Internet Medical: In-hospital traffic cannot be derived from the scale outside the hospital.

The huge increase in spending on medical services in the Chinese market has always attracted investment, but hospitals at all levels have in fact controlled the main flow and revenue both inside and outside the hospital because of their strong outpatient throughput capabilities.
, the growth of medical services is mainly in the hands of large and medium-sized medical institutions, rather than single clinics or small hospitals, let alone online third-party medical service platforms.
, even a small portion of the hospital's hands is enough to support a company's growth, and much of the past Internet medical story has been told from that perspective.
fact, under the premise of the hospital's continued rapid expansion, only the flow outside the hospital siphons, there is no large-scale market for the flow of in-hospital to out-of-hospital.
, therefore, for Internet medical companies to do large-scale, only put aside the hospital outside the hospital to find another way, essentially the sale of large health services and products business model.
if you are obsessive about the role of a service provider in the hospital for a long time, you can get some growth over a long period of time (10-20 years), but obviously you can't meet the requirements for a capital exit.
Moremore, the in-house market is a highly fragmented market, not to mention a large number of traditional in-house information technology manufacturers in this market, in which the possibility of high growth and rapid scale is almost non-existent.
, china's medical market has a long history of in-hospital siphoning, but in the past 20 years there have been different forms of expression.
until 2015, siphons in large hospitals could be easily identified from the surface, mainly due to double-digit growth in outpatient and inpatient care in large hospitals, especially in sanjia public hospitals, usually between 10% and 20%.
but since the government introduced a series of policies to limit the expansion of large hospitals, some sectors of large hospitals have slowed to single-digit growth.
this does not mean that large hospitals will no longer expand, but will gradually begin to form a more hidden expansion model, in particular with the medical union and the medical association as effective means.
for high-grade hospitals, inpatientization is a sector of higher value, and the establishment of a large outpatient service system is mainly for inpatients to establish conversion channels.
if the screening function can be achieved by controlling the outpatient clinics of lower-level medical institutions, it is acceptable to see a decline in the growth rate of its own outpatient clinics.
the data, the outpatient growth rate of level 3 hospitals in 2016, 2017 and 2018 was only 8.67 percent, 6.13 percent and 6.94 percent, respectively.
but rebounded again in 2019, growing at a rate of 11.35 percent, although this was mainly due to the rapid decline in drug prices after the national drug collection, and the return of patients to large hospitals.
but the growth rate of hospitalization did not show a significant decline, with the growth rates of level III hospitals in 2016-2019 being 12.55 per cent, 9.24 per cent, 10.67 per cent and 12.82 per cent, respectively.
In the future, with the reduction of health insurance accounts and the implementation of outpatient co-ordination, as well as the central and local drug collection continues to expand, hospital outpatients and inpatients will continue to expand, of which large hospitals will continue to increase their share.
, under the premise of continuous siphoning in large hospitals, Internet medical care must strengthen its cooperation with large hospitals if it is to tell stories in hospitals.
but the big hospitals themselves do not lack the ability to expand, but only slightly lack the technical and operational capabilities of the Internet, which is the traditional medical information technology manufacturers in the past few years continue to work in the field.
However, this market is very fragmented, the main reason is that the competition of medical institutions is extremely local, the expansion of information companies seems to cover the whole country, but in fact only in some areas have an advantage, in the maintenance of the B-side relationship can not be similar to the C-side of the winner-take-all model.
For third-party platform companies that lack strong resources in the hospital, entering the field of technical services does not have the advantage of continuous expansion, and facing the competition of medical information companies that previously dominated the hospital, it is difficult to develop rapidly out of scale.
, even industry-leading healthcare companies are growing at a slower rate than the out-of-hospital market.
, the only thing that can be scaled up quickly is out-of-hospital service and product sales, which are mainly focused on corporate health benefits and large-scale health products.
health care mainly covers medical institutions and does not cover services and products in non-medical settings.
two major payers are businesses and individuals.
and commercial insurance mainly covers hospitalization, the role of Internet medical care is not great.
From the point of view of corporate health benefits, Chinese enterprises spend mainly on health benefits, based on the enterprise supplementary medical insurance, in the case of the price war continues, both of which rarely cover the Internet consultation services.
mainly high-margin enterprises that are able to cover this service.
Of course, compared with health insurance, because of the high unit price of life insurance, Internet consultation embedded in it can be done on a certain scale, which is the main force that the current market can develop.
, however, revenue creation in this market comes mainly from offline, so the market is relatively fragmented, and if you can't take advantage of the size of offline giants, revenue creation is much slower than the Internet.
From the point of view of sales of large health products, because the main products are not just needed drugs, but health care products and other large health peripheral products, which completely belong to the traditional category of e-commerce, e-commerce giants in this field has an absolute advantage and can quickly create sufficient scale mass.
, there is little suspense in product sales, and competition in the future will remain concentrated among e-commerce giants.
From the path of market development in the past, even in the United States, the in-hospital market is as fragmented and can not be rapidly scaled, the rapid scale of the Internet medical business model outside the hospital is mainly the enterprise welfare market, China has increased the sales of large health products this new model.
, Internet medical in China's optional roads only in and out of the hospital two models, the hospital development is slower but long cycle, and traditional information technology companies have more advantages.
hospital mainly relies on the sale of large health services and products, there is no possibility of another way out of the hospital, there is no other valuable business model.
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