2018 Conclusion: 2019 medical investment blue sea return red? The second half of the 800+ organization

In 2018, the end of the year has come to an end. The noisy medical investment has been dancing in the "staff" of the capital market in such a post-Year year. This relatively closed field has also been heated up, and the market's development must not be mature. Avoid this one-way street that is medically healthy.

Polypeptide chain

The words of the media from various parties also introduced various capitals to the medical health field full of “Qian Jing”. Several happy families, today we will take a look at the medical investment in this year is “blue sea red” Still "the abyss."

The doctor group, mobile medical , medical big data , and social medical doctors have undergone tremendous changes during the year. With the gradual attempts and joys and sorrows of medical commercialization, the "polypeptide chain" also borrowed many words. A lot of content has been dedicated to the reader.

The market growth of the medical industry is undoubted. For the current medical industry, the old market, high-end medical care, high-end consumption and so on, the entire market is growing rapidly.

And many capitals also realize that there are a lot of subdivisions on medical care that are worth investing, but this is another industry with high supervision and slow return, and a large number of investment institutions turn.

After the vote, I found out that "the layman who broke into the door, still can't figure out the big stone in the medical field." No matter how they make excuses for themselves and find the steps, they can't cover the cruel facts that they mostly fall into the pit.

In the medical industry, the establishment of volume and business models takes a long time, and even new model changes take a long time to complete. Not to mention the changes in the original model, even the development of a new service model, its volume expansion still takes a very long time.

According to statistics released by the Research Institute of the Whale Research Institute, the total investment in the medical and health field in 2018 reached 78.7 billion yuan, of which medicines and medical services were the two fastest growing sectors, namely 34.1 billion yuan and 31.4 billion yuan respectively. yuan.

However, the total financing incident decreased from 1,250 in 2017 to 824 in 2018. Although the number of incidents has decreased, the amount of single financing has risen rapidly. From the perspective of single financing, the average single financing amount of the industry has changed from 2014 to 2017. The small amount of about 40 million yuan, the average single financing amount in 2018 increased significantly to 95 million yuan, an increase of about 130% over the previous years.

And nowadays medical care has become one of the hottest investment directions in the market. There were only 10 medical treatments as the main investment direction 10 years ago. Nowadays, about 800 investment institutions mainly invest in medical health. Later, when a group of professional organizations appeared, the market forced large-scale comprehensive institutions to split the medical sector, and the development of professional investment institutions was also a major trend.

At present, capital investment habits, especially in the face of medical service projects, are cautious, and investment preferences have a tendency to extend backwards. It is necessary to see that there are fixed teams, barriers, advantages, resources, and successful trials. Business model, with a certain amount of cash flow, is likely to get investment.

In terms of the type of funds, in the past, the US dollar fund was the mainstream of medical investment, and drug investment and equipment investment were mainly based on early projects. Now the RMB fund has become the dominant factor, and many “national teams” have entered the market.

With the vigorous promotion of policies, in addition to big data, such as biomedicine, there are basically no exceptions. More than 80% of the new drug projects are all national teams.

The wind is very strong, the money is very long

In the medical service field, it is expected that the market of private high-end specialist chain medical institutions will continue to expand rapidly. However, due to the impact of the price adjustment of public medical service institutions, the labor cost of private medical services will rise. It is expected that the time from establishment to break-even will be lengthened. Private primary health care institutions may be affected by policies.

Some medical industry observers have said in a speech: "The difficulty of running a doctor in society is that burning money is only the best solution."

As far as capital is concerned, social medical practitioners are currently facing problems such as high barriers to entry, high operational pressures, and inadequate regulatory mechanisms. The service content and model of social medical services need to be expanded. The low social credibility and weak service capacity are difficult to The main reason for the "double feet" of public hospitals.

Due to the high barriers to entry, the difficulty in obtaining high-quality medical resources, and the long-term weakness of social medical treatment, the main subjects are small-scale specialized hospitals, and comprehensive hospitals are rare, not to mention teaching and research capabilities. The weakness of the regular army gave the opportunity to the "Putian Department" of the side-by-side road. The entire society was running the medical industry, including the law-abiding Putian Department Hospital, which has so far paid off debts.

Among them, medical services are the core of the link to the entire industry chain. The part that reflects the medical care is hard core, but the service is still a non-negligible component of medical institutions.

What should private hospitals fight with public hospitals? That is the service, but this service is very detailed, very specific, what is this service? Need to consider the pain points in the process of medical treatment, public hospitals have no time to take into account the individual needs, and private hospitals can improve the service, to meet the individual needs of patients.

In terms of talents, the price adjustment of medical services has increased, the labor income obtained by medical doctors in public hospitals has increased, and the labor costs of private medical institutions have increased. The multi-point practice of doctors and the rapid growth of doctors’ groups have also supplemented the talents for private medical care. pressure.

