The clinicist: walking in the hospital and the patient are not oxen or No.

At 8 o'clock in the morning of the Economic Observation Newspaper, Xia Liming and thousands of patients in Tiannanhai were poured to the major three hospitals in Beijing, and then scattered, repeated numbers, reservation inspections, and waiting in line. Once you are drowned into the noisy crowd, no one can find his special features.

The small difference is that the patient he accompanied will basically change one for half a day.

Xia Liming's career is called a companion. After the patient placed orders through WeChat Mini Program, Douyin, Taobao and other platforms, Xia Liming was responsible for accompanying the patient to complete the entire process of medical treatment, ranging from 300-500 yuan for half a day. Secondly, it also provides services such as substitution, medicine, and inspection reports.

From the perspective of market demand, they cannot be ignored. During the six years of accompanying, pregnant women, patients with late cancer, young girls who are alone in the north, and elderly people who do not use smart machines, Xia Liming has encountered it.

In the context of China's alone and empty -nest elderly people who have reached 118 million and more than 77 million young people who live alone, such a clinic needs will be destined not to disappear.

The epidemic makes the needs of the accompanying clinic more vigorous.

On the Douyin platform, the "Beijing Pedestries" as the keyword search related users, the number of users is more than 370, most of them exist in the form of "place name+companion+nickname".

Xia Liming said: "Many patients who come to Beijing to see a doctor in foreign countries hope to find the best doctors in the best hospital, and take the best medicine and receive the best treatment. What we can do is to help them speed up the medical process of medical treatment as much as possible Provide medical care. "

Practitioners also know deeply that this is a zone close to gray -industry specifications, no occupational identification standards, and direct regulatory agencies. In order to unnecessary trouble, they often pretend to be the family or friends of the patient, and even signed instead of the patient's family under the request of customers.

The official occupation that is closest to their work is a community health assistant. This profession was included in the new occupation by the Ministry of Human Resources and Social Security in July 2020. Serve.

Zhang Chao, who is engaged in the clinic of the accompanying industry for a year and a half, said: "We are not oxen, and there are no unique registered channels. Doctors and patients are sensitive people. Incidents may detonate the entire industry. Our team is also very scared, and we can do it with caution. We can't control the industry, we can only try our best to restrain our things (Zhang Chao's institution) team. "

One day of the clinic

At 11 am on August 3rd, after finishing a single -generation consultation and a single companion, Xia Liming hurriedly found a slightly quiet corner at the first floor of the Beijing Children's Hospital, sitting on the ground and started an interview. After an hour of interview, he immediately rushed to the Beijing Union Hospital of 6 kilometers away, and the accompanying order at 1 pm was still waiting for him.

Under normal circumstances, he needs to arrive at the hospital at 7:30 in the morning and wait for the customer to come. Since then, a series of accompanying processes will be started. At noon, there is a probability that you need to change a hospital to complete the new companion order. After ending the clinic at 5 pm every day, he also needs to reply to the new companion inquiry, the agreed time, and the preparation of the patient to make on the mobile phone. One summer, his weight dropped from 86 kg to 78 kg.

At present, Xia Liming's accompanying fee ranges from 300-500 yuan/half a day, and the consultation is cheaper. For a long time, the monthly salary can reach 15,000 or even 20,000, but when affected by the epidemic, the income will also decline significantly. He has also served thousands of patients all the way.

He said that this line needs a lot of patience. "Whether the accompanying clinic is professional, not depending on what he can accompany you, anyone can do the process of the hospital. We have more output services and emotional values. In turn, others will pay us paid for us," Xia Liming said.

In Xia Liming's opinion, many times, patients' psychology will be more anxious and want to be optimistic about the illness. "Because I have a lot of experience in seeing a doctor, I will communicate with him with the experience of treating the same type of disease or other patients, so as to discharge some of the negative emotions of the patient."

Before the consultation, Xia Liming needed to communicate in advance with the patient to let him write a detailed self -introduction and condition. At the same time, he also needed to ask the patient's medication history and the purpose of diagnosis. Wait for the courier to yourself. After printing the corresponding information and sorting it up, they are handed over to the doctor during the consultation. After the consultation, the doctor's treatment opinion herself also needs to be referred to the patient in detail.

Xia Liming said: "In order to prevent doctors from being alert to us, we generally say that we are relatives and friends of patients. The form of video conference allows doctors and patients to communicate online. Of course, some doctors do not accept such a method. "

For some elderly people, because the doctor's visits are limited, he will also communicate with the elderly in advance and communicate with the elderly. After that, he will be transferred to the doctor to avoid affecting the effects of seeking the disease because the elderly temporarily forget some problems.

Because of the summer vacation, Zhang Chao's orders in Beijing Children's Hospital also have obviously more.

