The State Council recently issued "Opinions on Promoting the High-quality Development of Service Consumption" (hereinafter referred to as "Opinions") to stimulate the endogenous kinetic energy of service consumption with innovation, foster new growth points of service consumption, provide strong support for high-quality economic development, and better meet the people’s personalized, diversified and quality service consumption needs. The Opinions put forward 20 key tasks in six aspects, and put forward specific requirements for cultivating and expanding new consumption such as "internet plus" medical services from the aspects of digital consumption and healthy consumption.
AI-assisted diagnosis and treatment, telemedicine consultation, and Internet follow-up consultation for common diseases and chronic diseases … The emerging new models have greatly improved the accessibility of medical and health services. At the same time, Internet medical enterprises are continuously exploring more diversified service models with the help of digital technology.
AI-assisted diagnosis and treatment improves patients’ experience.
Recently, Mr. Zhao, a retired worker, came to a third-class hospital in Beijing for pulmonary nodule screening, including chest X-ray examination and low-dose computed tomography. After the payment is completed, the doctor reminds you that you can make an appointment for the inspection time in the system. Mr. Zhao turned on his mobile phone for self-service operation, and kept the inspection items at a relatively concentrated time in an optional time period.
"In this way, you can’ run it all at once’ and complete all the inspections in the shortest time, avoiding the repeated running around due to different on-site queuing and inspection time." Mr. Zhao said.
At present, "AI+ medical care" has landed in hospitals in many cities. If the patient doesn’t know which department to hang, AI can help. Some hospitals have also introduced smart waiting room functions. After the patient is registered, the "doctor digital person" communicates with the patient first, so as to know the symptoms and course of the patient in advance and prepare for the doctor’s face-to-face consultation.
In the process of diagnosis and treatment, the doctor can ask the symptoms while inputting the patient’s condition into the AI auxiliary diagnosis and treatment system. After clicking the AI-assisted diagnosis and treatment button, the system quickly connects with the national core knowledge base with a large number of frequently-occurring and common diseases, and gives diagnosis suggestions by extracting and analyzing the patient’s historical medical record information. The doctor will make a comprehensive evaluation based on his own clinical experience, and list the recommendation basis and inspection suggestions.
"At present, there are many applications of AI technology in the field of medical image processing, fundus retinopathy screening and lung nodule screening." The interviewed doctors said frankly, "Most of the hospitals still use medical intelligent aided diagnosis systems, that is, single-purpose models based on data formation, and most of them are still in the exploration stage."
The application of AI-assisted diagnosis and treatment system in primary medical institutions is a vivid epitome of promoting "AI+ medical care" in China. The Promotion Action of High-quality Development of Public Hospitals (2021-2025) requires improving the level of intelligence and personalization of medical services; The Tenth Five-Year National Health Plan proposes to realize intelligent medical service, real-time monitoring and evaluation of personal health, early warning of diseases, screening of chronic diseases, etc. The Opinions on Further Improving the Medical and Health Service System clearly develops "Internet+medical health" and accelerates the application of Internet, blockchain, Internet of Things and artificial intelligence in the medical and health field … In recent years, China has continuously strengthened top-level design and promoted the development of "AI+ medical care".
A number of people in the industry said in an interview with the reporter of China City News that with the emergence of new medical services in "internet plus", patients can make an appointment for registration, remote consultation and follow-up visit, and continue to buy drugs through online medical platform, and there is no need to wait in line for a long time. At the same time, medical institutions have gained more convenience in management. For example, through data analysis, medical institutions can better understand the needs of patients, and then optimize service models and improve medical quality.
The interviewed experts reminded that for some Internet medical platforms, the operation mode of putting the cart before the horse, such as "purchasing drugs first, then according to the drug formula, and even automatically generating prescriptions by artificial intelligence software", not only seriously violated China’s drug management system, but also buried potential risks for patients’ drug safety.
The service model is constantly innovating
The Internet medical industry has developed for many years, but on the whole, it still faces the problem of difficulty in making profits. Among the market participants, there are not only medical service enterprises that operate based on the original online and offline pharmacy or hospital network and try to expand with other online businesses, but also Internet platform enterprises that accumulate a large number of user resources in the short term and then realize them through value-added services.
Chen Liteng, a digital life e-commerce analyst at the Research Center for E-Commerce of NetEconomy & Society, pointed out that Internet medical services are difficult to make profits. First of all, medical services are highly professional and safe, which requires strict compliance with medical laws, regulations and ethics, which makes Internet medical services face higher thresholds and costs when providing services. At the same time, medical services involve many links and participants, including doctors, patients, medicines, examinations, etc. The coordination and information sharing between these links and participants is an important challenge for Internet medical care.
