What are the "pits" of digital therapy?

"High -quality service+available+low cost" is the ultimate goal of medical services.

It is just that in the traditional medical environment, it is difficult for the three to take into account at the same time. This beautiful wish can only be a "impossible triangle". Until the emergence of digital therapy, the supply of medical services digitized and met the needs in various forms. Its ways to break through traditional medical scenarios such as outpatient clinics and hospitalization have also achieved many results in reducing costs and fees.

With the approval of foreign digital therapy products represented by PEAR and the company's listing, the air outlet of digital therapy has also been blown into the country. According to Insight Partners' forecasts, the global digital therapy market size will increase from US $ 4.22 billion in 2021 to US $ 18.06 billion in 2028, with a compound annual growth rate of 23.1%.

Digital therapies with huge market potential have attracted the entry of many domestic companies. However, there are many problems to be solved in the process from concept to landing.

The key to digital therapy is recognized by core value

As a typical multidisciplinary "cross" industry, digital therapy has attracted a large number of companies in domestic games, software, medical care and other fields.

Policies have also begun to make efforts. Hainan Province took the lead in listing digital therapy in provincial -level planning. Digital therapy was first valued and promoted at the provincial level for the first time, and it entered the fast lane. Digital therapy is moving from the stage of "Hero Mo asked the source" product innovation to the construction of business model construction and market verification.

It is precisely because digital therapy has developed from a barrenness to the stage where it needs to prove its own value, and the slogans such as "data -driven", "disease prevention" and "patient management" may not really seize the opportunity. According to a large number of facts that happened in the past, those who can deeply recognize the development of the industry can be successful.

Digital therapy cannot be simply regarded as the innovation of software functions, but the role of technological progress driving the role of medical and patient interaction and the role of medical service providers. These changes will in turn affect the development of medical service models in different fields.

Domestic digital therapy enterprises are distributed, Tuyuan Eggshell Research Institute

According to the statistics of the Eggshell Research Institute in "Digital Therapy White Paper 2.0", in the existing digital therapy market, it is divided into eight major types according to the first level of indications. Among them, the competition of mental, behavioral, and cognitive obstacles is the most fierce, while the field of tumor disease is the most unpopular. Taking the segment of children's autism as an example, we talk about how digital therapy improves the shortcomings of traditional medical methods, reflect our core value, and then implement the product.

Clearing the pain point, finding the way to cut in

According to the results of the seventh census in my country, the population of my country 0 to 14 is 253 million. Based on the prevalence of 2.3%of autistic illness released by the US CDC in December 2021, there are about 6 million patients with autism 0 to 14 years old in my country. Behind the numbers, the huge pressure of life facing children and their families reflects the tremendous pressure of children and their families.

Although as early as 2010, the former Ministry of Health issued the "Guidelines for the Rehabilitation and Rehabilitation of Children's Diagnosis and Treatment", which put forward specific guidance on the diagnosis, intervention and prognosis of autism, but the autism rehabilitation industry still faces many problems.

The first is insufficient diagnosis.

Whether children with orphan disease can be discovered in time, children's psychiatrists play a key role. However, according to the data published by "Liu Ye Dao", the number of children's psychiatrists in my country in 2019 is less than 500, and the number of children in the United States in the United States at the same time is about 8,000, and the contradiction between the dislocation and demand is prominent.

The second is limited rehabilitation resources.

Although the total number of autism rehabilitation education institutions is rising every year, it is still insufficient compared to the total number of autism. According to the data of the China Disabled Persons' Federation "2021 China Disabled Persons Career Statistics Yearbook", as of the end of 2020, the number of rehabilitation institutions for autistic children in the country reached 2,681, an increase of 443 compared with 2019. Although the number of rehabilitation institutions is huge, it is still difficult to satisfy it need.

Then the institutional ability is limited.

There is no clear standard for how to judge the ability of rehabilitation institutions. The types of autism rehabilitation are diverse and different. In terms of treatment, each institution has its own ideas and methods. There is no unified industry standard for the time being. The unified standards and the lack of talents have made the service quality of different rehabilitation institutions mixed.

Finally, the economic burden was heavy.

Children with autism need to be intervened at least 40 hours per week in the early days, including institutional intervention and family intervention, and it takes 2 to 3 years to have better rehabilitation effects. This means that both parents must have one person to accompany them for a long time, and the family income is halved and also needs to bear high rehabilitation costs.

These are just appearances, and there are deeper problems behind them.

In addition to the lack of diagnostic ability, in addition to the number of talents, because of the difficulty of diagnosis and the time required, the status quo of doctors' lack of resources is further enlarged. Limited rehabilitation resources means that the education and training of patients' parents is more lacking, and home pre -training cannot be separated from the participation of parents. The institutional reception capacity is limited, and some regions even have to line up for two or three years, causing children to miss the best intervention time and delay the rehabilitation effect.

After clarifying these industries, how should digital therapy be cut in?

