The core of building a smart city is to make people's lives comfortable and convenient. These issues of people's livelihood like "clothing, food, housing and transportation" are also indispensable. The widely criticized medical problem will naturally bear the brunt of becoming an important aspect of the smart city construction that needs improvement.
At present, the medical and health situation is not optimistic. "Difficult to see a doctor and expensive to see a doctor" are the basic contradictions in the industry. Promoting the rational use of resources and improving medical efficiency through informationization are effective ways to solve problems. In the upsurge of smart city construction in various cities in China, medical informatization, as an effective means to improve people's livelihood, has become the focus of local government investment. All localities will improve the construction of hospital information systems and public health platforms by means of financial budget funds and dedicated funds.
At the same time, in the "new medical reform" plan, medical informatization was regarded as one of the eight pillars supporting the reform of the "four beams and eight pillars" and received unprecedented attention. Through the in-depth application of medical informatization, medical service institutions can better face the growing short-term supply and demand contradiction between medical staff and long-term patients, to achieve improved service efficiency and reduced medical error rate; for patients, information Medicalization can help them enjoy better medical services, while medical costs can be effectively reduced.
100 billion market space
In the "Healthy China 2020 Strategic Research Report" previously released by the Ministry of Health, in terms of medical informatization, the Ministry of Health will launch the National Electronic Health System Project with a budget of 61.1 billion yuan, which exceeds 1/7 of the total investment.
This project is the most budgeted project in the government's medical informatization pilot work over the years. Considering that the ratio of local supporting funds and central appropriation may exceed 1: 1, the total investment scale of the national electronic health system project is expected to exceed 100 billion yuan. In fact, 100 billion yuan of investment funds is not enough to complete the construction of regional medical information systems. With reference to foreign data, the United Kingdom has failed to complete the national electronic medical record system with an investment of 12 billion pounds. The overall investment scale of China's regional medical information system construction will far exceed 100 billion yuan.
According to IDC's recently released report "2012-2016 Forecast and Analysis of China's Medical Industry IT Solution Market", IT expenditure in the medical industry in 2011 was 14.63 billion yuan, an increase of 28.9% from the previous year. IDC predicted the medical industry in 2015 in June 2011 IT spending will exceed 29 billion yuan, doubling from 2011. IDC predicts that the medical industry IT spending market will reach 33.99 billion yuan in 2016. The compound annual growth rate from 2011 to 2016 will be 18.4%, and the growth rate will remain high in the next five years The average growth rate of the IT market in other industries in China.
According to the 12th Five-Year Informatization Promotion Arrangement of the Ministry of Health, 2012-2013 is mainly based on points, and the process of gradual advancement will be fully promoted in 2014-2015. Market participants expect the industry to enter an explosive period in 2014 and usher in faster growth.
Three main battlefields
The hospital's business mainly includes clinical business and hospital management business. Correspondingly, the hospital's informatization construction also supports clinical and hospital management as its core tasks. Since different hospitals have different levels of informatization development, there are also certain differences in their construction priorities. Overall, the improvement and upgrade of the basic hospital system, the deepening of the system of large hospitals, and the regional medical information platform are the three major forces driving the rapid development of the medical information industry in the short to medium term.
The informatization of primary hospitals has just entered the popularization stage, and the construction of HIS system is the current theme. These institutions are generally characterized by their small size, low income level, and weak profitability. They are inadequate in terms of the power and ability of informatization investment. Therefore, since 2010, with the promotion of new medical reform, the government began to use financial funds as Support and promote the informatization of primary medical institutions. Specific projects include capacity building of county hospitals and information construction of village clinics in the central and western regions. These projects have greatly promoted the popularization of information systems in primary medical institutions.
The informatization level of large hospitals is relatively high, and it is currently entering the stage of clinical informatization application construction. At this stage of informatization, electronic medical records are the core, and the medical business and management business related to electronic medical records are promoted to promote the efficient use of information resources in clinical medical treatment and operation management, and finally form a hospital-level perfect medical information system. .
The regional medical and health information platform aims to connect the business information systems of medical institutions in the region through the establishment of residents' electronic health records, realize the rational allocation and full utilization of medical resources, save medical investment and improve the quality of medical services. The regional medical platform market started technical preparations in 2008 and started in 2009, and the pilot projects in 2010-2012 were in full bloom. In March 2011, 16 pilot cities for public hospital reform were identified, and later added to 17, the construction of regional medical platforms in these cities has already begun. The investment in deepening the construction of a single large urban regional medical platform requires more than 1 billion, and the national market space exceeds 70 billion.
In addition, China has a high incidence of chronic diseases, and health management is particularly important. At present, there are not many companies in the field of health management, but many companies have begun to layout. Listed companies such as Wanda Global Health Service Co., Ltd. established by Wanda Information, Xikang Company established by Neusoft Group, etc. However, the product service model and business model are still in the exploration stage.
