China's primary health care market is attractive, and the US “convenience store clinic” enters

Release date: 2017-06-23

With the advancement of grading medical treatment, primary care has attracted a large number of investment entrepreneurs, and the convenience store clinic model in the United States has also entered China. This is an almost all-weather medical institution between the family doctor and the emergency department.

"Primary care" has gradually become a fragrant. Recently, the US-based convenient medical chain brand FastMed entered China, and the first clinic was stationed in Shanghai Youshimeidi Medical.

The convenient clinic English name "Urgent Care" has emerged as a form of family doctor (admission system) and emergency department (critical patient) since the 1970s.

"China's graded diagnosis and treatment hopes to enter a large hospital and a small illness into a small hospital, but patients do not trust grassroots hospitals. To solve this problem, we have introduced American speed doctors," said Song Kezhen, founder of Youshimeidi Medical. The US-based model is in line with the US micro-hospital concept, providing comprehensive departmental and general-service services, and the US-based doctors have a proven, proven clinic operating model."

Primary medical care has become a battleground for military strategists, including Internet medical, pharmaceutical companies, and medical devices, all of which are laid out through self-construction, acquisition, and alliance. However, the brand, internal management, doctor configuration, and medical insurance payment of primary medical institutions are difficult to circumvent.

Bifurcation of the primary medical market

American Speed ​​Medical has more than 110 chain-convenient clinics in the United States, which are growing rapidly every year. It can treat 80% of emergency department diseases, and has health management and sports injury management treatments, similar to convenience stores, providing patients with medical services including 7 days a week, including holidays and nights.

“We have to open another 1,000 clinics in China,” said Sami Elbadramany, senior vice president of the US medical doctors. “Mei speed doctors can explore a convenient medical model that is in line with China's national conditions and chained networks.”

Convenient clinics are more general-purpose medical services for residents in the surrounding communities. They are convenient for patients who are busy, unable to wait for appointments for a long time, and need to seek medical care on the same day and are not life-threatening. In the United States, portable medical care has increasingly become an important carrier of primary medical services, and giants such as Wal-Mart and Target have been deployed.

Cindy Stefanko, vice president of operations for Greater China Medical Center, told 21st Century Business Herald: "Located as an emergency department, outpatient clinic, combined with family doctors and health management, providing continuous treatment, and systematically training doctors to support the growth of primary doctors."

American speed doctors are different from ordinary public community medical service centers and private clinics. They are mainly reflected in three aspects: the daily working day is extended to 11:00 pm; the establishment of foreign senior GPs, domestic senior emergency doctors and Physicians and other multi-disciplinary team of general practitioners, and the training system of American Express Medical North America Headquarters; cooperate with Chinese local multi-specialty medical institutions to obtain support and referral of specialist doctors.

The first partner chosen by American Speed ​​Medicine in China is Ushimei Medical, which is positioned as an independent day surgery facility. On the eve of the Spring Festival this year, Ushimeidi completed tens of millions of RMB A round of financing, including Junlian Capital, Licheng Assets and Zhengqi Investment.

The reporter visited and learned that the clinic of Youshimeidi is more like a reduced version of the hospital, with an area of ​​about 3,000 square meters, with 3 operating rooms and 8 beds. It is also equipped with CT, X-ray, ultrasound and other imaging inspection departments and pharmacies. In addition to the general clinic, the oral and medical specialties also have independent medical facilities.

"The United States has an independent general medical system, imaging center, etc., China is lacking, so we first set up a simple platform to do micro-hospitals," Song Kezhen told reporters, "Business model, the US speed doctor is portable When the clinic is opened more, we can provide surgery, medical support, and cooperate with the top three hospitals to guide the flow."

Chain challenge

The primary medical market is very attractive. Guo Lifeng, the head of the capital in China, who is concerned about the investment in primary health care, told the 21st Century Business Herald: “At present, China’s price-oriented traditional medical care is paid for, and will be paid to the value-oriented responsible medical package. The essence is the first consultation at the grassroots level, and the outpatient volume is shifted downwards. This requires a sufficient number of primary clinics to undertake."

Under the policy dividend, many companies have acquired terminal primary hospitals, and listed companies are one of the main forces. Following the Foshan Medicine Crazy Holding Hospital, more and more listed companies, including Langma Information, Lepu Medical, and Aier Ophthalmology, have embarked on the road of M&A expansion in the primary health care market.

Internet medical care has also targeted the primary medical market, and established Internet medical companies, including clove gardens and micro-medicines, have built their own grassroots clinics. A week ago, the company that just announced the A+ round of financing of 50 million US dollars also acquired Wuhan Xiongchu Chinese and Western combined hospital.

For pharmaceutical companies, it is sooner or later to enter the grassroots. Oriental Gaosheng Executive Director and Secretary of the Board of Directors told reporters: "Now the market for large hospitals is not good. The main market for large pharmaceutical companies and foreign-invested pharmaceutical companies is hospitals at the level of dimethyl and above. With medical insurance fees, market Competition is intensifying, and in order to continue to maintain growth momentum, channel sinking is an inevitable choice."

However, the primary health care market is also a difficult bone. The first difficulty lies in payment. Joe Canterbury, founding partner and executive director of American Speed ​​Medical Asia Pacific, told the 21st Century Business Herald reporter that although targeting the population that can be covered by the vast number of social health insurance, at this stage, American speed doctors can only choose commercial medical insurance. The reporter noted that China Merchants Cigna and Huatai Insurance are all partners of American Speed ​​Medical, and foreign commercial insurance institutions account for the vast majority.

In addition, although targeting the grassroots market, the cost of medical treatment is still not low. Yu Shimei, assistant to the medical director of Youshimeidi, revealed that at present, the average daily visitor price of Yushimeidi is 20 to 30, and the average outpatient price is 1,000 yuan to 2,000 yuan. In the US market, the average doctor's visit fee is about $150.

“After the future model is mature, it will strive to enter the public medical insurance system. China’s commercial medical insurance is increasing. 35% of Chinese people have private medical insurance, and most of the self-funded people have medical insurance but cannot afford time. Will also choose convenient medical care," Joe Canterbury said.

The bigger challenge comes from brand building. Guo Lifeng believes that the brand building of primary medical institutions faces three major challenges: talent dilemma; institutional constraints at the grassroots level; and grassroots quality standards system is imperfect.

He said: "The radius of primary medical services is too small. The number of patients in each primary medical institution is limited. Many institutions do chaining to stop losses rather than make profits, and the doctoral consultation mode is not good."

Source: 21st Century Business Herald

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