Data -based and solve the needs of all parties

In the past, experienceism in the recovery industry of autism was prevailing, and scientific methods and data value have not been paid enough attention. From the perspective of the current status and needs of autism, this field is very suitable for digital therapy. The emergence of digital technologies such as artificial intelligence and big data provides new paths for the screening, diagnosis and intervention of autism. In July 2022, the Pharmaceutical Bureau officially passed the two -category approval of Enshi's "early screening and evaluation software of children's cognitive behavior". This is the first domestic cognitive behavior ability product to pass the examination and approval of the second category of medical devices, which also means a major breakthrough in digital therapy in the field of children's autism.

Although it is a screening and evaluation software, it is necessary to be approved smoothly, and many hard work must be made during the research and development process, and many pits have been stepped on.

■ 01 The core of the digitalization of products is data

During the assessment diagnosis of children's autism, doctors often use meter table to assist diagnosis, but digital therapy is not just digitalization of meters.

For doctors, a digital scale does not bring substantial help to the diagnosis. Doctors need clinical evidence. It can comprehensively comprehensively comprehensively, the age, development level, expression language level, cultural and environmental factors, such as a tool to auxiliary diagnosis (non -normal) behavior and negative behavior (missing normal) behavior.

Based on such front -line demand, En Qi will accumulate a large number of cases based on rehabilitation front lines when developing related digital therapy products for data extraction, analysis, polishing, and reconstruction. The software establishs a data model through large -scale and rigorous data feeding, relying on many relying on many many, relying on many many, relying on many many, relying on many many, relying on many many, relying on many numerous data, relying on many numerous many data, relying on many numerous many data, relying on many numerous data, relying on many many, relying on many many, relying on many many. Medical experts' long -term tracking, guidance, and comparison analysis, through these efforts, design and develop digital therapy products on the basis of professionalization, standardization and scale.

Digital therapy for children's autism rehabilitation industry is to use the Internet, big data, artificial intelligence and other scientific and technological methods to promote the improvement of professional capabilities. Whether it is specialized, standardized, and large -scale establishment, the application of data is inseparable.

■ 02 Data requires many partners

Data is just the foundation. It is the key to establish a data model to use.

When it comes to digital therapy, most people think of "digital" technology such as the Internet and cloud computing, but ignore the word "therapy". Since it is called the treatment, it means that it is a serious matter. It must be based on evidence -based medicine and have the underlying clinical medical logic.

Early screening software in autism is technically detected by the face and human behavior in the detection image, audio and video, but its core clinical medical logic is based on the Chinese Medical Association's "early identification and screening of children's dysfunction and early intervention expert consensus" Five types of autistic early warning behavior characteristics: "Not (less)", "not (not less)", "not (less) refers", "not (less)" and "improper" and "improper" Compare analysis, generate early risk screening reports to help medical professionals screen and diagnose children.

Such a set of screening and diagnostic systems need to establish a patient's disease curve after the accumulation of large sample data to better discover regular clues. It is impossible to do it by one company. En Qi jointly developed with Beijing Anding Hospital and Tsinghua University Affiliated to the Capital Medical University. In the process, the teacher database and children's development evaluation database of the Chinese autism rehabilitation industry were established, which laid the foundation for development.

The effectiveness of the software is based on large -scale, multi -centered clinical research. For example, through behavioral data and algorithms to analyze a large number of test videos, such as observing the child's turn scope by calling the child, thereby matching the corresponding positive indicators of autism. Only through a large number of repeated calculations and analysis can we obtain a standard to judge the risk of children's autism.

"The medical device certification of early screening of autism is the first time for En Qi and the regulatory authorities. In the process, we encountered a lot of technical difficulties. We also passed the tests and discovered the problem, solved the problem, and finally obtained the drug supervision regulatory supervisor. The approval of the bureau. "Wu Jiarui, the co -founder of En Qi, said to the arterial network.

■ 03 Single -point cut in, build a digital service closed -loop platform

Traditional autistic medical processes will go through six major links, that is, the problem of previous screening and discovery problems. During the diagnosis, the doctor's diagnosis and ability assessment, the IEP (personalized education plan) and rehabilitation training, as well as the fusion education of rehabilitation links, and the rehabilitation link Essence

If only screening is done, the market ceiling must be limited, which is not conducive to enterprise development.

While cooperating with early screening software for autism, En Qi also used its own digital ability to work with domestic and foreign industry experts and scholars such as Beijing Normal University, Capital Medical University, Peking University and other domestic and foreign industries to jointly create a "series of courses of behavioral intervention in children with autism." Establishing a teacher training platform for standardized talent training systems, home-school integration IDEA at home, intelligent rehabilitation decision-making management system "OpenK", evaluation tools of the evaluation tools in the diagnosis, and IDEA-S evaluation assistants. In order to achieve the delivery of high -quality rehabilitation services and verify the scientific nature of each project, the offline IDEA rehabilitation center has also been deployed.

From the training and screening of the rehabilitation division to cut into the market, the double arrow cycle is expanded to the entire medical process, and the digital driving rehabilitation closed loop of "online+offline, inside and outside the courtyard". En Qi is completed by the closed loop of digital medical services around the "Early Sieve of Children's Children's Group+Rehabilitation". From screening diagnosis, ability assessment, then rehabilitation intervention, and the full process of rehabilitation of subsequent integration education can provide digital management and control services. It can be seen that digital therapy targets a complete set of playback in the field of segments. From a real industry pain point (screening and diagnosis), creating digital products based on technologies such as big data and AI, and then using its own digital strength to empower the entire process and full scene in the field of segments, and achieve the strategic goal of digital -driven industry development.

