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I firmly believe that innovation can create a better future, but there will also be confusion, how to accumulate to reach the future.
The medical entrepreneurial innovations of the past few years have indeed been somewhat disappointing, as the quality of medical services that people enjoy has not improved significantly. Even if this board should not be mainly used by entrepreneurs, but the reform of the traditional medical system is limited, the incremental increase is still not obvious enough. In particular, it allows people to see the weakness of the Internet in front of the medical system. As a result, many people began to feel that unless the traditional medical system is innovated, it is difficult for Internet medical treatment to make much progress.
This atmosphere reminds me of a discussion about the new medical reform a few years ago. At that time, the new medical reform started in 2008 encountered bottlenecks five or six years later, and pessimism increased. Some people even said that medical reform failed. Nowadays, medical reform is still in progress, and success or failure is difficult to determine. But the new medical reform can not be ignored, perhaps one of the most important achievements is to awaken the "value awareness" of all medical staff.
Medical staff began to clearly see the distortion of the existing price system and the embarrassing situation of its own value in this distortion. In order to be able to honor their own value, the medical staff or the value of labor is reflected in the incentive system within the system, or directly out of the constitution to achieve their own value in the market. Either way, it means that the existing medical system will not last long, and the awakening of medical staff is bound to change the traditional medical system.
Today, the same thing happened again. So, in the pessimistic expectation of the future, has Internet medical care has quietly changed a core element? I think there is. Although Internet medical care has not been able to incite the medical system in the past five years, it has awakened a crucial factor in hard practice: data is all data about the human body.
Inequality in the era of knowledge and medicine
In traditional medicine, these data are fragmented, static and incomplete, and their role is very limited. Because patients are completely in a dominant position in traditional medicine, doctors are in a dominant position in this system, so the past medical development process can actually see the accumulation process of medical knowledge. The more advanced the medical treatment, the more serious the information asymmetry and the more marginalized the patient's position.
For example, it is very common for patients to choose a large hospital for medical treatment. It is because from the patient's point of view, it is impossible to choose medical care and cannot judge. The previous generation of Internet people wanted to use search engines to solve this problem, but Baidu’s experience proved that this could not be achieved. Even if the search results show the most authoritative and true results, it still has little meaning for changing the information asymmetry of doctors and patients. In other words, in knowledge-intensive care, patients who do not have medical knowledge may not have the right to speak.
This inequality is a common feature that medical treatment has shown in the development of human society. In this regard, Eric Top has had an unrelenting analysis of medical inequality in the United States in his "Future Medical Care." And this inequality has become an implicit premise for all medical discussions today.
Such as graded diagnosis and treatment. The core part of the graded diagnosis and treatment is judged or decided by the primary doctor (or family doctor), whether the patient's disease is serious and whether he needs to go to a specialist hospital. In fact, the inherent logic of grading diagnosis and treatment is actually to provide a reasonable level of medical services to patients through the reconstruction of resources within the medical service system. The whole process is dominated by the medical side, and the patient has almost no voice. For example, free practice. Including social medical treatment and Internet medical care, we are expecting that doctors' free practice will become a major trend at an early stage. Under the premise of medical treatment, it is possible to provide medical services to patients only if they have sufficient medical resources.
It should be pointed out that this is not to deny the value of grading medical treatment or free practice. In fact, these two policies are very important for the future. But the problem is that if we look at the status quo with a medically-led approach, then we can only conclude that we can wait. Waiting for the completion of the reconstruction of the medical system and enjoying the dividends brought about by the change. But the problem is, and it doesn't matter that the refactoring time is long. Even if the refactoring is completed, what else are you doing?
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