The reporter learned that the development of Internet medical care has roughly experienced three iterations. The first generation of internet medical enterprises, such as Dr. Chunyu and micro-medicine, mainly provide "light consultation" and registration services. These platforms mainly provide solutions for the pain points such as uneven supply of medical services, lack of superior resources, and difficulty in seeing a doctor. However, due to limited service scope, their profitability is low. This business model didn’t work. An Internet medical practitioner said.
The second generation of Internet medical enterprises began to develop in 2015, not only including the original Internet medical enterprises to continue to explore, but also some Internet giants began to enter in a big way. Internet companies have changed the way and content of medical services by taking advantage of their advantages in science and technology, network traffic and management. "In addition to the resilience of the medical industry to resist economic risks, it does not rule out the original intention of Internet manufacturers to occupy the market in advance and keep up with the trend of the times, and there are also reasons why economic and social development is increasingly moving towards bio-economy." The aforementioned practitioners said.
The business development at this stage is mainly reflected in capacity building and service model innovation. For example, Baidu actively develops artificial intelligence, builds a "doctor’s brain" and simulates the role of a doctor to provide medical services to users; Relying on the service model of B-side and C-side, Ali has grown rapidly, providing an efficient platform for drug information transmission, exchange and transaction.
The underlying technological change driven by AI and big model is the main battlefield of the next generation of Internet medical care. "AI brings generative capabilities and provides almost endless upgrade space for medical services. It is the most likely path to solve pain points at present." The aforementioned practitioners believe that the basis for supporting this judgment is that AI itself represents a kind of productivity, which can create additional medical value and increase supply, and has the potential to solve the "impossible trinity" problem of the medical system, that is, to find a balance among high quality, high accessibility and low cost.
In-depth layout of the field of aged care services
With the warming of the silver-haired economy, China’s internet medical enterprises have laid out the field of aged care services in depth to cope with the aging trend of China’s population. When opportunities and challenges coexist, it is a new task for enterprises to walk out of the unique path of building a silver-haired economy together.
At present, Internet medical enterprises continue to explore digitalization and intelligence. Since 2023, many innovations have come out one after another: MedGPT, the first large medical model in China based on Transformer architecture released by the Medical Association, has been tested internally, allowing users to realize symptom consultation through continuous dialogue with AI; Micro-medicine is developing a large medical AI model, creating the underlying operating system of a compact medical complex, and also cooperating with Tencent to build a "six diseases co-management" special disease intelligent product; CareG‐PT is introduced through micro-pulse, and the patient’s physical condition is independently screened by analyzing the patient’s chat content, so as to assist in triage and guidance; Ping An Health released the "Ping An Medical Broadcom" multimodal medical model in June this year, which can help doctors generate patient health files and provide medical knowledge assistance.
JD Health has made great efforts in consolidating the infrastructure construction of medical health supply chain, connecting many pharmaceutical equipment industrial enterprises, medical institutions, terminal pharmacies and users. According to JD Health’s 2023 annual report, the number of active users in JD Health exceeded 172 million, and the number of third-party businesses increased by over 100% year-on-year. It is also known that there are more than 30,000 brands related to old-age care, and the products cover thousands of sub-categories. In the future, JD Health will focus on supplementing professional products that have not been popularized in home-based care for the aged, such as bath chairs in bathrooms, sitting showers and smart wearable devices.
At the same time, technology helps Internet medical enterprises to upgrade and upgrade their aging-adaptive services and realize the whole-process health management. In the process of diagnosis and treatment, JD Health’s archives intelligent analysis function helps the elderly to identify and diagnose health problems through AI and labor.
In terms of the provision of aged care services, JD Health provides users with aging-adaptive solutions through online VR immersion experience and offline experience hall. Ping An Health provides home-based care services through smart butlers, life butlers and doctor butlers, and at the same time establishes personal health records for users, providing personalized solutions and whole-process monitoring. It is understood that as of September 2023, Ping An home care service covers 54 cities across the country.
It is worth noting that chronic disease management has become one of the key points in the field of old-age care for many Internet companies.
"In the near future, technologies such as wireless sensing, Internet of Things, artificial intelligence, 5G, remote consultation and smart medical care can be integrated into the scene of healthy old-age care. Build a system that integrates physical objects and services, connects software and hardware, and connects online and offline to provide safe, convenient and intelligent aged care services for the elderly. " JD Health pointed out that model innovation and technological change will help to build a more efficient, smarter and more inclusive health care service ecosystem.
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