Release date: 2014-08-27
On August 24, 2014, the first China Mobile Mobile Innovation Forum was successfully held in Shanghai. The forum was hosted by the CEIBS Alumni Medical Health Industry Association. Professor Cai Jiangnan, Director of the China-Europe Health Management and Policy Center, delivered a speech and Luo Nianci presided over the forum. More than 300 people from industry guests and CEIBS alumni attended the forum.
In the past two years, the continuous fermentation of mobile Internet and medical care has continued to heat up, which is a hot spot for investment, entrepreneurship and social life.
"In the past two years, we have a lot of ideas, technologies, platforms, models, and many, many changes. We hope to solve the problem of expensive medical treatment in China, and we can also find entrepreneurship. Investing in the next wave of growth in emerging industries. In the past, mobile medicine, an integrated industry, is not only difficult to technology, but also its business model,†said Luo Nianci, general manager of British Standards Association BSI China.
The forum invited six major projects to share and showcase the industry's hot technology and platform model development. During the period, five industry veterans participated in the analysis and comments, and answered questions raised by the audience. At the same time, the expert roundtable discussion session of the conference, on the business model of mobile medical care combined with the actual situation of the industry, analyzes the selling points of the industry, the pain points of the users, finds the explosion point of the industry, and introduces the subversive spirit of the mobile Internet for the mobile medical industry. In the third part, the forum invited some experts and guests to speak.
The following is based on the on-site shorthand to organize the guests, share the following:
The wind is blowing
Director of Cai Jiangnan Central European Health Management and Policy Center, founder of CEIBS Alumni Medical Health Industry Association
The topic of my speech today is "The wind is blowing up." Unlike a professor's speech, what is the wind? The income level of our economy has reached the average level of a middle-income country, with a per capita income of 6,000 US dollars. Our medical insurance has expanded very rapidly since the new medical reform in 2009, and the population coverage has reached more than 95%, with the economic level. After the coverage of medical insurance, we can see that people's demand for medical health has increased significantly. In the past few years, the growth has been very significant. Beijing is said to be reimbursing from medical insurance, from the doctors themselves, they must first make their own money and change. By not having to pay for the money, the medical insurance paid directly, and the medical needs were improved a lot after changing the payment method. There are also policy measures. Since the State Council’s Document No. 40 last October, we have seen that this is a big turning point. It is the industry that has developed the health service industry as our country’s strategic development, since last October. We have seen that the social capital of thousands of troops is entering this industry. We have a lot of investment industries here today, and almost now rich people are not investing in medical treatment. Another is the development of information technology. After the development of the Internet, after the setbacks of the previous period, the Internet has developed very fast in China. Our information technology and medical care has reached a very important turning point. In the case of so many winds blowing, we said that a pig will be blown up in the air. Now, in the very hot projects in our medical industry, how many pigs are blown up? It’s still an eagle that can really fly. The six projects we show today can be judged by ourselves. How many ingredients are there in the pig, how many components of the eagle are, and how many are in the wind after the wind stops. Flying in the sky, how many are lying on the ground.
After the wind has passed, who is in the sky who is on the ground, what depends on this factor? We feel that innovation is a core factor. Do you have your own real money or silver? This innovation is a technological innovation. There are many technological innovations in mobile internet and mobile medical care that we are going to talk about today, but there are only technological innovations. This thing is not going to fly up. It can fly with two wings, one wing is technological innovation, and one wing is the innovation of business model. This is two very important things that we can really fly. In this regard, our China-Europe Business School hopes to combine the innovation of technology and business model with the innovation of management. We hope to truly promote the development of our health service industry and have both wings. However, we see that the development of any industry is often the innovation of technology is ahead, the innovation of business model is behind, you can see that many technologies stay in technology and can't change a thing that really goes into the market, because another The wings did not grow up.
The innovation of business model I understand, the core is two points, one is to create value, do you provide anything that is truly valuable, including the value of the economy and the value of society. Another point is to realize value, you only create this value, how do you implement it. We feel that the whole link is to create value and realize value, which makes our mobile medical care truly a core part of the market.
Next, we have to ask who is the value. We think that in the medical and health industry, its core value is what it brings to patients and consumers. This is its core. Going up, you have the value of the demand side. It must bring value to the supply side. Otherwise, this thing will not be put into production. Our medical suppliers include doctors, hospitals, pharmaceutical factories, medical instruments, and then large and wide. We must pay the medical insurance payment to the patient's family and government, they will pay more or less, or related stakeholders, so our mobile Internet must really fly and become a heavenly eagle, it must Can truly bring value to the market, so one is innovation, one is to create value, is that many of our mobile Internet projects are still in the stage of burning money, I hope that this stage of burning money can really turn into actual productivity.