Unlimited business opportunities
Domestic companies play a leading role: At present, domestic manufacturers occupy the main position in the field of HIS and regional medical platforms. Foreign medical informatization manufacturers entered the Chinese market earlier, but due to localization problems and disorderly competition in the initial stage of the industry, many foreign manufacturers withdrew from the Chinese market. In the field of PACS, foreign manufacturers such as GE, Kodak, and Agfa have certain market positions due to their high degree of standardization. Therefore, compared with the basic software, the competition pressure from Microsoft, Google, Oracle, ERP software is facing the competition pressure from SAP, Oracle, IT service is facing the competition pressure from IBM, Accenture, system integration is facing the competition pressure from IMB In general, China ’s medical informatization is much less competitive from foreign manufacturers. In the future, the Chinese market leader will be a Chinese software company.
Centralization is a trend: the current industry is relatively fragmented, showing the status of small companies in large industries. According to IDC statistics, the top ten manufacturers in the industry accounted for only 32% of the total market share in 2009.
In the face of the development opportunities brought by the new medical reform, compared with the period of the first development opportunity, the state of the industry has undergone great changes. In the early stage of the development of the HIS industry, the hospital's demand for HIS functions was relatively simple, mainly related to fee-related requirements, the industry threshold was low, there were many HIS manufacturers, and the vast majority of HIS enterprises were very small, and most enterprises had less than 50 There are very few users with more than 200 users. After 2000, competition in the industry was particularly fierce, HIS prices were sluggish, and many HIS vendors closed or restructured. After 2005, the HIS system of many hospitals began to upgrade, and some companies with strong R & D and development capabilities accelerated their development during this period. In the context of the new medical reform, the demand for medical informatization is more complex and larger, and has higher requirements for product upgrade capabilities and expansion capabilities, as well as manufacturers ’technical and service capabilities.
Large companies are gestating: Cerner is a medical information technology manufacturer in the United States. It was established in 1979. In a relatively mature market like the United States, its operating income still maintains a growth rate of about 20% per year. In 2012, its operating income reached 2.67 billion US dollars, of which the domestic revenue from the US reached 2.35 billion US dollars. Compared with the market concentration in the United States, China ’s market volume will definitely lead to medical informatization with software and service revenues exceeding 1 billion in the future. Manufacturers, even more than 2 billion.
A-share listed company
Weining Software: Weining Software is the only listed company in China that specializes in the medical informatization industry. It is also a company that is expected by many institutions to grow into China's Cerner. In the past four years, with the help of Dongfeng, the compound growth rate of the company's revenue and net profit reached 25.4% and 32.7%, respectively. We believe that due to the complexity and professionalism of medical informatization, only companies that maintain a high degree of focus and continuous investment are likely to win, and Weining will continue to expand its leadership with highly competitive solutions and active regional market expansion. Advantage, become the "long-distance champion" in the industry.
Wanda Information: The company has been working in the field of Shanghai regional medical informatization for many years, and the advanced level and coverage of Shanghai's regional medical informatization platform are at the forefront of the country. It is expected that the total investment scale will exceed 1 billion with a good benchmark effect.
The company established a subsidiary Wanda Health Service Co., Ltd., which is committed to the research, development, promotion and construction of a family health management information system using modern Internet of Things technology and improving the service system. The "Internet of Things Family Health Information Platform" independently developed by the company reconstructs the medical service delivery system centered on patients with chronic diseases, and builds a bridge for real-time monitoring and communication between community general practitioners and residents.
Neusoft Group: The company has a wide range of medical and health businesses, including medical equipment, medical IT solutions, health management and services, and medical insurance IT solutions. In terms of health management business, Neusoft Xikang is promoted through multiple channels. In the early stage, the company cooperated with Alps to achieve a strong alliance to create technically superior products and platforms. The cooperation with Shimao Tourism is an important progress for the company to promote health management through multiple channels.
Donghua Software: The products provided by the company in the field of medical information are mainly HIS systems and some clinical medical information systems and regional medical platform systems. The company's 12-year net profit increased by 35.83%, achieving a net profit increase of more than 30% for six consecutive years since 2007. Through careful management and excellent cost control inside the company, external mergers and acquisitions have achieved the common development of endogenous and extension, and maintained continuous high growth.
Hejia Shares: The company used super-raised funds of 16.8 million yuan to set up a subsidiary with a shareholding ratio of 84%. The subsidiary acquired 9 software copyright assets owned by Sichuan Sixun Technology Co., Ltd., covering hospital management information system (HIS), clinical management information system (CIS) and regional medical and health service system (GMIS). The company entered the medical information field through this acquisition.
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