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互联网模式下复合型药店新业态——“健康管理中心”式药店

2017-07-24 甄明会 药店经理人

作者从连锁并购、行业洗牌入手,尝试分析目前医药零售5种新业态(药诊店、网上药房、智慧药房、DTP药房和MTM、药店联盟)的发展特点。作者认为未来几年内药店的发展方向是:互联网模式下的“DTP+MTM+药诊店”复合型药店新业态——“健康管理中心”式药店。


作者从连锁并购、行业洗牌入手,尝试分析目前医药零售5种新业态(药诊店、网上药房、智慧药房、DTP药房和MTM、药店联盟)的发展特点。作者认为未来几年内药店的发展方向是:互联网模式下的“DTP+MTM+药诊店”复合型药店新业态——“健康管理中心”式药店。

(注:DTP,Direct To Patient,直接施药于患者,如罗氏DTP特药药房;MTM,连锁慢病管理复合型业态,如辉瑞引入开展的MTM工程。)

一、过去:连锁并购、集中洗牌

国家商务部最近公布的《2016 年药品流通行业运行统计分析报告》显示,医药零售市场增长稳定,但增速放缓。全国零售药店约 44.7万家,其中连锁门店约22.1万家,单体药店约22.6万家。

上市公司的大型零售连锁企业兼并速度加快,零售连锁率持续提升。如:湖南益丰通过并购韶关乡亲大药房,跨入粤北门户,并布局清远、增城,进军广东。广东的海王星辰也有意北上进军湖南。日后狭路相逢。

药品零售并购已进入快速发展阶段,中小型单体药店将被加剧洗牌。目前零售连锁率已超50%,零售市场呈逐渐向大型连锁企业集中趋势。

二、现在:互联网模式下的药诊店等新业态

由于不同社会阶层的需求(曾有《人民的名义》剧评说我国分九大社会阶层)、医药零售业发展的内在要求和医改政策因素影响,药店业态非常丰富,包括:

传统的处方药店、医保定点店、药诊店、网上药房、专科药店、DTP药房和MTM、超市店中店、药(美)妆店(如屈臣氏)、社区便利药店(如日本的全家便利药店模式)、区域中心智慧药房、品牌药专卖店、平价大药房……本文浅析了其中三种新业态:

互联网模式下的药诊店

药诊店,并非新生事物。传统药诊店,如中医馆、中医诊所等早已有之,但定位侧重医诊,淡化药店经营。像深圳和顺堂以“精品中药”为先、为核心的药诊店,少见,亦难复制。

除覆盖珠三角市场,和顺堂目前已在香港成功开设30多家店。其“名药+名医+名店+名厂”的专业定位模式,领跑业界。不过,和顺堂仍属传统药诊店,如其谋求快速放大百倍,可能要联姻互联网。

互联网模式下的药诊店又是如何?我们观察微医集团的实践。

微医利用其强大的互联网医院医疗资源和运营能力,助力药店建立互联网模式下的“药诊店”新业态,通过引流推广、合规电子处方、会员慢病管理、店员专业辅导等场景,使传统药店升级为可预约挂号、远程问诊、检查检验和电子处方的社区健康中心,实现“医+药”线上线下闭环。

药店升级为药诊店,由以单纯药品销售为中心转向以消费者体验为中心,进行差异化经营,通过深度药事服务、品牌互动,吸引客流、增加黏性、获得销售增量。这是互联网模式下微医药诊店的核心竞争力。合作方包括老百姓、一心堂、漱玉平民、国大药房等连锁企业。

网上药房(医药电商)

2016年网上药店药品销售同比增长50%。发展趋势是新型医药电商模式不断涌现,B2B 向 B2C、O2O(线上到线下)转型,向综合服务转型。

今年初,国务院公布取消互联网药品交易资格B证、C证审批,医药电商迎来发展春天。以广东为例,七乐康、健客网等医药电商发展神速,广药集团老牌的药店健民、采芝林等也积极探索处方药网上销售模式。

因为,医药最大的市场在于医院的处方药,但“三医联动”改革已进入加速推进期,零售药店承接医疗机构外配处方已拉开序幕,处方外流已是明确的方向。不过,按照药品法规,处方药必须凭处方购买。