At 8 am on August 2nd, he rushed to Beijing North Station to take a pair of mother and son who came to Beijing Children's Hospital from Inner Mongolia. The other party has made an appointment to the expert registration of the day on the hospital app. Each time the other party placed the clinic, he clearly told the other party that he was not an ox and could not help solve the problem of registered. He needed to make an appointment to grab the number. At 1 pm, when the hospital's outpatient clinic, Zhang Chao, who had arrived at the hospital for half an hour, started his own work -first use the child's ID card to build a code to the child, with the QR code to obtain an appointment, and reach the corresponding floor. The diagnosis platform is queuing, waiting for experts to see the doctor, the inspection bill payment paid by the doctor, and the corresponding examination room to make an appointment for ECG, the report, and find the doctor to see the report and determine the next treatment method.

After a set of processes, the time is approaching 5 pm. During the period, he also needed to pay attention to the state of the mother and son at all times.

Zhang Chao said: "If it is the first time to come here, we may not be able to complete the entire process in a day. In general, we can complete the clinic once in a half day."

last stop

On August 3, the Hall of the Beijing Children's Hospital (referred to as Beijing Children's Hospital) affiliated to the Capital Medical University began to be filled with the mixed sounds and pedestrians in a hurry. The staff failed to stop almost at a moment, using the little bees (wireless microphone) to answer the inquiries of different people at any time; occasional children crying rarely caused other people's eyes; Parents occupy; parents holding the test sheet rushed to various departments.

On the left side of the lobby, five or six middle -aged men and women holding mattresses, washbasins, luggage and other items found the position of the wall, and they were skilled in their own mats, or held their children for breakfast, or lying down at the same time as sleeping. go.

The hospital's security guards do not drive them asleep. A security guard told reporters: "Many times, two adults accompany their children to Beijing to see a doctor, but the outpatient building cannot stay at night. In addition, the hospital stipulates that inpatient children can only be accompanied by one parent. In order to save money, many people in the summer in the summer are many people. It is a paving mat, covering a quilt, and a park in the hospital or around the hospital. "

Zhang Chao will see such a scene almost every day. He said that because of Beijing's top medical resources, many people regard Beijing Three Hospital as the last stop of the doctor, and it is also the last hope. Most of the orders he received were also foreign patients.

Data from the Beijing Health Commission show that in 2019, the number of diagnosis and treatment of Beijing medical institutions exceeded 260 million, of which about one -third of patients came to Beijing.

Zhang Chao remembered that a baby mother in Chengdu had contacted herself before, hoping to help him at Beijing Children's Hospital, because the child had already used an ventilator at the hospital in Chengdu, and his physical condition was not allowed to be transferred to Beijing. When Zhang Chao took the child's various inspection materials to find special experts, the experts after watching the feedback was "don't spend money, retreat the number, and the risk of transferring to Beijing is very high."

He said: "The mother was anxious to cry on the phone. We were anxious and wanted to help, but there was a sense of powerlessness."

Although hard, Xia Liming also found that the service of this line is indispensable for many ordinary people.

A few years before the industry, Xia Liming mainly provided the VIP customers of the insurance company with a visiting service. However, after the epidemic, many patients who came to Beijing had a clinic and a substitute for consultation, so the market slowly became hot.

In recent years, Xia Liming received a number of accompanying orders from many young people in Beijing. For example, a girl with six repurchase services requires scattered pupils because of the treatment of eye treatment. After finishing, the road cannot be seen. Therefore, people have been accompanied by people in the first two or three hours. "If the nuclear magnetic resonance is involved, the bag on the body cannot be brought in, and the finance needs to be kept. Sometimes there are some signatures. Bei Diao's single young man to see a doctor. It's gone. So I would like to choose to spend hundreds of dollars to find a visit. "Xia Liming said.

Old man's embarrassment

When the clinic of the Yichang Three Hospital, most of the accompanying orders received by Hu Lihua were the elderly and pregnant women. The elderly mainly came from the surrounding counties. The orders were often secretly the children of the elderly.

"Now the hospitals are basically digitized. When the elderly people around Yidu, Zhijiang and other counties come to Yichang to see a doctor, they do not know how to register on the machine and find the department. Busy, Hu Lihua said.

During the accompanying process, Hu Lihua often disguised as a friend of the elderly and children, and did not tell the elderly's specific accompanying price. After all, it is difficult for many elderly people to accept the cost of 199 yuan and 299 yuan throughout the day. In the local area, a restaurant waiter salary of about 3,500 yuan.

In order to avoid possible risks or disputes during the accompanying process, she asked at least one family member to accompany children under the age of 14 and elderly people over 70 years old. "If the crisis is in crisis, we may need to be signed, and we cannot replace it, so we will also decline for emergency orders. We are only responsible for running legs and fast processing procedures."

A case that Hu Lihua encountered last week was that when doing nucleic acid testing in front of the hospital, the corresponding barcode was needed. Although the old man had a smartphone, he did not understand the concept of barcode at all. Determine your ID information and mobile phone numbers, and eventually form the barcode of the elderly. "We often encounter some elderly people in the hospital. We may be in their 50s, and we will not use some smart devices in the hospital, including printing invoices and taking CT results. The hospital's guidance does not have so much time and can't be busy. Especially on Monday morning, the old man with a crutch and dizziness and weakness has no chair sitting at all, just sitting directly underground. Sometimes I see the old man's hands and be very pitiful, and he also helps the elderly in his free time. "Hu Lihua said.