Omron's case sharing of mobile medical and mobile health operations in Japan
臼井弘 Omron IT Promotion Department expert
In Japan, we are divided into two major blocks, one for Wellness for healthy and sub-healthy people, and the other for Medical, which is for treatment management services. The first is Wellness, which we call WellnessLINK. Through the most advanced concepts, through some information transmission devices, patients manage their own measurements and manage their physical condition. As can be seen from the above axis, to the left is a healthy population, to the right is a critically ill person who needs treatment. If you go to the right, you should first do an arteriosclerosis test to understand what the artery is. Followed by the actual needs of those for professional medical channels management, we push him MedicalLINK management programs.
Let's talk about the specific services of WellnessLINK and MedicalLINK. We have worked together with Japan's largest telecommunications company to promote a WellnessLINK health service. There are currently 1 million users. Since 2011, there are currently 1 million people, and our population is ten times that of Japan. The devices we can use include blood pressure, body analyzers, sleep monitors, etc. These devices have communication functions, are transmitted to the phone, and then analyzed, or can be returned, and healthy people can manage their own health. Next, let's talk about MedicalLINK, which is provided to the patient-specific sphygmomanometer, and the patient regularly measures the blood pressure every day. Whether in Europe, the United States, China or Japan, home blood pressure has become an indispensable part of the process and is included in our guideline. This method is to take the sphygmomanometer home and the data can be sent directly to the hospital. server. That is, the family blood pressure value measured by the patient at home every day is traditionally transmitted to the hospital by means of information transmission, and the doctor can manage and evaluate the data at any time. We have two charts here, which are some analysis charts made according to the requirements in the guide. It can help doctors to effectively understand the actual situation of patients in the shortest time. The details of MedicalLINK will be detailed by Shanghai Zhizhong Company.
Let's talk about the example of MedicalLINK in Japan. This is a practical project involving some Japanese investment and operating agencies. After the patient measures blood pressure every day, his data can not only be uploaded to the hospital platform for analysis, let the doctor know his actual situation, and can accumulate with daily measurement. If he reaches a certain number of points, he can go to these commercial organizations to exchange the daily necessities he needs and the things he needs. This way is a good cycle, not only can connect several key enterprises, but secondly. The ability to ensure the active use of patients, the regular use of sphygmomanometers, can also help these operators to withdraw funds. In these ways, not only the economic operation in the region is improved, but also the blood pressure of patients and hospitals can be effectively managed.
This is a health management service for some elderly people living alone. The situation in which children and parents live separately in Japan is still very obvious. Even some elderly people living alone, if there are some emergencies, such as sudden fainting at home, things like this, it is hard to detect if the children are not around. Through the detection method of MedicalLINK, if the patient does not have measurement data for three consecutive days, we will judge whether there are some emergencies, and we will arrange someone to go to the door to understand the situation. Secondly, our measurement is fixed-point quantitative. If the measurement is very disordered, for example, two or three in the morning, it can be judged as a precursor to the early symptoms of Alzheimer's disease, so that it can be further tested and can be detected in the least amount of time. Manage and control the situation. Just now, the identification of the transmission time of the actual data is also very important for the examination of the symptoms of Alzheimer's disease. At present, these items have been used in the examination of an early dementia symptom of the elderly.
Japan is an island country and talk about what the actual case is in some remote areas. In a remote area of ​​Japan, a network called Sado Sunflower was built on this island, and all the data of some patients on the island were collected. The institution was added to the island. No matter where it is, the patient can be confirmed. The medical record has become the second set of recognized electronic medical records. This is the actual picture. At present, 17% of the population has joined the system, and 70% of the medical facilities have been connected to this system. This is based on the MedicalLINK system, which has become the second recognized electronic medical record. Also say an example of an additional outlying island. Is similar in Japan and China, a lot of people in remote areas will leave their home to big cities to work and entrepreneurship, Japan, too, grew out of the island of Honshu to the young, the elderly or others to stay in the island on. Through our MedicalLINK system, elderly people living alone will be a day old measured data can be transmitted in real time to their children to go around, even if it is not around children, can understand their parents' health every day. These are some of the actual cases that we actually made in MedicalLINK in Japan.
