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How to realize the shared medical platform?

News
作者:Leo 2022-07-07 00:00:00 36

In the entertainment industry, Lu Han's announcement of his relationship drew more than 800 million viewers and caused Weibo to crash. In the Medical circle, because the Health and Family Planning Commission of Zhejiang Province approved the full medical treatment of the first Medical Mall in China, Hangzhou 501 Building has an endless stream of people to visit every day.


With the popularity of whole medical treatment, many people visit the clinics stationed on the platform. Oral medicine, traditional Chinese medicine, maternal and infant medicine, and medical beauty, whether it is a clinic that has opened or is being renovated, can not stop people's curiosity about new things.


One of the busiest is the surgical clinic of Zhang Qiang Group. This is his first offline surgery clinic in China, called Hangzhou Sijun Surgery Clinic, which has a total of 12 clinics and covers an area of about 1,000 square meters.

             

        

For a long time, all the developments about Dr. Zhang Qiang have attracted much attention. Three years ago, he left the system to set up a group of doctors; Last year, he put forward the idea of sharing specialist medical care, and this year, he also has an offline Hangzhou Sijun surgical clinic.


Under the sharing platform of full medical treatment, how can Dr. Zhang Qiang achieve his shared specialty medical care?


The first offline clinic was located in Medical Mall

Arterial network reporter standing on the 15th floor of the whole medical treatment of Hangzhou Sijun surgery clinic to look out, downstairs is a busy street, separated by a street is the construction of a million people can hold the leisure and entertainment park; Upstairs is a day surgery center (under renovation) for clinics to share, and on the same floor is the Solino Pediatric clinic.


According to Zhang Qiang, the building where the whole medical treatment is located is just the residence when Zhang Qiang joined his first job (Sir Run Run Shaw Hospital). At that time, it was a large area of farmland, and now it has high-rise buildings. So, "This is where my dream started. Twenty-five years ago, the first job (a doctor's dream) was here; Twenty-five years later, the first offline clinic (entrepreneurial dream) is also here." "Zhang Qiang said.


And his cooperation with the whole medical treatment, belongs to the hit it off.


Last year, a person in charge of the whole course of medical treatment told me the news, but I did not pay attention to it at that time. Later, when I was selecting the site of the offline clinic, I happened to pass by the whole medical service and went in for a chat. They wanted to bring in quality specialists and we were a good fit, so they signed a ten-year partnership."


To build a new clinic, it is necessary to go through multiple processes such as research, license approval, site selection, decoration, team building, and opening.


Zhang Qiang settled in the whole medical treatment, omitting the two links of research and site selection, the examination and approval of the license will be involved in the whole medical treatment, decoration will also give advice, so his focus on the concept of decoration and team construction, opening and other links can be.


After signing the contract, Zhang Qiang doctor group spent half a year to decorate the clinic, often think of good ideas to modify the layout.

Although he spent a lot of time in the decoration process, but compared with other clinics, the opening time is also shortened.


Take the site for example, some doctors entrepreneurs may have to choose for a long time, not only to consider the rent, but also to consider the flow of people, so the site of successful entrepreneurs always say: "It all depends on fate."


When it comes to rent, Zhang Qiang said frankly: "The rent here is slightly more expensive than office buildings, although the residents are all clinics, but it is still commercial land, in general, the cost of opening a clinic in the Medical Mall is 5 million to 10 million. Its investment is also based on the principle of different specialties, resource sharing, so that the business form is more rich."


This is similar to Medical Mall abroad, and for mall owners, emergency medical clinics are ideal tenants. Clinics typically have high rents (about $25 per square foot), good credit and longer leases than traditional stores.


The difference is that the whole medical and clinic entrepreneurs are not only leasing the relationship, but also have cooperation in business, such as the whole medical examination, imaging, day surgery center, pharmacy, etc., which can be shared.


Therefore, Zhang Qiang's surgery clinic, in addition to the consulting room, has no pharmacy, no large examination equipment, and no laminar flow operating room, which can also save a lot of costs for clinic entrepreneurs.


So far, in addition to Sir Run Run Shaw Hospital and the Whole Medical Health Center, the platform has also been stationed in 11 well-known specialist clinics from Beijing, Shanghai, Taiwan and other places, such as AidingYousheng Assisted Pregnancy, Woernau Pediatrics, and Taixue Ophthalmology.


These medical institutions have cutting-edge medical technology in line with international standards, and can also connect with overseas first-line specialized medical resources, so that guests can more easily enjoy the world's cutting-edge medical technology.


