Dr. Xiao Tumor's appointment assistant told reporters that experts can arrange for online consultation.
In this poll, about 74% of the public held objections.
Want to find an expert to see a doctor, the hospital can not hang up the number, but can pay more money plus number in the third-party Internet hospital? Mr. Li, a citizen, broke the news a few days ago that he was guided into the public account named "Doctor Xiao Tumor" when brushing the Little Red Book, and the little assistant promised to help the doctor to go to the doctor's line after payment, but the online consultation fee was 300 yuan, which was more than 3 times more expensive than the hospital's 80 yuan registration fee.
In this regard, the platform involved in the incident "Doctor Xiao Tumor" replied that it only provides simple online consultation, and does not support the application for offline plus number to the doctor, and the private plus sign promised by the assistant has seriously violated the company's discipline, and the company has opened a self-examination.
Nandu Shenzhen big event also compared the difference between the price difference between some doctors in Shenzhen and the third-party online consultation platform, the most wide price difference is that a gynecological chief physician in Shenzhen has a registration fee of 150 yuan, and the video on an online consultation platform is as high as 1200 yuan for 10 minutes. The difference between the charges between hospitals and online consultations is so large that you are willing to pay for it? More than 70 percent of the 150 citizens who took the poll disagreed.
complaints
The name of the Chinese medicine doctor is difficult to hang, in the Internet hospital to spend more than 220 yuan but can be hung?
Mr. Li, a shenzhen resident, broke the news that some time ago, he conducted a physical examination at a hospital in Futian and found that he had gallbladder stones, and chinese medicine had been taken for nearly a month but had not improved significantly. Recently, when I brushed the Little Red Book, I saw that Zhang Mou, chief physician of the First Affiliated Hospital of Sun Yat-sen University, was good at using traditional Chinese medicine to regulate this disease, but the public account could not be hung up for many days. Therefore, Mr. Li tried to leave a private message on Dr. Zhang's Little Red Book account, and then was guided into the public account named "Doctor Xiao Tumor", saying that director Zhang's number could be hung here.
Mr. Li said that after entering the "Doctor Xiao Tumor" public account, Dr. Zhang's assistant said that he could first pay 300 yuan for graphic or telephone consultation, and the platform would make an appointment with the doctor for offline consultation in the later stage. This made Mr. Li very confused, doubting whether the platform could really hang up to the offline number, and the cost of a single consultation was 300 yuan more than the hospital registration fee of 220 yuan, "Why can't the regular hospital register the number, but this third-party platform can hang up?"
According to Mr. Li's description, the reporter also conducted a test. First entered the Zhongshan First Hospital public account search dr. Zhang for registration, the page shows that the doctor is an expert, the consultation fee is 80 yuan, the platform can only see this week's consultation information, only two or three days a week, but they have been full.
Subsequently, the reporter searched for Dr. Zhang's account on the Xiaohongshu platform, which described the doctor as a famous chinese medicine doctor in Guangdong Province, who is good at traditional Chinese medicine in the treatment of hepatobiliary pancreatic cancer, lung cancer and other diseases, and there are many popular science videos of the doctor in the account. Immediately after the private message on the grounds of registration, and WeChat named "Xiao Tumor Doctor Appointment Assistant" users added WeChat, and told that if you want to meet a doctor offline, you can first pay 300 yuan to place an order, graphic or telephone consultation, and then the platform will help to apply to the doctor for offline consultation.
According to the relevant information, the "Xiao tumor doctor" public account was registered in August 2020 and operated by Shandong Xiao tumor health technology group co., LTD., and the company's licensed projects include medical services, food business (selling prepackaged food); relying on the Internet hospital services of physical hospitals; drug Internet information services, etc. The platform currently has the qualification to sell drugs.
Response
Promised offline plus violates the company's discipline, and has opened a self-examination within the company
After spending 300 yuan online to buy graphic consultation, can the "Doctor Xiao Tumor" platform really make an appointment with the doctor to consult offline? The reporter asked Zhongshan First Hospital and Xiao Tumor Doctor Platform for verification. The relevant person in charge of Zhongshan First Hospital said that Director Zhang's plus number refers to the online number of the "Doctor Xiao Tumor" Internet Hospital, not the offline number of Zhongshan First Hospital.
