Liu Na, CEO of Yunque Medical: In the future, every grassroots doctor will be a bian que on the "cloud"

The series of interview programs "Healthy China's Big "Family" Talk" is produced by the People's Network and People's Health, which is a key invitation to representatives with influence in the field of great health to be guests in the studio of the People's Daily, talk about healthy China, and promote people's health together. Liu Na, executive director and CEO of Yunque Medical, was invited by the program team to conduct a keynote interview, and the content of the interview was broadcast on the People's Daily Health Channel on November 3.

Video loading...

Moderator: The topic of our current issue will focus on comprehensively promoting the construction of healthy villages and improving the level of grass-roots health services. Mr. Liu, we all know that co-construction and sharing, and national health are the strategic themes and basic paths for building a healthy China proposed in the Healthy China 2030 Planning Outline, so in this process, how do enterprises understand their role as participants in the health cause? And how to contribute their wisdom to the cause of health?

Liu Na: Health is a very professional industry, and it also needs a higher sense of responsibility, and even has some public welfare attributes. As a practitioner of health cause, Yun Que Medical is very clear in positioning, and we must do a good job in supplementing the cause of national health. There are governments in the industry, there is an increasingly powerful public medical system, there is a booming private medical system, and there are platforms like Yun que medical, and all parties play their roles well to achieve the so-called "co-construction".

There are 1.4 billion people in China and 800 million residents at the grassroots level, and the health of the whole people must be inseparable from the health of these 800 million grassroots people. Yunque Medical is actually a medical and health service network at the grassroots level, and is a platform-based enterprise. From the first day of our existence in 2016, we thought that we would go wherever we needed it, which is called complementary roles. When we started doing primary care, not many companies came to the grassroots. The grassroots we see refers to the county hospital, as well as the township health center, the village clinic below, and the urban community service center, such a grassroots medical institution actually covers 2-3 million grassroots doctors, whether it can achieve the health goal of 800 million residents depends on this group of grassroots doctors. Now the Yunque Medical Platform has covered 2.4 million grassroots doctors, who serve the people through Yunque Medicine. This is why we chose to enter the grassroots market as a complementary role.

We have seen three problems at the grassroots level, and in response to these problems, Yun Que Medical has established a corresponding "3I" model to empower grassroots doctors. The first is the empowerment of Information knowledge, the level of education of grass-roots doctors is not high, and they need to learn, train, and also need the transmission of knowledge, so that grass-roots doctors and ordinary people have health understanding, such a transformation, in order to do a good job in primary medical care. The second is the empowerment of Infrastructure capabilities, the lack of doctors and drugs at the grassroots level, and the lack of equipment, we will connect related industries. Only learning is not enough, but there must also be such an industry to allow grass-roots doctors to concentrate on applying what they have learned to the people, and only then can they do a good job at the grass-roots level. Finally, Incentive incentive empowerment allows every role involved in primary healthcare to receive due legal compliance by providing their own services. Sustainable development can only be achieved if these three "I's" are linked together.

The synchronous realization of these three things is actually quite a big challenge, and there is still a gap in the cognition and economic strength of the grass-roots level in this regard, how can it be achieved synchronously? We see the health of the whole people, from birth to old age, everyone must go through five links of health management services, namely prevention - consultation - instrument testing - medication - follow-up. And Yun Que Doctor is to teach grassroots doctors to serve every resident from these five links. Through sinking early screening, testing, medicine and equipment, follow-up rehabilitation-related industries, so that grassroots doctors have the ability to provide these services. Through the upward consultation mode of "doctor-doctor-patient", grass-roots doctors can be trained in the process of consultation with superior doctors, so as to improve their own capabilities. These five links involve a lot of people, in fact, everyone comes together to build together, and finally we can achieve the health sharing of the whole people, which is what we are doing step by step.

Moderator: Just listening to what you shared, I feel that Yun Que Medical not only contributes its own wisdom in the cause of health, but also shows the responsibility of an enterprise. Mr. Liu, we all know that the 14th Five-Year Plan period is a critical period for the high-quality development of medical and health care, so how do you think the health industry can grasp this round of opportunities, and how should we focus on these challenges?

Liu Na: We are quite grateful when it comes to opportunities, so let's share two opportunities and a challenge today. The first opportunity is at the level of economic development. In the Outline of The Healthy China 2030 Plan, it is proposed that by 2030, the health service industry will reach a market of 16 trillion yuan, and now it is about 8-9 trillion yuan, so it can be seen that there is a lot of room for growth. On the other hand, we personally feel that the development of the entire country's economy will be mapped to the grass-roots people, and their consumption power has been enhanced, which is a great encouragement for practitioners.

The second opportunity is in terms of innovation and technology. In the early days, it was difficult for us to find simple, convenient, and AI-assisted device detection that could sink to the grassroots level, but since last year, some companies empowered by digital medical or AI have taken the initiative to find us and say that they can provide remote X-ray readings and fundus screening readings. These are already widely used in the city's top three hospitals and clinics, but it is difficult for them to spread these technologies to the grassroots because China is too big. At this time, everyone cooperates with each other and works with industry partners to bring good technology to the grass-roots people and grass-roots doctors, so that the entire path from prevention to diagnosis to health management can be opened.