Us about the future development trend is how. Everyone should pay attention to it, and Apple 6 will be released soon. One of the heavy information in the iOS8 system is the one equipped with the Health Kit. This software is what kind of features? That can help Apple's smart phone we use today is very simple and direct way to obtain health information to the user. The actual operation feeling, the user through some of the health information devices with communication functions at hand, after use, can be transmitted to the app of each health enterprise through the Health Kit, and then uploaded to the server for users of different health conditions. Provide different management services. As I mentioned earlier, it is a very important content to actually provide users with an effective and scientifically meaningful service.
Let's talk about the development trend of future images. After the sale of Google glasses, there are already many fun cases. After the actual sale of Google glasses, it has been widely used in some medical industries, especially in some operations, on the operating table until the doctor is doing the surgery, the data has been passed to another medical institution or other doctors, you can actually understand his surgery. After the actual situation, even in the emergency, some appropriate guidance and help can be achieved. The second is first aid. Now the actual situation of the patient in the ambulance can be transmitted to the hospital he wants to send in real time through Google glasses. The hospital can prepare in advance, and the patient can immediately implement the first aid after the arrival of the patient. Secondly, the doctor can understand the doctor in the car. Instruct the first-aider to perform on-site operations and first aid to the patient's condition.
I have just mentioned two industries, one is severely inhibited, and the other is the medical imaging industry. In the future development, these two will be very large industries. Of course, we Omron is focused on the field of intensive suppression and management.
Let's talk about the content of severe suppression. First of all, it must be closely integrated with some professional medical institutions and some experts and doctors to provide professional and scientific medical treatment methods for actual users and patients. Severe suppression has become one of the country's key projects and pilots. If you become a critically ill patient, the medical expenses incurred by individuals and countries will be very large, and the burden will be very heavy. Before becoming a critically ill person, a preliminary screening and judgment should be conducted. Secondly, it is really difficult to find these hidden patients. IT will be an effective means.
Let us sum up, it is important that the effective combination of IT technology and medical clinical will be the key link in the development of IT medical. Therefore, we must use a modern IT means and professional medical channels to effectively manage the severity of the suppression.
The Chinese model of mobile healthcare - the circular subsidy on the big framework
Director of Gao Jiechun Fudan Hospital Management Research Institute, deputy director of Shenkang Center
The last time I talked about mobile medical treatment, some of my speeches were put on WeChat, which is a subversive problem of mobile medical care, which has caused many people to talk. Today I want to talk about the concept of mobile medical care as a scholar. I think Mobile medical, I am not the same as other people, because I have no technology, no platform, and some basic concepts of mobile medical care. I mainly talk about the operation mode. This is a question that everyone is very concerned about. I still follow a research question. The idea is to define, status quo, reference, and prospects, let history prove that what we are talking about today is not carried out according to such laws after several years.
The last time I talked about it caused a big sensation. I said that you should not be too optimistic. I will give you a sentence. Mobile medical care is to put things that can be done on mobile devices. It has certain advantages and certain limitations. Later, Recognized by everyone, this sentence is more on the idea. We also want to look at the background of mobile medical care. There are many problems in the world that are difficult to see and treat, such as process problems. For example, how do we share resources in our hospital? People are more sharp. We have also solved this problem with informationization in accordance with the world's conventions. This application of information has a great effect on the rising management costs of chronic diseases. Why do this? Because of modern medical treatment and modern health management, these two have new requirements. I hope that when we talk about mobile medical care, we should not forget to talk about mobile health. There is still a difference between mobile health and medical care. Medical treatment is based on diagnosis and treatment. As the main means, health management is based on risks and giving some suggestions. There are great differences in terms of laws, procedures and results. I hope that we will not confuse this in the following statements, but we must pay attention to more of the present. From the past, gazing at medical care has turned into a situation in which self-health management is ahead. In the treatment, there has also been treatment in a hospital in the past. Now how to share these in multiple hospitals, there will be some sharing in the future.
In the past few years, in the past three years, in the middle of the next five years, there will be great changes in medical informationization in the whole country. This process is all over. In the past, the informationization in the hospital was settled and left. The computer can't pay for it. Now I have all the information sharing. I host the project, pay for it all at the hospital, and complete it in the hospital. After taking a card, all the medical information in Shanghai can be shared. You only need to pay once. When you leave, you will check out once. This is already advanced in the world. It is not comparable to the United States. The United States is going home to see you, and the bill is sent to your home. I hope that everyone can think about how much of these things can be done on mobile devices. This is the basic concept of mobile medical care.