The relevant person in charge of the "Doctor Xiao Tumor" platform said that the platform is an Internet medical platform approved by the Beijing Municipal Health Commission and cooperated with the Beijing Cancer Combination Remote Consultation Center. The reason why patients can add the WeChat of Dr. Xiao Tumor's appointment assistant on the Little Red Book is because Director Zhang is inconvenient to add a number to the hospital directly for the patient, so he is guided by the appointment assistant to the Internet hospital to consult online.
For the statement of the plus number, the person in charge expressed great surprise, saying that "Doctor Xiao Tumor" is just a simple online consultation platform, and does not support the application for offline plus number to the doctor, and the appointment assistant promised to privately increase the number has seriously violated the company's discipline, and the company has opened a self-examination within the company, and serious disciplinarians will be expelled.
Polls
One of the most disparate cases: 1200 yuan for a 10-minute video consultation
In this incident, some patients paid more attention to the additional 220 yuan online consultation fee mentioned in the text. Nandu Shenzhen Big Event also compared the difference between the difference in the payment of some doctors in Shenzhen in this hospital and the third-party online consultation platform.
For example, a chief physician of the Department of Gastrointestinal Surgery of South China Hospital affiliated to Shenzhen University has a registration fee of 47 yuan and a graphic consultation in health 160 is 300 yuan; the chief physician of the Hepatobiliary Surgery Outpatient Clinic of Shenzhen Hospital of the Cancer Hospital of the Chinese Academy of Medical Sciences has a registration fee of 50 yuan, and a good doctor calls for consultation for 399 yuan. Dr. Wang of the Department of Obstetrics and Gynecology of the Second People's Hospital of Shenzhen, the registration fee of the hospital is 50 yuan, and the consultation on the health 160 and the good doctor is 300 yuan; the chief physician of the dermatology department of Bao'an Pure Chinese Medicine Treatment Hospital, the registration fee of the hospital is 50 yuan, and the consultation on the health 160 is 500 yuan.
One of the most disparities in price is that the chief physician of a gynecology department in Shenzhen (a district name Traditional Chinese medicine) has a registration fee of 150 yuan, and the video consultation on an online consultation platform is as high as 1200 yuan, and the video time is 10 minutes.
The difference between the charges between hospitals and online consultations is so large that you are willing to pay for it? Nandu Shenzhen Big Event conducted a poll on this, about 150 citizens participated, basically used online consultation, the most used platforms include Good Doctor Online, Spring Rain Doctor, Health 160 and so on.
Among them, nearly 26% of the citizens found it acceptable, while 74% of the citizens thought it was debatable. The reason for choosing online consultation, most people think that there is no need to run the hospital for small problems such as colds; or have seen a doctor in the hospital, and then run the hospital for follow-up consultation is very troublesome; there are a small number of people who think that some private parts of the disease, go to the hospital is a little embarrassed, more inclined to find a doctor online consultation.
Citizens who hold denial opinions believe that it is no problem to diagnose skin diseases through online graphics and videos, but some are diseases of the internal system of the body, such as stomach pain, headache and stomach pain, and online consultation cannot be diagnosed at all. Most of the time, I spend a few hundred yuan online to find a specialist for consultation, and the reply is to suggest going to the hospital for face-to-face treatment.
For the pricing range of online consultation, about 47.6% of the public believe that it should be the same as the registration fee of the doctor's hospital, 38.1% of the citizens think that it is more reasonable to be between 50-100 yuan, and only less than 5% of the citizens can accept the consultation fee of more than 100 yuan.
status quo
The platform does not interfere with the doctor's high-priced consultation, and the percentage is generally around 20%.
Is there a corresponding standard for the pricing of the platform consultation? Do the major third-party Internet consultation platforms take a cut in this?
Luo Ningzheng, founder of Health 160, said that whether it is the pricing of doctors' consultations or the platform commission, there is no standard in the industry. The doctor's consultation fee on the platform has a certain correlation with his title, but in the end it is still determined by the doctor himself, whether it is 300 yuan or 500 yuan, and the platform does not interfere.