The landing of multiple fields proves its core value

In the future, in the real medical world, digital therapy should act as a supplementary role of high -efficiency, high quality, low cost, high cost, high -degree and degree.

The best form of designing digital therapy and the existing medical industry from the serious medical framework. Based on this logic, digital therapy has begun to land in multiple segments, such as muscle rehabilitation after exercise injury.

Reproductive muscle bone was approved by the digital therapy product of the second category of medical device in June this year -Joymotion Yuexing ™, which is a remote rehabilitation system combined with a software and hardware combined by digitalization.

This system collects patient information and generates the rehabilitation scheme through multi -dimensional methods such as sensor data, questionnaires, medical images, and video consultations. During the training phase, the sensor collects sports data in real time and corrects the feedback of the traditional rehabilitation division. 1 The method of supervision and guidance.

As the only digital therapy team in China in China, since the establishment of the compound muscle, the channels of "production, learning, and research" have also seen the channels selected by the mainstream B2B2C model of digital therapy. For patients at their own expense, experts' requirements and standards for serious medical products will not be reduced because of digitalization.

Therefore, the compound muscle bone will follow up with AI technology to conduct more in -depth research and development to accelerate the approval progress of the three types of certificates.

At present, Joymotion Yuexingqi ™ digital therapy products have carried out clinical tests in the Trinka Hospital and the Repeated Muscle Bone Candida Clinical Test, covering more than 230 patients, of which about 142 cases of knee joint injury surgery, back pain and knee joint pain patients with chronic pain in the knee joint pain About 88 cases, the total satisfaction score of the patient (NPS score 0-10 points) 9.4 points.

Unlike laboratory research that is easier to obtain data, the real world data acquisition of clinical research is even more difficult to obtain. Repeated muscle bone has been establishing and improving the multi -disease database formed under the digitalization of the entire cycle of diagnosis and treatment, providing great data support for the study of clinical topics of specialists.

Digital therapy has been introduced from conceptual introduction to the stage of pursuing effectiveness. At this node, digital therapy needs to prove its core value to win the recognition of all parties in the market. The hospital recognition, doctor's recognition, and channel recognition require good clinical data support. Only by recognizing all parties can we usher in the stage of large -scale commercialization.

What are the competitiveness of digital therapy companies?

Digital therapy must solve many problems during the landing process. For companies that develop digital therapies, what should they improve their competitiveness?

First of all, from a professional perspective, we must have a very solid industry resources to help the product consolidate the foundation on the clinical side; in the design of product design, considering the academic forward -looking of the future industry development, it can accommodate the new research direction of the industry; at the same time, and at the same time, When the product is landing, it is able to analyze and judge its own digital therapy products more objectively.

Secondly, from a technical perspective, we must have the strength to build a high threshold technology platform. If there is no threshold in a field, it will soon become the Red Sea. The threshold here refers to the complete management platform system of monitoring, services, disease management, solutions, and drug supply through hardware, software, compliance data and clinical evidence.

There is an attitude of innovation and opening up. In the field of digital therapy, iterations should be obviously faster than traditional medicines, and the corporate mentality requires openness and embrace innovation. Only in this way can we connect with the overall ecology, such as patients, patients, doctors, hospital departments, payment -side medical insurance and commercial insurance, as well as other ecological partners, such as pharmaceutical factories, equipment manufacturers, enterprises ecology of enterprises Cooperation capabilities are just as important as industry resources accumulation.

Three stages of the development of the digital therapy market, Tuyuan Eggshell Research Institute

Finally, the ability of commercialization. Digital therapy products have begun to land one after another. Whether they are recognized by doctors and hospital channels through marketing, they have reached more patients through doctors' channels; or they cooperate with medicine, equipment companies, and insurance companies to use the channels of partners to promote, or it is to promote, or it is to promote, or it is promoted, or it is promoted. Other business models are inseparable from powerful BD capabilities.

Digital therapy, as a new conceptual medical method or digital health solution, has attracted the attention of a large number of enterprises and capital in the past few years. Nowadays, digital therapy is gradually implementing from the conceptual state, and the development of the intra -hospital market will also become one of the core tasks of digital therapy companies in the future. The construction of related capabilities will be an important manifestation of corporate competitiveness.

Digital therapy has developed to the present stage, and "effectiveness" has become a very important point.

At present, there are about 30 digital therapy products that have obtained the corresponding qualification certificate in my country. However, because it has not been recognized by clinical experts, it is difficult to enter the doctor's prescription, and there is still a distance from the real clinical popularization.In the next few years, the most important thing for digital therapy is the product, good products, and commercialization will results.If you just pay attention to the management of the disease before, the digital therapy now needs to pay attention to the entire course of the disease, especially to determine the clinical end.Digital therapy should be a very clear product that obtains validity in clinical clinical clinical.The realization of this vision requires more competitive companies to join it.

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