With the promotion of value medicine , the remote consultation in the United States has experienced explosive growth. However, where the core market demand for remote consultation comes from, and which problems are mainly solved, the market still has a lot of ambiguity. However, according to the latest survey report of the US RAND Corporation, the remote consultation of non-landing is quite limited, and the future market development may not be as large as originally thought.
The sample from this group of surveys was compared with 1,725 ​​patients who used Teladoc and 64,098 patients who were online. According to the data analysis, the users who use the remote consultation are mainly under the age of 51 and have no chronic diseases. The proportion of prescriptions issued is the same under the line and online. At the same time, more broad-spectrum antibiotics are prescribed online, which is due to the doctor's lack of special understanding of the patient's condition.
Teladoc is a remote consultation that does not fall to the ground. The patient and the doctor have no connection before the consultation, and they are randomly matched in the background. The advantage of this unfamiliar doctor-patient relationship is rapid development and high efficiency, but the disadvantage is that the doctor has only a basic understanding of the patient and cannot track it for a long time.
"Therefore, this model is also very difficult to serve patients with chronic diseases. It can only serve small patients such as colds and fevers, and requires other functions of patients to be relatively healthy. Otherwise, it is prone to misdiagnosis and medical disputes." This is why the Texas medical authority requires remote consultation to establish a doctor-patient relationship online.
Moreover, the proportion of antibiotics used in remote consultations is not lower than the diagnosis under the line. In the case of widespread use of broad-spectrum antibiotics, remote consultations can easily lead to drug abuse, which in turn may push up medical costs. This is because there is no narrow-spectrum targeted for broad-spectrum treatments for certain diseases, which leads users to use more doses of the drug. This has great problems for both the user's drug safety and medical expenses.
This report has its typicality and limitations. Comparing the remote consultations that are not at all to the purely offline consultation can quickly understand the pros and cons of the remote, but it cannot grasp the core value of the remote consultation. Remote consultation as a fee-based tool is not only low-cost, but more importantly, it can help doctors to better reduce the probability of disease recurrence, thus avoiding the punishment of the pay-as-you-go model. “The remote consultation based on unfamiliar doctor-patient relationship is obviously unable to complete the task of preventing and controlling diseases. Therefore, it will be greatly limited in the future development process, and the localized remote consultation will be larger. The development has become the mainstream of the market."
Before the promotion of value medicine, teleconsultation has long been developed, but because of its main focus on intractable diseases, market space is limited. With the development of remote consultations for small and chronic diseases, the telemedicine market has really gained momentum. Although the remote consultation that did not land has achieved rapid development, it is limited by market capacity due to its ability to serve. Although regionalized telemedicine may be the mainstream of future development, this model is slow to develop and requires strong support from the offline. Moreover, the highly fragmented nature of medical services also determines that its development is more of a downward-line model.
From the perspective of China's special national conditions, the development of telemedicine may have the following possibilities.
First of all, remote consultation is accompanied by the development of basic medical care. With the promotion of grading medical treatment and the entry of private capital, the basic medical care will gain a certain degree of development in the future. In the development of basic medical care, telecommunication as an effective tool to improve efficacy will be adopted to attract patients to reflux. Second, the locality of remote consultation will be further enhanced. Remote consultation as a therapeutic tool will be widely used by basic medical care, mainly to help patients control their condition and recover. The future model may be a combination of secondary specialist + basic medical + pharmacy and other institutions to build a point-to-face system. Finally, the pattern of teleconsultations has grown slowly. Due to the complexity of intractable diseases, the overall role of remote consultation is still limited, and the market space is generally small. Therefore, the current market-oriented remote model of famous doctors will still be very limited in the future.
In short, the market development of remote consultation has certain uncertainty. The lack of space for light mode growth is limited; and subject to changes in the offline medical service model, the development of the remote consultation mode will not be too fast.
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