First of all, it is necessary to clarify: medical chain of service organizations is a chain-type enterprises or private hospitals / departments chain?
There is a question of priority: medical priority?
The first thing you need to know is whether the chain is a chain or a private hospital/department chain.
We can make a comparison:
The largest chain of hospitals in the United States for the HCA (market value of about $ 43 billion), belonging to the hospital operating organizations, and the doctor group (foreign doctors practice more freely) is a cooperative relationship. In the face of a more vocal group of doctors, can only retreat to be an asset-heavy expansion of the operating company. Belong to the management and operation of the priority.
And the domestic hospital chain is first of all a physician group. Specifically, the core of the chain of medical services lies in the doctor, and although the domestic doctors can practice more, but due to the domestic patients recognize the temple does not recognize the monk, as well as the strong position of public hospitals around the world, and many other reasons, the actual doctor's group is also basically inevitable to land into a private hospital in order to formally open for business, so the chain of domestic services has become a combination of chain hospitals and doctor's groups. Typical Chinese mediocrity.
So, the chain of medical services in China is often the instinctive expansion of the success of the doctor's business, and there is a natural attribute of medical priority.
This is actually the thinking and market inertia under the model of public healthcare management, but essentially, hospitals are a special kind of industry enterprise, which needs to emphasize management and efficiency. In the good humanistic care at the same time, strict compliance with quality and safety requirements, the implementation of the basic medical, nursing, administrative three lines of separation, to separate the medical and management operations. Hospital management requires professional managers to specialize in management.
In a word: doctors to doctors, management to management.
Some of the more representative medical service chains in the market today are:
General hospital chain: United Family
Privatized operation of public hospitals: Tongze Medical
Ophthalmology hospital chain: Aier Ophthalmology
Physical examination clinic chain: Meinian Dahua Health, Aikang State Guobin
Oral clinic chain: Joy Dental. Baybro Dental
Traditional Chinese Medicine (TCM) Clinic Chain: Gushengtang, Heshuntang, Yunnan Shengai
Plastic & Cosmetic Hospital Chain: Meridian Medical, Huahan Plastic Plastic Surgery
Diabetic Hospital Chain: Ruijing
The following table of statistics of the specialty chains can be used as a reference:
In addition, the Internet-based medical service providers are also developing rapidly. Some of the well-known Internet medical companies and their representative main business at a glance:
From the recent Aier Ophthalmology news events and outbreaks in the national team's performance to see the public hospital is the absolute main body of domestic medical. Not only is it reflected in the degree of patient trust reflected in the number of consultations, but also in the doctor's system, credibility, public **** resources and policies.
The main hospital institutions in China are the public hospital system (including those directly under the Ministry of Health, run by the government at all levels, major medical schools, major state-owned enterprises, central enterprises, and military forces), including tertiary hospitals for teaching purposes, as well as first- and second-tier hospitals and non-profit healthcare institutions built by the government such as community healthcare and township health centers. As of 2018, there are 2,340 tertiary hospitals, 8,422 secondary hospitals, 10,050 primary hospitals, 10,244 unclassified hospitals, 34,652 community health service centers, and 36,551 township health centers in the country***, totaling 102,259, with an overall annual growth rate of about 2% in number. Excluding community health and township health centers from the above statistics, the number of hospitals that can be called hospitals is about 32,000, of which about 20,000 are private hospitals. In terms of the number of visits, there were 2.76 billion visits to public hospitals, a year-on-year increase of 4.0%, and 470 million visits to private hospitals, a year-on-year increase of 13.6%. The number of visits to public hospitals is 5.87 times that of private hospitals.
Although there is also competition among public hospitals, the DNA of public hospitals also determines their weak corporate and strong institutional mechanism problems. Especially on the service end, the flexibility is much worse.
And then look at foreign hospitals:
and the domestic hospital organizational structure is generally hospital + outpatient different, in foreign countries, hospital management companies + hospital model is very common, the advantage lies in the formation of medical services assembly line operation, medical equipment, human resources **** to enjoy, and effectively reduce the cost of health care and optimize the allocation of resources. The implementation of two-way referral of patients between hospitals, rational triage, the formation of pre-admission diagnosis and treatment, post-operative patient recovery and chronic patient rehabilitation of one-stop service, shortening the hospitalization days, to achieve the management and service economies of scale.
It can be seen that, in addition to the doctor and management, there is a service problem, and this problem for the patient, and press the importance of the doctor. And this is where the chain of healthcare organizations have an advantage.
Chain hospitals in the content and form of services, the establishment of independent of the hospital outside the main body, such as physical examination centers, rehabilitation centers, nursing centers, logistics centers, to achieve resource **** enjoy; chain group of core medical institutions through mobile surgery, personnel training, improve the chain of hospitals, the technical level and management level; chain of hospitals, the group greatly improved the hospital's overall brand image, convenient for patients to access, save the meeting of the hospital. The company's website has been updated with the latest information about the company's services and services, and the company's website has been updated with the latest information about its services.
Of course, hospital chains also have potential risks:
For example, companies in the industry generally have a high leverage ratio, which to a certain extent affects the ability of the enterprise liquidity refinancing, and restricts the enterprise's ability to adapt to changes in the economic environment and industry environment. For companies issuing variable rate securities, there is a possibility of a bond default event triggered by interest rate risk. In addition, the health care industry as a whole is characterized by rising fabric operating costs (primarily in medical staff compensation), competitive pressures from commercial health insurance cooperative contracts (especially for private hospitals), and legal and regulatory restrictions (on bed limits, merger and acquisition review requirements).
To summarize: healthcare, as a quasi-public ****supply, should be borne by both the government and the individual ****. The opportunity for chains in this is the level of service as well as differentiated services. Meanwhile, Internet technology brings new ways for companies to attract traffic and reduce costs. Finally, in the overall medical market to form a basic physical therapy government, high-end medical market-oriented pattern, chain medical service organizations can get the system of basic medical services diversion, high-end medical revenue generation balance, but also the balance of medical services public welfare line and marketability.