Some insiders said that 1200 yuan 10 minutes of video consultation, if someone consumes, it means that the market is also recognized, if this price is no one can accept it, then the doctor himself will reduce the price.
Nandu Shenzhen also learned that at present, the major platforms do not draw online registration, only the doctor's online graphics, telephone, video consultation for sampling, most of the platform's commission is about 20%, up to 30%, but such platforms are relatively small. The above-mentioned 10-minute video consultation is 1200 yuan of a platform, and the current commission is also 20%.
It is worth noting that while high-priced consultations exist, there are also many doctors who see treatment at low prices. Some doctors have a registration fee of 380 yuan in this hospital, but the price is 68 yuan on the third-party consultation platform, and even some doctors are priced at 0 yuan, which is equivalent to free free consultation.
"The patients in our hospital are too busy to see, it is difficult to have the heart to take care of the online consultation, I usually take time out on the weekend, it does not matter whether I charge money or not." An orthopedic director of a Chinese medicine hospital in Shenzhen said that it is not about relying on online consultations to increase income, but hoping to help more people in need in their spare time.
Industry trends
How far can the online consultation platform go under the impact of the Internetization of physical hospitals?
In the past two years, the number of "Internet hospital" enterprise registrations in China has ushered in an explosive period, and relevant data show that there are currently 32,000 "Internet hospital" related enterprises, and a total of 12,800 enterprises have been registered since 2021, an increase of 42.2% year-on-year. Among them, there are about 5400 in Guangzhou and about 1100 in Shenzhen.
And these figures include not only third-party Internet medical platforms such as Spring Rain and Lilac, but also many physical hospitals that keep up with the needs of the times and build their own Internet platforms. The hospital Internet platform is mainly built by relying on the hospital's public account, and appointment registration, online consultation, examination and inspection appointment, etc. are the most commonly used functions in Internet hospitals.
Taking Shenzhen Luohu People's Hospital as an example, since February 4, 2020, the Internet Hospital was officially launched, with both free consultation columns and online consultation services, and a total of nearly 2,500 medical staff currently provide 24-hour online consultation services, and as of December 20, 2021, its Internet hospital has provided a total of 190,000 online consultation services.
Online consultation is one of the core functions of major Internet online consultation platforms, but the judgment and treatment of deep diseases often require patients to go to the hospital for examination.
"Take the matter of abdominal pain, it may be painful menstruation, it may also be other gynecological diseases such as adenomyosis, which cannot be diagnosed by simply describing a few words online, or rely on gynecological examinations and other medical auxiliary examination methods." Some gynecologists said that patients often consult her online, but patients do not come to the hospital for further examination, and sometimes it is difficult to make a definitive diagnosis.
Consultation prices are generally higher, it is difficult to diagnose and treat in depth, coupled with the impact of the Internet of physical hospitals, how should major online consultation platforms go out of their own differentiated paths?
Some insiders said that hospital-led Internet hospitals generally rarely do network promotion, which is based on hospital offline diversion and medical staff to guide patients to pay attention to and use, so the geographical nature of users is particularly strong. The third-party online consultation platform can break through the limitations of space and time, even if people are in Hainan, they can also consult experts in Beijing thousands of kilometers away. In addition, although the hospital has high-quality medical resources, it is not good at operation, and operation, commercialization, service and other aspects are exactly what the third-party consultation platform is good at.
"Online medical care is not simply to move offline services to online, its core value is to do a good job in medical service stratification on the basis of convenience, offline hospitals can belong to serious medical treatment, and online medical treatment is more inclined to consumer medical treatment." In the view of Luo Ningzheng, founder of Health 160, the future development of the Internet medical industry is still promising, and consumers will always be the beneficiaries in the long run. However, he also revealed the bottlenecks currently encountered by the industry. The first is to increase the interconnection of medical insurance payments; the second is that user cognition needs to change. For the future development direction, Luo Ningzheng said that at present, the entire medical market is scarce and the online medical platform is scarce, and the competition in the industry must not be to lower the price of services.
Written by: Zeng Meiyuan, researcher of Nandu Shenzhen Big Thing Think Tank, Nandu reporter Ye Linfang