I don't think this question can be answered so simply. Intelligent medical care is not enough to make doctors unemployed. For a very long time, intelligent medical care should only be a doctor's assistant and a tool for doctors' efficiency, and it should never be a substitute. Just recently, I was invited to talk about the development of the smart medical industry and why I can't replace doctors. My comments on China Digital Valley should be able to explain the challenges and opportunities faced by the smart medical industry in all aspects.
first of all, the obstacle of business model and profit model is the biggest challenge.
For a long time, the core link of medical services will still rely heavily on medical institutions and doctors; The cost of patients is concentrated in drugs, equipment, consumables, various medical service costs and so on, and the economic benefits of medical services often come from these dimensions. Therefore. At present, the commercialization foundation of digital medical and health enterprises in the society is basically grafted on the expenses generated by these medical services, and the economic benefits needed to maintain the operation of enterprises are obtained by means of efficiency improvement (customer acquisition efficiency, diagnosis and treatment efficiency, etc.), cost control, and value-added services outside the clinic (follow-up and rehabilitation).
The essence of medical treatment is to heal the wounded and rescue the dying. For a long time, with the improvement of human medical level and technology, the efficiency of mature disease treatment programs will continue to increase, and the cost will continue to decrease. It is inevitable that medical services will be economically efficient. Most medical services are not in the category of consumption upgrading, but in the category of solving problems and pains, so the economic benefits can be greatly improved by improving the service quality. At present, they only appear in a few medical services such as high-end private medical care, medical beauty, fertility and reproduction, oral health, and management of some chronic diseases. Among these directions, digitalization is only in improving the efficiency of obtaining customers and retaining value-added services for customers. The business model and profit model are too thin and too dependent on medical institutions, which is still the challenge for most digital medical service enterprises to survive.
With the maturity of medical security system and payment system, commercial medical insurance will be a big profit opportunity for digital enterprises. It is a healthy virtuous circle to digitally improve the health of patients, prevent the recurrence and deepening of diseases, and then obtain the benefits of customer management through insurance protection; Another business and profit opportunity comes from extending the out-of-hospital health care management services for patients, and will give priority to medical services with possible consumption upgrade.
Secondly, the dimension and coherence of patients' medical data are restricted.
big data, if there is only one patient's test data in one stage in one hospital, can't form large-scale data results, and it is difficult to help medical practitioners improve the treatment level efficiently. At present, the patient data in every single medical institution is an isolated island, especially in some hospitals with strong specialties, whose specialized medical data are rich, which can actually provide meaningful historical reference for patients' other medical and health problems in the future. However, when the personal medical and health data of these patients become isolated islands, every diagnosis requires patients to make statements in new medical institutions in a non-standard, incomplete and unprofessional way, and there are many misdiagnosis and consultation caused by this. The safe access and circulation of patients' personal health medical data is the only opportunity to solve this problem. For big data companies, the unauthorized export of patient data and medical institution data means serious illegal problems, which also limits the capability boundary of big data medical service enterprises.
Finally, the patient's personal data security and mobility obstacles caused by medical links.
opening personal medical and health data and simplifying the testing items and links needed for diagnosis when patients repeatedly visit different hospitals all mean that the probability of medical accident risk is enlarged, and the possibility of willing to open patient data to other medical institutions is still very low. Of course, for high-quality medical institutions and private medical institutions, the safe and free flow of patient data also means the loss of core resources and commercial value to some extent. At the same time, the flow also means huge data security risks.
The author thinks that the solution of these two problems lies in the cooperation of National Health Commission, Ministry of Industry and Information Technology, Ministry of Public Security and other departments, which drives the safe flow of data with state power, protects the privacy of patients, and makes it possible to explore the value of medical and health big data in China. As for the medical and health big data enterprises at the head of the industry, the author believes that to a certain extent, a consortium should be formed to jointly assist, suggest and promote the formation of the national medical and health big data mechanism.
in the system of multi-party cooperation and political consultation led by China's * * * production party, China is actually the best country ahead of any other country in the world, and it is easier to drive the safe integration, flow and value expression of medical and health big data, which also means the rapid growth of China's medical and health industry in all aspects and a great opportunity for the rapid development of the medical and health data industry!