After three years of experience in the doctor group, he is not worried about getting clients


Because before Zhang Qiang opened the clinic, he founded a doctor group, accumulated a lot of patients, good reputation, so he did not worry about getting customers. Even if the whole medical treatment is located in the business district, there are few users who actually go shopping and enter the surgical clinic for surgery, and at the same time there is no access to medical insurance.


He believes that the key to attracting patients is to be able to serve your first patient well.


From his more than 20 years of medical experience, if you serve the first patient well, even better than the patient's expectations, then the patient is sure to bring you three or five patients, it is like a snowball.


In addition, now is the Internet era, the speed of transmission is faster, and some people to treat patients with special status, the effect of good reputation, many people will become the volunteer publicist of Zhangqiang Doctor Group, the effect is more obvious, this is an important opportunity for the rapid development of the clinic.


As a result, "there is no Marketing Department in my clinic." There is no conflict between the source of patients and public hospitals, and it is absolutely forbidden to let public hospitals or doctors send patients


The majority of patients are those who have high requirements for medical quality and do not approve of the practices or services of public hospitals. Of course, public hospitals serve the majority of patients with medical insurance, so the two sides are not in conflict, but complementary.


The early challenge for the group was how to get patients to trust a team of doctors without a hospital. The second is the lack of access to medical insurance; Third, many colleagues within the medical system may misunderstand the medical group through the system, which leads to opposition and even denigrate.


"Now that we have an offline physical clinic, the challenge is much less difficult." "Zhang Qiang said.


First, he has an offline entity. He does not do major surgery in the clinic and goes to the cooperative hospitals (Hangzhou Meihua and Greentown Hospital).


Second, he still does not have medical insurance, but he does not want to join it, because the price of medical insurance is not reasonable for doctors. If he gets medical insurance, he may still take the old road of supporting doctors with medicine, so this is not what he hopes, nor is it his pursuit to leave the system.


He wanted to create a new value system in which the price of doctors' labor was guaranteed. If he does so, he will unconsciously rely on high-end technology. In fact, what he does is not high-end medical treatment, but high-quality medical treatment.


Thirdly, with the liberalization of multi-site practice, more and more doctors are unwilling to stay within the system, and increasingly accept such new things as medical groups, multi-site practice, and entrepreneurship.


For whether to access medical insurance, Zhang Qiang temporarily did not consider, mainly with commercial insurance institutions. In his view, medical insurance is a double-edged sword, which can bring patients and conform to the medical insurance price system.


Because its labor price is too low, and the service and technology of its clinics are obviously different from those of public hospitals, there is no plan to connect it with medical insurance.


Although the current commercial insurance is to cooperate with the hospital, the cooperation negotiation between the clinic and the commercial insurance has not yet begun, so there is no problem. "We have a lot of services to buy commercial insurance users, all users to buy cooperation insurance institutions, can be settled directly here."


Through the entrepreneurial experience of doctors Group in these years, Zhang Qiang found that ordinary people have a very strong demand for high-quality medical care. If we blindly reduce the cost to provide cheap medical care, it may lead to poor medical care or excessive medical care.


In foreign countries, especially European and American countries, high-quality medical care is actually their general medical care, the so-called high-end medical care is not high.


With the standardization of the process, the cost of the clinic will surely come down, and then the ordinary people should be able to enjoy quality medical care.


Perhaps this is what common medicine will look like in a decade. If you experience this process, you will feel that this is the way to see a doctor, it is actually the most basic requirement.


You should have an appointment with a specialist and you should be informed about every process, and it should be very smooth, and when you go home, you have customer service, 24-hour access to the doctor team, and then the patient will feel very reassured that this is really just what basic medical care should be like.


At the same time, Hangzhou Sijun Surgery Clinic can carry out vascular surgery, anorectal surgery, hernia surgery, breast surgery, thyroid surgery and other specialized medical services with the support and cooperation of third-party surgical centers, imaging, laboratory, and pharmacy. The price of surgery varies according to the different diseases, and generally follows the standard of less medication. And gradually open to excellent surgical team of open practice platform.


Among them, Dr.Smile Vein Center will be the first to be located, and will also cooperate with the medical institutions contracted by Dr. Zhang Qiang Group to provide patients with more quality multi-level specialized medical services.


