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2018社区连锁诊或将大爆发!深度解读

2017-12-16 洪浩淼 “看医界”微信号

国家卫计委卫生发展研究中心主任傅卫表示,基层医疗应该成为社会办医的主要方向,基层诊所应成为社会办医的大头。

国家卫计委卫生发展研究中心主任傅卫表示,基层医疗应该成为社会办医的主要方向,基层诊所应成为社会办医的大头。

在12月12日举办的中国基层医疗发展高峰论坛上,国家卫计委卫生发展研究中心主任傅卫表示,基层医疗应该成为社会办医的主要方向,基层诊所应成为社会办医的大头。

展望2018年,医疗投资的风向显然要杀向社区连锁诊所了。

社区诊所市场需求巨大!

医改的目标之一,是医疗资源的合理分配,大病不出县,首诊在社区,包括常见病首诊、长期照护、慢性病管理等是未来社区医疗发展的重点,也是社资办医可发展的重点之一。不过受制于惯性思维,大部分人认为社区医疗应该是国家的事情,社区医疗利润空间小,而事实上真的如此吗?

据了解,普华永道2017年5月份曾对外发布一份名为《新进入者与新医疗经济》的调研报告,其中指出,目前的消费者对于医疗服务有着更多的新要求,而这些目前的医疗服务体系远远不能满足,我们国家提供的医疗总体来说还是低层次“活下去”,到如何“活得好”,似乎还有很长的路要走。

即便在这样的情况下,社区医疗服务的年收入依然以每年复合增长率14%的速度递增,未来五年市场规模估计为3800亿,复合增长率将达到20%。笔者相信,这里面大多数的增长空间,留给新进入者的可能性更大。

呼之欲出的新型社区诊所

实际上,在云技术、大数据等技术的引导下,2018年必然是新型社区诊所大规模出现的时刻。

所谓的新型社区诊所,以连锁为特色,医疗服务将由过去的治疗疾病变为服务人,以人为核心,主要业务以常见病首诊、慢性病管理、康复为主。这类诊所的选址可能不是聚集在CBD,而是开设在中产消费阶层的生活聚集地,甚至会直接和房地产公司合作开设新型社区诊所。

这一类新型诊所,一般包括线下和线上两套体系,并各有分工,很多创新型的医疗服务都将来自于此。借助专家诊断决策系统,社区诊所将会极大降低对知名专家的依赖,而变得较为容易复制。以雇佣工作经验在5年左右,拥有主治级别医生执照的年轻医生作为主力。这些具有良好基础的医生在经过一段时间的标准化培训后,即可上岗执业。

新型诊所的收费模式,包括和保险的结合,针对个人和家庭的收费,会有创新之处,关键是医疗服务的收费定价,将会更趋于平价,合理,靠创新服务来获取超额的收益。业界曾预测,能成功探索中国凯撒模式的可能有两种,一个来自于社区医疗,一个来自于医生集团。

新型诊所的用户,将依然会以老人、幼儿和女性为主,而在营业时间上,则会充分考虑上班族的需求,会产生大量夜诊,收费标准也会和白天有所区隔。

国内社区诊所玩家盘点

事实上,社区诊所早有各大巨头在此布局,一些典型玩家的动作很令人瞩目。

2016年,平安万家成立子公司,发展步伐飞快:推广平安自研的SaaS系统,医疗云,甚至创造了“万家认证”……不过平安的业务从保险起家,虽然现在经过了多元化,但在其官网上可以看到,平安万家基本上将所有平安产品串起来,由其对接线下实体诊所。

而就在前不久,平安资本宣布完成对新加坡富乐医疗高达8亿元人民币的投资,成为其第二大股东。富乐医疗计划未来三年内在中国开设100家诊所,主要集中在北上广三地,而服务的价位也是趋近于平价而非高端。

除了平安之外,号称连接人与人的腾讯,早在几年前就投资入股了丁香园,而丁香园近年将核心业务集中在连锁诊所管理系统的研发。而腾讯入股的另一家企鹅医生则宣布其在北京的自建诊所正式落地。可以说,充分借助微信的影响力和作用力,未来腾讯在社区诊所这一块的布局想象空间巨大。

目前政策对于诊所的限制正在逐步放开,而这非常有利于诊所成长,在政策较为开放和支持的成都,我们看到了吕医生、强森医疗等连锁诊所,其中强森医疗虽然创立于西安,但于2017年5月落子成都,此前获得过联想的投资入股。

包括知名的急诊女超人于莺女士,也将自己的创业目标定位在平价社区诊所。在重庆、西安、杭州、福建等地,也有很多新型连锁诊所的出现,有西医的,也有中医的,有些经营状况极佳,6-8个月就可以收回前期投入,不过绝大多数的收支平衡基本在一年半左右实现。

连锁诊所面临的系列挑战

国内的看病难看病贵,主要在于优质资源的稀缺,对于连锁诊所而言,如何调动医疗从业者的积极性可能是面临的首要难题。由于社区诊所一般以常见多发病为主,对医生的专科要求相对宽松,只是大部分医生都在公立体系,如何吸引鼓动他们走出体制一起合作,是这些诊所经营者需要考虑的首要问题。在经营合作模式上,如果不想办法创新和颠覆,很难出现独角兽企业。

优秀的运营管理系统是未来社区连锁诊所的核心竞争力。这意味着,有足够的辅助诊断能力,严格标准化的业务流程,工作绩效的管理,包括诊所经营的商业模式,如何提高医生和护士的工作积极性,降低管理难度和成本是重中之重。

另外,各地政府的医改政策各不相同,对于诊所开设的要求和注册差异性也很大,笔者认为,社区连锁诊所的爆发,更有可能会在深圳、成都、杭州、重庆这种政策支持、民众消费能力足够、医疗资源也较为充分的地区开花结果,跑通商业模式。

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    2018-04-08 cnxcy
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    2017-12-22 txqjm

    谢谢了.学习

    0

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    2017-12-17 thlabcde

    好资料学习了!

    0

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    2017-12-17 杨利洪

    学习了分享了

    0

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    2017-12-17 1dd8c52fm63(暂无匿称)

    学习学习.继续关注

    0

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    2017-12-17 jihuaijun1112

    学习学习学习

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1814184, encodeId=18e91814184ff, content=<a href='/topic/show?id=3b9694581e0' target=_blank style='color:#2F92EE;'>#连锁诊#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94581, encryptionId=3b9694581e0, topicName=连锁诊)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=827b160, createdName=cnxcy, createdTime=Sun Apr 08 14:00:00 CST 2018, time=2018-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=271349, encodeId=056c2e134917, content=谢谢了.学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Fri Dec 22 00:15:37 CST 2017, time=2017-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1395733, encodeId=e08f1395e336a, content=<a href='/topic/show?id=7a89e4036eb' target=_blank style='color:#2F92EE;'>#社区#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74036, encryptionId=7a89e4036eb, topicName=社区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96f62500201, createdName=12498e67m28暂无昵称, createdTime=Mon Dec 18 14:00:00 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270056, encodeId=dada2e00563a, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Dec 17 09:32:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270012, encodeId=bb1b2e0012af, content=学习了分享了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Sun Dec 17 07:29:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269999, encodeId=fdcc2699994a, content=学习学习.继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Dec 17 07:16:44 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269966, encodeId=4cad26996641, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Sun Dec 17 01:11:48 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269943, encodeId=f88e269943b5, content=学习.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Dec 16 23:48:03 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2017-12-16 惠映实验室

    学习.谢谢.

    0

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