innovation of cloud diagnosis and treatment services The cloud diagnosis and treatment service of the hospital leading Internet hospital mainly includes cloud archiving, cloud sharing, cloud diagnosis, cloud experts and cloud quality control service It is mainly based on the full use of the hospital's own medical resources, through the integration of regional medical record resources, expert resources and diagnosis resources, to provide patients with better diagnosis and treatment services In view of the limited storage space in the hospital, by storing part of the patient information in the cloud, the patient information can be saved for a long time, and doctors in each hospital in the region can access the patient's medical information in other hospitals to provide data support for doctors' diagnosis For difficult diseases, cloud consultation can be carried out to connect experts in relevant fields in the region and formulate the best treatment plan Functional diagram of cloud diagnosis and treatment service As a leading Internet hospital, the Internet Hospital of Guangdong Sanjiu Brain Hospital, with the assistance of Wuhan runyun Technology Co., Ltd., a joint venture between China Resources medical and cardiology, has built such functional modules as appointment registration, online consultation, cloud diagnosis and treatment, and health service, especially in the cloud diagnosis and treatment service area The Internet Hospital of Guangdong Sanjiu brain hospital is in the international medicine of Cardiology Under the support of the cloud platform, based on the characteristics of brain department, we focused on strengthening the coordination between hospitals, began to explore cloud diagnosis and treatment services, and made efforts to create a service ecosystem of "Online + offline", "in hospital + between hospitals" with multi track integration and complementary resources, so as to comprehensively improve the services of brain patients Compared with the general Internet hospital, the special Internet hospital has innate advantages in chronic disease management It focuses on providing internet medical services for a certain kind of diseases At present, the specialized Internet hospital involves Cardiology, Nephrology, orthopedics, endocrinology, psychiatry, dermatology and other specialized fields, which happen to be the departments of chronic diseases such as hypertension, kidney disease, diabetes, psychosis and dermatology The special Internet Hospital of chronic disease management service therefore, the special Internet hospital, combined with its own expert resources and management advantages in the field of chronic disease, focuses on promoting chronic disease management services, including the medication, diet, exercise, work and rest of chronic disease population to provide personalized service programs, so that patients with chronic disease can recover under scientific guidance and prevent the deterioration of chronic disease For example, Yinchuan brain heart Internet hospital and Kangkang chronic disease Internet hospital provide cardiovascular and cerebrovascular chronic disease management, Yinchuan Zhiyun Internet hospital provides diabetes management, Guizhou warm heart one therapy Internet hospital and Guizhou Internet psychological hospital provide psychiatric management, etc From the perspective of the type of service innovation of enterprise platform type Internet hospital, the service innovation of enterprise platform type upgrade chronic disease management service system is obviously different from that of hospital leading Internet hospital On the basis of providing specialized disease diagnosis and treatment services, the enterprise platform Internet hospital will further expand its service content, including chronic disease management, online sales of prescription drugs, secondary diagnosis and treatment, private doctors, etc They have outstanding advantages in flow management, data operation and service optimization They can obtain the flow of patients and doctors through multi-channel promotion At the same time, they can analyze the demand data of patients and doctors and carry out service innovation Internet hospitals under many internet medical enterprises, such as micro medicine, gooddoctor online, Ding Xiangyuan, Chunyu doctor, have launched services such as chronic disease management, specialized disease specialty, etc., Medical Association, apricot tree forest, etc have launched doctor studio services, Goodhand doctors, Jianke, 111 group, etc have launched online prescription medicine services, Penguin almond, Goodhand doctors, etc have launched secondary diagnosis and treatment services, and safe and good doctors have launched secondary diagnosis and treatment services Special services for private doctors Public hospitals are short of medical resources, mainly responsible for disease diagnosis and treatment services, and lack of resources allocated to chronic disease management The enterprise platform Internet hospital just can make up for this deficiency, and build an integrated service system of popular science education, examination and follow-up, medication management, follow-up management and insurance payment according to the characteristics of chronic diseases In the early stage, through popular science information on chronic disease prevention, expert health lecture and patient community communication, the incidence of chronic disease can be reduced and self-management of chronic disease can be done well Through regular physical examination for patients with chronic diseases, pay attention to the physical signs of patients with chronic diseases at any time, and provide decision-making for follow-up treatment For the patients with serious illness, online follow-up service is provided, and the diagnosis results and treatment plan are given in time Moreover, patients with chronic diseases need long-term medication and continuous follow-up The long-term medication compliance management is provided through the medication management system, and the continuous and dynamic post diagnosis management is carried out through the follow-up management system Now, many insurance institutions have launched the slow disease insurance Through insurance customization and premium incentive plan, patients are encouraged to take the initiative in self-management to reduce the rate of slow disease deterioration As one of the early Internet hospital explorers, the chronic disease management service system, with the Internet hospital as the link, has now covered the medical department