In Zhang Qiang's conception, Hangzhou Sijun Surgical Clinic is just one of the projects of Zhang Qiang Medical Group's national chain of medical institutions, and another surgical clinic will be launched in Beijing and Kunming in the future. The design and door process of each clinic emphasize more on "patient-centered". The appointment system is implemented in all outpatient clinics, making medical treatment more efficient; Patient privacy was guaranteed to the greatest extent. This cooperation with the whole medical treatment is the first step of Zhang Qiang's offline clinic, and he hopes to make a chain clinic in the future. If the whole Medical is indeed in place in operation and management, he will open similar Medical Mall in other parts of the country, and he will consider expanding to other places with the whole Medical.


He also doesn't worry about the talent of doctors and does shared clinics


In terms of talents, Zhang Qiang is not worried. After three years of development and growth, more than 100 doctors have joined the group, including full-time doctors and multi-site doctors.


If Medical Mall is a mixture of high-quality specialist outpatient service and commercial service, and a service platform that links high-quality medical resources, then Hangzhou SijunSurgical Clinic is a service platform for doctors to practice at multiple sites. "We will keep six offices for doctors within the group, and open six offices for other doctor platforms or good doctor teams."


For medical talents who join Zhang Qiang Doctor Group, Zhang Qiang will also have training. The training here will be more open, and the training period is three months or more. He hopes to train doctors into a compound talent, mainly training management ability and service ability, as well as new technology training. Some doctors have high acceptance and some have low acceptance, depending on the specialty area they belong to, and the specialty area is different.


For the newly joined multi-site practice platform, Zhang Qiang hopes that it will be a team of doctors, complementary to the original team, with high-quality medical technology, and preferably branded projects. In the future, he hopes to build a domestic high-quality surgeon sharing platform.


In this way, Hangzhou Sijun Surgical Clinic has also become a shared clinic, that is, a clinic sharing under the big sharing platform.


For some doctors who want to start a business but feel that the risk is relatively high and do not have the ability to operate, Zhang Qiang is willing to share part of the clinic to them. For example, some physician groups are unwilling to invest too much assets, so they can directly use the platform, and the result is to reduce operating costs.


Here are three steps he wants to take to help doctors build a truly ideal practice or workplace.


First, we choose the homonym of surgeon as the name of the clinic, which has a broader meaning and hopes to make it a brand.


Second, the brand of training and health education within the doctor group.


Third, cooperation with hospitals, taking Hangzhou Sijun Surgical Clinic as the base camp, is a model of cooperation with five venous disease centers in Zhejiang province, which are located in the west, north, east and south of Zhejiang Province, forming a 5+1 service scale.


Sharing is the trend, and full medical care is not a shared hospital


With the boom of sharing economy, the emergence of mall has been interpreted as a "shared hospital". Zhang Qiang believes that the whole medical treatment was approved by the Health and Family Planning Commission of Zhejiang Province, which broke through some past regulations and was a typical case of shared medical treatment.


Strictly speaking, it is not the kind of "hospital" defined by the National Health and Family Planning Commission, but the sum of different outpatient clinics. For it, it does not need to be specialized in positioning, it can be scaled up, because it only provides a space and service management.


From the perspective of form, the whole Medical service is very similar to the foreign Medical Mall. The same thing is that the leasing object is the clinic and the leasing cooperation relationship. The difference is that foreign countries are more private clinics, while domestic doctors have little flow, so there are few individual clinics for doctors, and the whole medical treatment is more expected to introduce medical institutions with relatively large scale and brands.


According to Zhang, the emergence of such shared medical care may promote the reform of medical insurance and eliminate the phenomenon of hospitalization or excessive medical treatment for minor illnesses.


The first reason is that under the condition of doctors' freelancing, the flow of doctors has brought about changes in medical insurance payment, tying medical insurance with doctors, in line with international trends.


The second is the change of the medical insurance billing system, that is, the cost calculation is implemented to each item, and a single price is listed. For example, operating room fees, doctor fees, etc. In the future, the cost control in the process of patients undergoing surgery will be more reasonable.


The price system built through the sharing model is very easy to calculate, and the medical process is transparent. Once doctors have their own price, it will drive a large number of doctors to practice freely.


At the same time, it can also reduce the entrepreneurial costs of doctors, including operating costs, decoration, site selection and other operating costs. Doctors will not do excessive medical treatment or cheat insurance in order to make up for this loss.


Zhang Qiang firmly believes that "this is the trend of the future, developed countries in the world have generally adopted this model, Hong Kong and Taiwan also have clinic buildings", because the shared medical system has higher operational efficiency and lower cost, which will naturally attract more patients, so when this advantage is highlighted, someone will copy it, and finally form a certain scale, forcing the reform of public hospitals.


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