So according to this, let us look at what kind of changes have occurred in the medical model with the arrival of informatization. It is human-to-human. Now there is more radiation through the health cloud. It was originally centered on a large hospital. Now it can Sharing in the first, second and third grade hospitals makes the good medical resources play a greater role, all of which rely on information to bring us good convenience. In the past, I was waiting in the hospital for medical treatment. Now I can make an appointment on my mobile phone the day before. I will go to this time the next day to ensure that I will see you within half an hour. This is also a big change. In other countries in the world, it is considered normal. In China, all this is an innovation, which is a problem brought about by eHealth.
Foreign countries give us a reference. They use cloud computing, big data, internet of things, mobile internet on this basis. The mobile medical care we talked about is the last of the four. The many things you show today are actually the Internet of Things. The concept, the monitoring of the electrocardiogram, the monitoring of blood pressure, I hope that there will be free blood sugar detection, blood pressure detection, if you want to become mobile medical, this information can be copied under certain circumstances. I think it is necessary to use a popular language to make a good prospect for the future and future of mobile healthcare.
So cloud shifting, mobile medical, the middle of the four, but don't forget that mobile medical is inseparable from the health field, can not be separated from big data, which puts higher requirements on us, so don't limit it to this. What is the relationship between mobile medical and big data? Where is big data? Big data is on the medical platform I built, Health Online, a health network in Shanghai, and a medical network. The big platform has been established. If we add the health files we want to cover, this big data is now the best in the world. But there are still some gaps in the application. This is a question that should be considered.
The clarity of mobile medical care is clear. It is to provide medical information and medical services through mobile communication technologies such as PDA, mobile phone, satellite communication, etc. In the health management and health analysis of mobile devices, I think the current role is the process and quality. The role of the first step is to solve the problem of the process and solve the problem of quality. This is called reliable and safe. We mainly solve this problem in medical treatment. I don’t talk about the changes in mobile devices. Everyone has experience, but Paying attention to the development trend of mobile users in China, China's mobile has become the world's best, and Chinese people's concern for health can be said to be the highest in the world. Chinese people see a doctor, especially the old lady of China. There is no crowd in the world. Can reach such a level, we all have aunts, screaming to see a doctor, to spend a lot of tongue, call the mother, nothing to go to the hospital, she said not to go to the hospital, there is no meaning in life. Aunts basically I represent China in the world. If we want to solve the passion of their medical treatment and the passion of dancing through mobile medical treatment, we can have a lot of social stability problems for social traffic problems, noise problems, and so on. The role, I hope everyone pays attention to this point, we are concerned about technical issues, but also concerned about some social issues.
This defines mobile medical, its characteristics are very clear, first, because of such a large equipment, such a large amount, so that medical information into a large field, our WeChat is more lively, tomorrow mobile medical If you are so busy, you can imagine that people will have another model for the popularization of health management and health knowledge. Second, if the hospital applies such mobile medical care, I have already asked everyone for the last time. No matter where the doctor is, the patient has any changes, and the mobile devices around him can operate. What kind of situation will happen to such mobile treatment? The hourly responsibility system is silly in the past. The doctor lives in the hospital for 24 hours. Today, no matter where you are, your patients can handle it. This is the change that mobile medical care will bring to our hospital tomorrow. Third, the application of these methods outside the hospital can exert greater potential, namely health management, health guidance, and this piece of radiation to the whole society.
Because of this, there are a lot of things. For example, operators of mobile devices, such as operators of IoT devices, including medical insurance and investors, have diversified applications, and the industry has a standard industrial chain. Finally, I When it comes to the mobile medical model, it is closely related to these concepts. Therefore, the total is divided into three categories, a large category is usually related to life, blood pressure, blood sugar, blood oxygen, if you can also have indicators of blood coagulation, the general chronic disease will be under our supervision, but we can not To see for themselves, we have to give a warning to the mobile medical-related medical service industry, which is the first kind of more things. The second category, using mobile phones to do some health services to residents, I have always said that the simplest, three things, you can make an appointment on the mobile phone, you can read the report on the mobile phone, you can pay for the mobile phone, you do not need to finish these three pieces first, do not need What, at 5 o'clock, waiting at the hospital entrance, registration at 8 o'clock, 11 o'clock to see a doctor, they said they can go to the door to eat KFC, I said to eat KFC don't go to the hospital, people are patients, you let him 5 o'clock At 8 o'clock and 11 o'clock, this is neither humane nor scientific. The future should be reserved in advance. This problem is not a problem with equipment, it is a question of people's philosophy. When it becomes like this, the appointment priority becomes the consensus of the whole society, then the procedure of our medical treatment will enter a very considerable state, and mobile medical care will play a greater role at this time.