There are opportunities and challenges, and the medical and health industry is a particularly long-term undertaking, which means that every day in the decision-making, you must know what you want and what you don't want. To take a small example, when we asked the grassroots doctors what help they still needed, a grassroots TCM doctor asked, where can we quickly buy the Chinese medicine tablets needed to help the people boil the medicine? I heard that there are already some semi-automatic and fully automatic boiling machines in the city, where can I buy them? During the inspection process, I realized that if grassroots doctors want to pass on health services to grassroots people, from the use of professional medical equipment to the choice of boiling pots, every detail needs to empower education. This incident made us feel that this road is very long and not easy, but as long as we do it step by step, we can finally achieve our goals.

Host: Effectively protecting the occupational health rights of workers is crucial to safeguarding the health of all workers and promoting sustainable social and economic development, so in the process of building a healthy enterprise, what kind of health concept do you think you should hold as a manager of an enterprise?

Liu Na: I think that to do a line, you must love a line. I first did financial work, and then after doing many years in the Internet field, I found that the medical field has not been particularly successful in making good use of the Internet and technology, so I wanted to enter the field of Internet medical health. I myself believe that having a healthy body can do what I love and have a good impact on others. I once had severe asthma because of allergies, but under the advice of a doctor, I insisted on daily injections for 5 years, successfully desensitized, and asthma never had another attack, and even some extreme sports can be done. We often tell grassroots doctors that whether it is prevention or follow-up, as long as you believe something, tell the villagers categorically. We amplify the information of health management one by one to pass it on to grassroots doctors, who will affect the residents around them after they obtain these health concepts.

At the employee level, everyone who is recruited, I will personally interview and ask them what they want to do in addition to work, and some people will say that they still want to work out. From the subtle answers, it can be seen that employees do not believe in the concept of health. Our office is not big, but we set up a 1/3 of the place as a fitness area, with dumbbells, treadmills, bicycle machines, table tennis equipment, everyone is tired to go to exercise. These run through our daily lives, so when we go to influence grassroots doctors, the persuasiveness will be particularly great.

Moderator: One of the core concepts of the Action to Promote Healthy China lies in shifting from treating diseases as the center to focusing on people's health, implementing prevention as the mainstay, and strengthening disease prevention and health promotion. How do you think this shift should be addressed in primary care?

Liu Na: This change in core concept is very consistent with the concept of Yunque Medical, because the core service market of Yunque Medical has always been at the grassroots level, serving grassroots doctors. Along the way, we have always adhered to the concept of paying more attention to prevention and shifting from treating existing diseases to treating pre-existing diseases. Now more and more people are paying attention to such a concept, and changes from the grassroots can also reflect some macro developments. There are about 3,000-5,000 inhabitants in a village, served by a primary doctor. We can see a macro phenomenon, on the one hand, aging, on the other hand, the introduction of the three-child policy, and the old and the young are particularly susceptible to illness. The middle primers are relatively less likely to get sick, but they are the main labor force, and once they are sick, they have a great impact on the family. Therefore, grassroots doctors will say that we must strive to make these easy to get sick become less sick, so that those who are not easy to get sick are best not to get sick. Only by permeating the concept of prevention can we achieve this goal.

To take a small example, in the past two months, more than 100,000 grassroots doctors on the platform have helped 500,000 grassroots residents to do early screening services for intestinal diseases, and if they are positive, grassroots doctors will recommend that patients go to the nearest hospital for colonoscopy to see if there is a risk of colon cancer. Colon cancer was eventually diagnosed, and while it sounds sad news, patients will shake the hand of the primary doctor and thank you very happily, because it was found early. What really made me feel particularly accomplished about this was that the grassroots doctor suggested that the 13 villagers he was familiar with had early screening for bowel cancer, and these villagers usually had some small intestinal problems or had a family history of bowel cancer. The grassroots doctor and the villagers have lived together for more than 30 years, and he knows everyone's situation, he painstakingly let them do it, and the villagers obediently went to the early screening.

At present, there is still a gap of 500,000 in the grass-roots doctor team, and to achieve national health, it is necessary to let everyone in China really put health awareness or prevention awareness in place, which requires someone to do it step by step. The particularly good path we have in mind is to influence the 3,000-5,000 residents around us through grassroots doctors, and we can achieve this goal very efficiently and with high quality.

On this road, I actually have a small dream, just like the mission of Yun Que Doctor: to light up the light of the lives of grassroots people. We don't say cure disease or health, because we see that the people at the grassroots level, if they are not healthy enough, do not have the ability and time to think about their hopes and dreams. If he can't live according to his own hopes, how can we all achieve rural revitalization and common prosperity together? Therefore, the first step must be to do a good job in health, and when the grassroots level is strong, the whole country will be strong.

I would also like to take this opportunity to tell you that the government, the public health care system, enterprises, etc., are all working together to achieve the goal of a healthy China, and we will do all this empowerment to the fullest. I hope that in five years, more and more ordinary people in China will pay more attention to their own prevention and pay attention to the healthy life of each day. Rather than paying more attention to whether you can find a third-class hospital to treat after being sick. In fact, there is no distinction between big and small doctors, no distinction between important and unimportant, whether it is a doctor in a third-class hospital or a grass-roots doctor, you can do what you are good at and serve the grass-roots residents well together. If there is a day, every doctor at the grassroots level will be a flat magpie on the cloud. We want this team to grow bigger and bigger, and that's something we especially want to achieve.

Moderator: Thank you very much for Mr. Liu's sharing and interpretation today, and discuss with us to comprehensively promote the construction of healthy villages and improve the level of grass-roots health services.

Liu Na: Thank you.