So what's the reason behind this, is there simply no way to manage patients well?
Is it that there is a way, but it's not cost-effective to manage, which leads to people not wanting to do things that don't benefit them, so patients are not managed well?
Or is it that there is a method, and there is a cost-effective way to manage it, but it's not good for realizing it, and people can't make money, and the thing is unsustainable, so it's impossible to manage patients well?
Then this article tries to combine my past experience in my own practice, to do a dissection of patient management, to find a better framework, to do the right thing, to describe the way to realize the cash, as well as the specific methods of landing.
As with any business, it's important to analyze supply and demand to get a business off the ground, and patient management is no exception.
The supply side of patient management, there are usually several:
For-profit hospitals want to do more revenue, more profit, in order to this purpose, the hospital has the incentive to improve patient satisfaction, in order to improve patient satisfaction, the need to do patient satisfaction management, to do patient satisfaction management needs to be realized through patient management.
Non-profit hospitals bear more responsibility for social health, the need to meet the basic medical needs of the people, improve the health of the people, reflecting the social equity, and promote social progress. In addition to social benefits, economic benefits are also taken into account. How can social benefits be quantified? Patient satisfaction and recognition is an important feedback standard, therefore, non-profit hospitals should also do a good job of patient management.
Summary: from the hospital's point of view, the hospital is motivated to do this, it will be willing to pay for the cost of patient management, to provide resources to supply.
Doctors in normal tertiary care hospitals are still busy, with pressures for personal advancement, promotion, and re-education in addition to their regular medical duties. In this basic context, few physicians have the motivation and spare capacity to do patient management unless it is strongly required by hospital performance.
Physician time in basic hospitals (primary and secondary hospitals at the county and rural levels) may be available, but on balance, even fewer have the initiative and willingness to do patient management.
Summary: From a doctor's perspective, doctors have the will but not the motivation to do this, and how many hospitals have follow-up systems that are just for show and not really used by frontline doctors.
Internet medical enterprises are certainly willing and motivated to do this thing, the hospital things cut into or do not want to do (such as: hospital information technology part), things outside the hospital is more in line with the characteristics of the Internet - geographic dispersion, the dispersion of the patient's time to break the spatial and temporal distances, and be able to manage the patients, and then The idea of making money is the idea of most of the Internet medical enterprises engaged in patient management.
Summary: Internet healthcare companies want to do it, have enough motivation to do it, and are the mainstay of patient management today.
Next, do an analysis of the demand side:
What kind of patients need to be managed, must be long-term, chronic patients, we follow:
Specifically explained with examples:
Or first to circle the patients to be managed, according to the disease suffered to be used as a selection of dimensions, from the horizontal and vertical axes in the above chart of the criteria for selection.
Based on the above principles, the circle prioritization is in order:
After circling the patients to be managed, the next step is to build the management framework, the conventional management framework is generally the following structure.
Built a good frame, to here are still general routine operation, the next specific content, operation and set of only different segments of the different embodiment of the specific in later chapters continue to describe.
With the above relatively correct framework, how to fill the most correct content inside it, that requires us to do something more right.
The more right things to do include:
Next, each of these:
A more accurate understanding of the patients you want to manage lies in obtaining more accurate data, data is not as good as more, it must be relevant to the business of the accurate, the data can be from the hardware device, can be from the hospital, can be from the patient manually fill in.
More accurate management program for patients, in more accurate understanding of the patients you want to manage, in addition to a clear understanding of the patient, but also need to have a scientific and reliable assessment system. This system usually takes a long time to build based on certain medical models.
Getting patients to perform better in a management program has several components:
Patient trust in the management program, which can be addressed by establishing a trust system.
The patient understands the management program, which can be addressed by naturalizing and scheduling the language of the program to address the patient's reading.
The patient's ability to know how to do each item when implementing the program and accessing the criteria for doing it can be addressed through a library of program tutorials such as graphics, voice prompts, video prompts, motion capture, and instant feedback.
The patient does not need to think, passively do things, through the message mechanism to drive the patient to do things at the point.
The patient continuously executes the program, and can do continuous improvement through incentives.
Above these issues, is able to land good (five) in the framework of the most important part of this part of the development of each article can be constantly do break down, can be gradually decomposed using WBS, each link gradually optimized. Of course this is very time-consuming, but the overall set of my way of thinking is basically can be used as a guide model to do business refinement, slowly fill the framework complete.
Using the thinking framework described in this article, you can build a good system shelf, and then fill the shelf by doing more right things, the specific part of the realization is relatively easy, such as self-management programs, tutorials, intervention management business items are all places that can be realized.
Realization part, can also do a WBS, according to the framework above, in the patient may stay and choose the node, design different ways to realize.
This article depicts a comprehensive picture of patient management as a key business in healthcare.
The full paper provides a complete set of methodology for patient management to do practical operation in Internet medical health, from supply and demand profiling to demand mining, from principle to framework, from framework to landing, and to a certain extent at the level of the whole business promotion.
We can combine the examples in the article to substitute to their own specific personalized business, to find their own personalized business deficiencies and shortcomings, mirror each other, optimize and improve.
The most important thing is always the final result of the business, we work hard!
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Tian Sil, public number: Tian Sil (ID: U-4EverYoung), everyone is a product manager columnist. He has many years of experience in Internet entrepreneurship and several years of medical Internet combat experience.
Title image from Unsplash, based on the CC0 protocol