Hu Lihua's most impressive is an old man with a late tumor. The old man's son had been asked for more than 20 days before, but because he couldn't get away from work, he found her to ask for help.

When Hu Lihua received the old man on the morning of the same day, he found that the elderly's body was relatively weak. After seeking their family members, she leased the wheelchair for the elderly, and at the same time looked for a nursing worker to be responsible for the old man's movement and toilet. Because the nucleic acid report of the elderly needs to come out in the afternoon, it is too noisy to handle the hospital. Hu Lihua went to the nurse in the emergency department to explain the situation, and found a bed in the ward for the elderly to lie down. At noon, I also went to the bread room to buy milk and bread for the elderly. "I also talked to the elderly at noon. The old man was really pitiful. He should have enjoyed the age of blessing his grandson. Now his children are not around, and their lover cares about chili picking and raising pigs in my hometown. It was a hospital for the old people to send the elderly. I comforted him and said that I can rest assured when I came to the hospital. I am very familiar with the process. Your son is very good and filial. He has told me three times and five times. "Hu Lihua said.

Hu Lihua is very clear that this may be a microcosm of the elderly in most counties in China. "Although there is no one in the service, in actual services, we will also give the patient some psychological comfort and counseling, making him feel that someone cares about him."

When Hu Lihua helped a patient in Yichang Yiling District at the end of July, a doctor took the initiative to ask her to leave a business card after learning Hu Lihua's career. "Actually, I was surprised at the time. The doctor said that many patients would have the need to take medicine, because it was troublesome to toss back and forth. If the patient had this need in this regard, he could find the drug service directly through a business card."

Business

Around 2015, there have been platforms such as E companion and peace of mind in the market, and tens of millions of financing has also been obtained. It is not satisfactory to follow -up development. Tianyancha shows that 541 companies searching for keywords are searched, of which 194 companies have been canceled or revoked, and 260 companies still have continued companies.

Zhang Zhijie, CEO of Beijing Red Guan Health Technology Co., Ltd., also experienced the heat of the clinic institution. He introduced that at that time, most of the business model adopted by the institution was that the hospital nurses used fragmented time to receive the accompanying order on the institutional platform, and the price of the first diagnosis was only about 50 yuan. Although such a model can jump out of the concept of labor cost accounting and has a story in front of investors, the business is always unsuccessful -the service quality is unstable, and users will not use it for a long time.

In the past seven years, although the institutions that simply do the diagnosis have existed, the development space is still limited.

Zhang Zhijie believes that when the team's team is on a large-scale and corporate, it will inevitably begin to face the problem of loss, and the price of each accompanying consultation will be difficult to reduce it on the basis of 300 yuan to 600 yuan/time.

The number of "Jianxianghui" developed by Zhang Zhijie's health service platform "Jianxianghui" has provided health service packages to companies such as Beijing Unicom, Beijing Power Grid. The package includes services such as accompanying consultation, health consultation, and slow disease management. At present, six major cities including Beishang, Guangzhou and Shenzhen are deployed. Taking Beijing as an example, the number of visits per month is about 400, and the number of companions is about 30.

Zhang Zhijie calculated a account for reporters. The operating cost of the company's health service package is about 600 yuan per person per year, and the actual payment cost of the company after purchasing the package is 500 yuan per person per year. If enterprise employees use specific service items such as accompaniment, operating costs will rise further. For example, the labor cost is at least 200 yuan. Therefore, the accompanying business must be a loss of operation.

However, when the scale of the accompanying team is reduced to about 10 people and the use of non -institutionalized operations, the accompanying business can also become a clear profitable project.

Zhang Zhijie described the group of individuals in the market as "the existence of small grass -like existence". He said: "Do the clinic, the smaller the size, the better. For example In this way, it does not require office, front desk, secretary, and not too much training, and link everyone with benefits. Such market demand has always existed. "

The reporter also found in the process of interviewing multiple companions that the training of the clinicians was basically simple and uniformly uniform.

A companion who had been a nurse in dental hospital and was responsible for the new employee training in a clinic group told the Economic Observer: "There is almost no entry threshold for the clinic, and the individual does not need a medical background. After mastering some necessary basic knowledge, you can pick up the order full or part -time. "

When a single companion business faces a loss operation but wants to operate institutionalized, Zhang Zhijie can only find other profit channels."We mainly use health services as tools and user stickiness. Just like the shared bicycles of the past, profit is not relying on users' multiple uses. What is really valuable is the big data platform behind.Living, the number of users reaches a certain order, and then the incubation of health industry projects, such user transformation is the key source of profit, "Zhang Zhijie said.

In Zhang Zhijie's vision, the developed app can be like an online car platform.

He said: "The quality of the companion can be strictly controlled, and the diagnosis process is monitored by the APP at any time. The company can also jump out of the concept of labor cost accounting.The visits of banks and insurance companies also hope to expand the needs of the accompanying consultation and further improve the experience process of the accompanying consultation. "

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