The third type is in the first aid, we hope that it will play a greater role, that is, remote monitoring, especially some say that there is no problem and a little problem, saying that there is no problem and there are big problems, such people are placed in the hospital Waste of resources, what to do in the house in case of what happens, remote monitoring is necessary at this time, you are alone at home, once the change occurs, the remote wakes up, the doctor rushes over, if this is the case, then no need to waste so much Resources. All vendors and all people involved in this industry chain will have this application.
First, mobile nurses, nurses do not use pens in the future, but after the body temperature is measured, directly to the terminal. Mobile management, mobile doctors, doctors can see patients on mobile phones, move patients, read reports, make appointments, register, and pay no matter where they are.
The entire top three hospitals, Shanghai should be said to be the best in national health information, but there are still many to be further developed. The top three hospitals in Shanghai have already used 17%, and already started 20%. We pay attention to 60% of the plans. Among them, I hope that this process should be completed in two to three years. Just like our current health information, I have spent three years, all 600 hospitals in Shanghai are connected. When I turn around, I am proud of this child. I hope that mobile medical care can be done in two years. Just talk about the full coverage of those things, there is no problem in theory, and there is no technical problem.
How to predict the future of the operating model, this is mobile health, mobile health and treatment are not the same, the treatment doctor is responsible for the legal, health is to give a hint, give a suggestion, will not die, but there will be help, this Unlike medical applications, mobile medical care should not be used as a method of medical treatment, but as an aid, but health management mobile medical care will play a greater role.
The Chinese model of mobile medical care, the so-called operating model, we must pay attention to the past, the operating mode immediately thinks of ways to make money, the operating mode is vulgar way, the way and way of making money, the real concept is the business logic of the industry entity, the standard The definition is the value that the company can provide to the customer, and the internal structure of the company, the partner and your funds are used to achieve this value, and can continue to earn profit elements. I turn this into two keywords, one is to grow Sex, one is extensibility. If you simply follow the first one, just as a way and mode of making money, perhaps in China now, this road is not suitable for you, so the future business model of mobile medical is nothing more than this, one is the simplest, that is Who uses the paid model, I have been in the medical profession for 40 years, one of the three aspects of China will not pay, you have to pay, do not believe you try, let the doctor pay, you give him an app, you give him Money, don't need to look at his face, let him pay, you don't want to think about it, patients are used to it now, one-stop service, appointments are free, they think that free is what it should be. Who uses who pays, has a certain market, but there is no big market, the second is the transfer payment model, you use, he pays the bill, that is, the pharmaceutical company pays the bill, the insurance company pays the bill, they are under great pressure to pay the bill now. So, pay attention to how the Internet is paid today. Everyone should pay attention to it. I will tell you a new concept, that is, the circular subsidy on the big framework, a large industrial chain, and each industry chain seems to be paying, this is the future. The business model of our mobile medical business model should go this way and come out of a Chinese model.
What is the concept? Mobile medical care will challenge the technical capabilities of all operators. There are also foreign countries like this. Like third-party charging, you just said that you use me to pay the bill, the company pays the bill, the insurance company pays the bill, for example, the heart, I buy one. The insurance company, to give you such equipment, I pay for it, the second is to pay the hospital, if the doctor's mobile phone is equipped, he will use it, you do not ask him to charge, in fact, in the middle of the operation is already charging This is the charge in the middle of the big cycle. This is a basic concept. You don't want to give it to the App. When he uses this thing, the traffic goes away. Some people make money, and those who make money can't put all the money. Take it away, this is what we are talking about tomorrow. There is also a part of consumption, consumers pay in disguise, traffic is paid, health management is paid, and there is income in the hospital. There is no obvious payment, but they are all paid. This is the future. The framework needs the mode of circular subsidy, each one is not paying the bill, and all the people pay for it. This one we have to divide this interest well, we can have sustainable development, so the domestic model is for hospitals and doctors. It is very difficult for consumers to charge. My prediction is that the government pays, the hospital pays to pay for the insurance company, the patient pays for the expansion, and the single payment extends to the circular subsidy.
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