Internet appointment registration has gradually iterated from the state of fragmented division to scale and standardization, and is a benchmark application for hospital medical informatization and intelligence. The emergence of Internet appointment registration has solved the problem of hospital pressure. So, what business does Internet appointment registration cover?
The epidemic has strengthened people's health awareness and further verified the practicality of Internet medical .
Under the influence of the epidemic, Internet medical care has become a part of modern people's lives. So far, the number one user penetration rate of Internet medical service appointment registration applications is ranked first.
Currently, the number of Internet medical users in my country has reached 412 million, with a penetration rate of 52.7%. Through surveys on the usage rate of some users in Internet+ medical products, it was found that the highest user rate is still online appointment registration.
is followed by an online communication platform. Consultation and medical information query can help users to understand their health problems, prevent them in advance or manage chronic diseases reasonably.
Internet appointment registration has gradually iterated from a scattered state to scale and standardization, and is a benchmark application for hospital medical informatization and intelligence.
background
The emergence of Internet appointment registration has solved the problem of hospital pressure.
So, what business does Internet appointment registration cover?
Internet appointment registration service refers to the appointment services provided by hospitals/third-party service agencies to patients using the Internet and mobile Internet technology.
At the same time, while making an appointment, it provides information on the hospital's health education, hospital brand promotion, doctor inquiries, hospital special departments and fields of expertise in the hospital.
- From a policy perspective, Internet appointment registration can ensure the public welfare of public hospitals and reduce malicious minus, plus, and insertion problems. There is also integration of medical data throughout the society and rationally allocated.
- From the perspective of the hospital, it can rationalize and plan hospital medical resources. Effectively regulate medical treatment order and environment.
- From the perspective of patients, using the Internet to make an appointment can avoid wasting time and unnecessary troubles in queuing in the hospital, and the transparent price of universal medical services is a key point that patients pay attention to when seeing a doctor.
There are also some service evaluations through the doctor's introduction, and patients can get diagnosis and treatment services from symptomatic experts/doctors, thereby obtaining a good medical service experience.
From the doctor's perspective, it can increase personal IP visibility while increasing income. But most of China's successful Internet medical companies have made their first pot of gold following policy needs before they can start other derivative businesses.
Therefore, Internet appointment registration is also a product of policy needs.
Business model
Regarding the types of Internet appointment registration business models, they can be roughly divided into several categories: vertical Internet registration platform, hospital self-built Internet registration platform, and regional Internet appointment registration platform.
vertical Internet registration platform is mainly a third-party mobile medical service provider that provides appointment registration and includes various services such as telephone consultation, green medical treatment channels, etc.
Its typical service provider representatives include: WeDoctor, Medical Treatment 160, HaoDaD Online, Qu Hospital, etc.
Hospital self-built Internet registration platform refers to an Internet platform independently established by a hospital with advantages in integrating funds, personnel, technology investment and medical resources to provide patients with services including appointment registration and other services.
Its typical service provider representatives include: Yuandaxinxu Hospital, Zhejiang First, etc.
regional Internet registration platform refers to a regional appointment registration platform sponsored by the provincial/municipal Health and Family Planning Commission or mobile communications company, providing docking with the hospital registration platform to provide convenient medical services for patients in a specific region.
Its typical service provider representatives include: 114 registration network, Shenzhen appointment registration network, etc.
No matter which type of appointment registration platform it is, its main business is to provide triage guidance, appointment registration, medical payment and other services, and move the hospital's "registration window out".
For enterprises, reservation registration service is a channel for obtaining traffic. It is not the focus of profit.
As the appointment registration service is gradually extended to the entire medical treatment process, medical resources are allocated reasonably. Through pre-diagnosis communication with patients, they can reasonably match doctor-patient resources and assume some triage guidance responsibilities.
services are gradually enriched, in-depth, expanded accompanying consultation, waiting progress inquiry, payment between clinics, mobile phone checking examination reports, health records establishment, post-diagnosis follow-up, out-of-hospital rehabilitation and other services.
free service accumulates resources for patients and medical institutions, and paid value-added services have become the core income method of Internet appointment registration service providers. These are the main profit paths.
- Profit path 1: is to obtain value-added service income through accompanying patients, traditional Chinese medicine physical therapy, overseas medical treatment, nursing care, etc.
- Profit path 2: improves the efficiency of doctors in managing patients, and uses the platform to provide patients with telephone/video consultation and other services through doctors to obtain value-added service income.
- Profit path 3: obtains registration resources by connecting to the hospital's HIS system, assisting the hospital to improve the hospital's operational efficiency and improve the user's medical experience, thus gaining recognition from the hospital, and starting in-depth cooperation to provide hospitals with value-added services such as hospital informationization.
- Profit path 4: directly obtains traffic monetization revenue through importing user traffic; obtains indirect traffic monetization revenue through cooperation with the platform's advertising/brand promotion; and directly obtains product sales sharing revenue through cooperation with insurance companies.
product design
Internet appointment registration, there are several main ways to implement registration business: hospitals adopt API middle platform management model, hospital integrated platform HIE model, docking through direct connection platform model, inline platform and outreach platform interaction model.
General, the Internet appointment registration process is after the patient logs in to the relevant application successfully, and after selecting a hospital, selecting an expert/specialty, selecting an appointment time, confirming the number source (registration) reservation information, and completing payment, you can complete the appointment registration.
If you choose UnionPay Payment or you must UnionPay Payment, you will go to the UnionPay Payment interface and ask for bank account information to be entered. After the appointment is successful, the appointment information and verification code will be returned. The patient can make an appointment and number pickup at the designated hospital at the specified time with the registration certificate and number pickup password. UnionPay payment for
reservation registration is currently only supported on the platform by patients themselves. Registration process.
requires some relevant conditional constraints in the process of making an appointment, such as: blacklist query, an account can only be registered twice on the same day, the same department cannot register twice within the same day, the number source, the appointment date, the number of doctors registered and the restricted registration data are compared. If it exceeds or equals, it cannot be registered.
is the second step to cancel the number process. After the patient makes an appointment, he can cancel the number through various channels within the specified time.
