Although the scale of asynchronous consultation is still small, the three specialities of medical Internetization are revealed behind this model. The first is that demand segmentation leads to large-scale traffic rushing, and the third is to escape the line and support risk. Control and service coordination, and the third is regional limitations to truly provide effective services to users.
American Telemedicine there is a new classification, asynchronous telemedicine literally called "asynchronous telemedicine", ie non-remote synchronization service, such as email form. The representative case is a company called Zipnosis, which recently received a strategic investment from Fairview Health, a hospital group.
Zipnosis's model is that the user first selects his or her own symptoms and then answers a series of questions online. After receiving the system, the local doctor's diagnosis and prescription will be given within 1 hour. The cost of this service is $25. The time is from 7 am to 11 pm. There are two prerequisites for running this mode. First, only for specific minor diseases, only 24 diseases are currently open, such as colds, allergies, conjunctivitis, etc., and the type of disease is very clear. Second, the current service is only open to users in the state of Minnesota where the company is located. This is because asynchronous telemedicine services rely on the collaboration of back-end doctors. Fairview Health has been working with Zipnosis for a while before becoming a strategic investor. The doctor is not only the subject of clinical advice, but also the quality and risk management. Point, and offline docking to ensure that the patient can get the service immediately when the patient needs to go to the hospital.
According to Internet standards, this business model may develop too slowly. First of all, the disease has limitations, and it can only deal with small problems, and it is impossible to spread it over a large area. Secondly, this model relies on offline resources, so if you want to roll it out, you need to find a cooperative hospital in different regions. In terms of Internet thinking, it is not a good choice for traffic economy.
But this is precisely the nature of medical care. Fairview is the largest hospital group in Minnesota, with 7 hospitals, more than 2,500 beds, more than 40 general practice clinics, and more than 30 pharmacies. Why do you think about Zipnosis? One consideration is the entrance, and one consideration is efficiency.
Look at the patient side first. The advantage of this kind of non-synchronized telemedicine is that it is more convenient to use than real-time telemedicine. The pressure on the resources of the back-end doctors is not so great, the price is cheaper. For the small patients, a medical treatment channel is added, which is convenient for low prices. You can also divert the patient to your own pharmacy to buy medicine. For the hospital, it is a new entrance to the patient, and a large amount of patient data is also available.
Look at the hospital. The biggest pressure for Obama's medical reform to give hospitals is the control fee. In order to ensure their own cost control, the hospital tries its best to improve the efficiency of medical treatment. One of the keys is to let small patients see the disease at the fastest speed, and to give the really needed resources to critically ill. Zipnosis precisely meets this need, and the 24 diseases it chooses are all problems that can be solved by simple treatment. Most patients do not need to come to the hospital.
At first glance, is this model a bit like a Chinese doctor or a good doctor? Actually it is not. Although China's light consultation is asynchronous, it is hoped that doctors will solve the problem with fragmentation time, but it is essentially different from Zipnosis. First of all, China's light consultation does not consider diseases, some patients come to ask for minor illnesses, some are more serious but can't find a good doctor to find resources, and some don't worry about the doctor's opinion. Diagnosed. The demand and positioning of the company itself are not clear, and the traffic thinking of the Internet is still used. In fact, medical care is subdivided, and it is difficult to meet so many types of needs.
Second, Zipnosis's asynchronous telemedicine and offline doctors interact and cooperate with the hospital as a whole, which can help risk control. This can't be done in China because the hospital's motives are different. The main goal is to improve efficiency and cost control. Small hospitals may be for the purpose of attracting customers. Some doctors in big hospitals may want to be brands, but they all No entity puts them together, doctors are scattered, difficult to manage and integrate with the offline.
Finally, Zipnosis has a strong regional nature. This model requires the cooperation of regional offline services. The light consultation in China is regardless of the region. The diagnosis given by a doctor far away from the sky does not make much sense. Can't be converted to the line.
Although the scale of asynchronous consultation is still small, the three specialities of medical Internetization are revealed behind this model. The first is that demand segmentation leads to large-scale traffic rushing, and the third is to escape the line and support risk. Control and service coordination, and the third is regional limitations to truly provide effective services to users.
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