所以,谁拥有医生,谁就有处方权,谁就能控制处方药的销售。(医生是稀缺资源。)一年来,七乐康等医药电商进军互联网医疗,动作频繁;笔者认为其目的之一是通过互联网医院获得电子处方,控制处方药的销售。

药店联盟

近年药品零售行业竞争加剧,上市连锁巨头借助资本力量加速并购,挤压中小型连锁和单体药店的生存空间。此背景下,中小型连锁结盟对抗,短期内仍维持着。如广东药店联盟,结盟药店共计1300多家,包括中山中智、金康药房等连锁,现任盟主是中山中智。

不过,提升连锁率是国家意志,是“势”,如若没有长远的创新服务模式,终究抵挡不住连锁巨头的虎狼之师。三五年光景,荆轲刺秦王,图穷匕见,亦未尝可知。故此类联盟极有可能求变,借助药诊店等利器,磨刀霍霍,尽早备战。

三、未来:复合型药店新业态

“处方药+电子处方+医保在线支付”的三方信息共享模式,将成为药品零售业务新的增长点,差异化的经营发展将决定药店能否得到市场认可并快速成长。未来,哪种药店新业态能脱颖而出?

笔者认为,主流是互联网模式下的融合了“DTP”和“MTM”的药诊店,即以“DTP+MTM+药诊店”复合型药店新业态,发展成提供从问询、诊治、用药、康复、保健、院外慢病管理等一系列服务的“健康管理中心”式药店。

此外,区域中心智慧药房新业态,如康美药业的城市中心药房、广州医药托管的社区中心药房及自建的院外店等,也将为零售发展增添巨大活力。(注:“DTP药房和MTM”、区域中心智慧药房新业态,笔者将另文浅析。)

结语:未来是不可知的。因其不可知,更显神奇而美丽,更值得我们探索。

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  4. [GetPortalCommentsPageByObjectIdResponse(id=1274104, encodeId=49db12e4104a5, content=<a href='/topic/show?id=04fd241222d' target=_blank style='color:#2F92EE;'>#互联网#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24122, encryptionId=04fd241222d, topicName=互联网)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1345891, encodeId=da491345891cd, content=<a href='/topic/show?id=07538e56244' target=_blank style='color:#2F92EE;'>#药店#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87562, encryptionId=07538e56244, topicName=药店)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447476, encodeId=8b01144e47643, content=<a href='/topic/show?id=9fda2e9116b' target=_blank style='color:#2F92EE;'>#健康管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27911, encryptionId=9fda2e9116b, topicName=健康管理)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ9crP64ayyDcSQOGicWw0ZRm4U8ZDjCkz9hMomMn0r5pAjfw6ibsdjRlWaf2jTibwibdxyFu9kyu2iauw/132, createdBy=a33d5357253, createdName=windight, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226085, encodeId=456a2260858e, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Tue Jul 25 07:47:22 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225851, encodeId=17632258516e, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jul 24 15:49:11 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-25 龙胆草

    学习谢谢分享

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1274104, encodeId=49db12e4104a5, content=<a href='/topic/show?id=04fd241222d' target=_blank style='color:#2F92EE;'>#互联网#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24122, encryptionId=04fd241222d, topicName=互联网)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1345891, encodeId=da491345891cd, content=<a href='/topic/show?id=07538e56244' target=_blank style='color:#2F92EE;'>#药店#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87562, encryptionId=07538e56244, topicName=药店)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447476, encodeId=8b01144e47643, content=<a href='/topic/show?id=9fda2e9116b' target=_blank style='color:#2F92EE;'>#健康管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27911, encryptionId=9fda2e9116b, topicName=健康管理)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ9crP64ayyDcSQOGicWw0ZRm4U8ZDjCkz9hMomMn0r5pAjfw6ibsdjRlWaf2jTibwibdxyFu9kyu2iauw/132, createdBy=a33d5357253, createdName=windight, createdTime=Wed Jul 26 03:47:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226085, encodeId=456a2260858e, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Tue Jul 25 07:47:22 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225851, encodeId=17632258516e, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jul 24 15:49:11 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-24 1e0e5697m83(暂无匿称)

    henhao

    0

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