The steps to cancel the number through the platform network are: After the patient logs into the platform website, selects the record of making an appointment, and then selects the cancellation. After confirming, the cancellation will be completed. If the registration fee has been paid when the patient makes an appointment, the system will return the registration fee to the patient's original payment account.
If the patient does not revoke the number within the specified time and does not go to the hospital to get the number, it constitutes a breach of contract.
So, how is the default judged? If the patient has made an appointment for registration and has paid the fee, but has not refunded the number within the specified time and has not received the number from the hospital, it constitutes a breach of contract. The system will return the fee to the patient's original payment account at the specified time point on the day of the appointment (before the UnionPay checkout time point).
will have a blacklist logical design in the refund process, and will be blacklisted after multiple refunds.
. Each hospital may be inconsistent with the blacklist inclusion rules. The hospital uses the relevant number of revocations and malicious revocations to configure the inclusion rules.
design Internet reservation registration front-end logic is weaker, but it requires more thought for the background design.
Management of medical institutions: Management hospital, department, doctor information, scheduling information add, modify, delete. Prevention records and maintenance, appointment records and inquiries, and printing. The hospital management module functions the same as the platform management module. The platform will query all hospitals in the region. The hospital management module can only provide information to this hospital.
User Management: Manage user appointments, user black and white lists, user tag grouping, etc.
source management: synchronizes HIS scheduling information and synchronizes the diagnosis and discontinuation information. The backend of the No. Source Pool system records the cancellation information, sets the number of cancellation times and cancellation time threshold for blacklisting.
Appointment registration management: needs to provide the URL of the source pool system when performing the interface service. Patient information ID, hospital information, number source information, etc. The hospital returns the appointment registration number based on the information. In addition, the social security system provides a social security registration interface, and the number source pool system calls this interface to transmit patient information to the New Rural Cooperative Medical Scheme or the social security system for appointment registration.
Appointment registration is also an outpatient registration method that facilitates patients to arrange medical plans in advance, reduce waiting time, facilitates hospitals to improve management level, improve work efficiency and medical quality, and reduce medical safety risks. However, it is impossible for patients who make appointments to be 100%. Currently, the rate of cancellations reported in China is more than 10%, or even 50%, while the rate of cancellations reported in foreign countries is 3 to 34%. Patients will break their appointments for various subjective and objective reasons, resulting in a huge waste of medical resources. Therefore, studying the characteristics of these people who waste medical resources is of great significance to the reasonable allocation of medical resources.
So, for the background, it is necessary to establish data cleaning, data analysis, and user portrait hierarchy for users.
For example: middle-aged and elderly patients have the largest number of visits as promised, elderly patients after the age of 65 are the highest possibility of visits as promised, and teenagers are less likely to visits as promised. We can avoid wasting medical resources through data analysis. There is another situation in
. What we need to note is that through this epidemic, the concurrency volume of appointment registration networks has suddenly increased. When
involves grabbing numbers, in order to avoid overselling, the number of number sources is limited, but if the number of orders exceeds the inventory quantity at the same time, it will lead to the overselling issue of number sources. So how do we solve this problem? The idea is as follows:
can use message queues here, and we often use Memcacheq and Radis. For example: If a good doctor has 100 sources of number of treatments available to users for purchase, then you can put these 100 sources in the cache and do not lock them when reading and writing. When the concurrency volume is large, there may be 300 people snatching these 100 number sources, so that the requests after 300 can be directly transferred to the static page where the number source purchase ends. It is impossible for 200 out of the 300 people who entered the number source. Therefore, only the first 100 people can purchase successfully according to the order of entry into the queue. The next 400 people will go directly to the page with empty number source.
and the number source is empty, you must use a static page, not a database. This reduces the pressure on the database.
has another solution, which is mysql pessimistic lock, which means that for example, the total inventory is 2, and when the purchase event is submitted, the inventory will be +1 immediately. Then, the inventory is 3, and after the order is generated, check the inventory again before updating the inventory (because the order generation is natural for inventory -1, but don’t hurry first, check the inventory again and return the result is 3), and see if it is consistent with the expected inventory quantity (the expected inventory here is 3), and roll back if it is inconsistent, it will prompt the user to have insufficient inventory.
pessimistic lock and optimistic lock are two common resource concurrent lock design ideas, and are also a very basic concept in concurrent programming. But it can solve the problem of concurrency in number source purchases very cleverly.
Future development trends
From 2009 to the present, the Internet appointment registration network has gone through eleven years.
Although China has a trillion-level medical market, companies that have been doing appointment registration networks have expanded a lot of other medical businesses.
It is undeniable that Internet appointment registration has entered a recession period of the software cycle. There are constraints from the external environment, but more factors are still in their own business that has become the basic application of the hospital.
is now at the threshold of Internet medical care, and the possibility of becoming bigger and stronger is infinitely amplified, with technology support, data interoperability, and information sharing.
conforms to national policies and deeply explores triage services based on the essence of appointment registration services. Internet appointment registration will eventually usher in a new future.
#Columnist#
Rolia, WeChat official account: pmsummit, everyone is a product manager columnist. Qian Haikang PhD Co-founder and Product Director, involved in the productization of demand in the field of smart medical care for 5 years, and is committed to product experience design and research on new business models in the field of smart medical care.
This article was originally published on Everyone is a product manager. Reproduction of
without permission is prohibited. The title picture is from Pexels, based on the CC0 protocol.
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