Public hospitals monopolize a large number of high-quality resources, especially in terms of talents. Private hospitals are hard to find their backs. After social capital invests in hospitals, the management of talents must take into account the introduction of talents and the follow-up talent cultivation methods. It has great complementary advantages in terms of doctor's value enhancement and ability complementation.

2018 is a year of the outbreak of the Chinese doctor group. The number of business registrations of doctor group companies has ushered in a new round of peaks, and the number of doctors has exceeded 1,000.

There is no corresponding law and regulation from the registration form of the doctor group, the nature of the group, the scope of services, the source of service income, etc., and there is a big difference between the free practice of doctors under the doctor group of foreign countries. More like a management service company. Responsible for coordinating various resources for joining doctors, including setting up service outlets, arranging specialist outpatient clinics, and providing management services related to doctors' multi-point practice.

As a clinic with a large share of medical services investment, there is also a relatively favorable policy. The state has liberalized the planning restrictions of the clinic. Shenzhen even allows doctors to open clinics. It also removes restrictions on registered funds and can set several at the same time. Division.

It is understood that in the context of the policy liberalization, doctors and capital have made efforts to build chain clinics. Taking Shanghai as an example, the situation of stricter long-term clinics is being greatly improved. A chain clinic is just in Shanghai Pudong New Area. Three clinics were approved at one time.

From the policy trend, we can see that local governments are gradually implementing national policies. 2018 is the first year in which doctors can start clinics.

In a dialogue with the "Peptide Chain", a senior medical industry investor pointed out: "If a society does not have a "skill", it will be difficult to gain market recognition, such as the current Yangtze River Delta region and the Pearl River Delta. The demand for medical care is still very large. More importantly, its medical insurance payment ability is strong. It can also receive capital attention."

Private capital entering the medical service capital market will have the characteristics of regional, branding and incubator, and the new trend of medical reform will bring investment opportunities in investment in public hospitals. The policy will further open the door of public hospitals and will start from the general hospital. Hospital conversion may become a breakthrough for private capital to quickly obtain high-quality targets, and middle-level hospitals tend to become the first echelon of restructuring.

However, the dividends of the reform of corporate hospitals have spawned a group of hospitals with more than 10,000 sheets of hospitals, including China Resources, Peking University and New Miles, in a few years. In particular, China Resources Medical, which was the earliest in action, successfully completed the restructuring of the public top three hospitals with its extraordinary vision and mobility, and achieved the listing of Hong Kong stocks through the Shell Phoenix Medical.

According to the plan, the restructuring of state-owned enterprises will be completed by the end of 2018. The whole process may continue for another 2-3 years, but the enterprise hospital restructuring will gradually enter the collection phase.

Another point, Internet medical care encountered a watershed in the industry in 2018.

With the introduction of the relevant management measures for Internet diagnosis and treatment, the competent authorities officially laid a "red line" for the industry. But instead we see more active Internet companies, especially health sciences are becoming new traffic gathering places.

The distribution of medical resources in China is the most important thing to solve. Online medical care and Internet hospitals are inevitable trends. For remote areas, patients should also have access to the network. If the deployment of the network makes remote areas If the patient can easily come into contact, the two ends can be combined to produce a benign meaning.

The Internet is reshaping the medical model. Hospitals to the medical association, medical community and other series can be combined with the Internet. The core of the patient, hospital, and organization is health big data. If the health data platform is opened, all data of the community, hospital, medical center, and clinic will be connected. Then such data will quickly improve the quality of care.

In the end, if we want to mature the medical service market, policy-oriented and industry-wide competition will become the key point. Without these prerequisites, it will be difficult to form an advantage in the competition, and the medical service market has always been “occluded”. It is necessary to gradually evolve to cater to the development of the times.

It is the current choice of medical practice to fill the gap in public medical institutions. However, private medical institutions still need to analyze what gaps can be filled before making strategic decisions, especially if they can meet the talent supply. There are serious shortcomings, such gaps are not suitable for private institutions to undertake and supplement, which requires investors to pay careful attention.

Policy-oriented liberalization of the incremental market will continue to be an important direction for medical reform in the next few years. At the same time, the state's supervision of private medical institutions will become increasingly strict, in the hope of forming a public medical institution as the main body in the competition, and private medical institutions will be Supplementary multi-medical service landscape.

The hustle and bustle of 2018 has ended, and the investment in the medical field has gradually become clear in this year. In short, the era of private medical care to make quick money is long gone, and ultimately the real ability to fight for connotation and service is really needed. .

2018 is about to leave, but the rivers and lakes are still there, moving forever.

Goodbye in 2019.

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