To sum up the past, we can better meet the future. In the medical field, the empowerment of technology in the industry is obvious, and the major events of 2018 science and technology are also endless. In this regard, Yiou Da Health focused on the two major directions of Internet medical treatment and AI+ medical treatment in science and technology medical treatment, and carried out inventory of major industry events, including “four fires†and “a coldâ€. 2018 science and medical medical "four fires" The first fire: the first unit of Internet medical care - a good doctor On May 4, 2018, at 9:30 in the morning, Ping An was listed on the Hong Kong Stock Exchange. The issue price was HK$54.8 per share, becoming the first share of the Internet medical field. A shot of "cardiotonic". Even so, the “Ping An Good Doctorâ€, which was established in August 2014, is mainly engaged in online medical and health services. Its listing was once referred to as “good luck†by Ping An Group. The profit problem is still placed in a safe doctor and A major problem facing many technology medical companies. According to the semi-annual report issued by Ping An Good Doctor, the operating income in the first half of 2018 was 1.123 billion yuan, up 150.3% year-on-year; the gross profit was 309 million yuan, up 65.3% year-on-year; the first half loss was 4.44. 100 million yuan, a decrease of 2.6% compared with a loss of 456 million in the same period last year. And this is already a safe loss for the fourth consecutive year. In addition, since the listing of Hong Kong stocks in May 2018, Ping An’s stock has continued to fall. As of December 31, 2018, Ping An's doctors earned HK$27.6 per share, a 50% drop from the issue price of Ping An Good Doctor's HK$54.8. In fact, through the listing, “Ping An Good Doctor†can raise development funds on the one hand, and it can also attract market attention. However, if there is no viable development model, the IPO is only the old way of financing, and it is to decorate the facade by “burning moneyâ€. As Li Tiantian, the founder of Lilac Garden, said, IPO is an important node for enterprise development, but it is not the end. "Don't always focus on financing and IPO, don't chase the concept of big data, AI and blockchain, ask users what pain points, we can do something for them." Li Yuanxiang, chief executive of China Ping An’s chief insurance business, once said that there are four stages in the development of unicorn companies, namely, setting up scenarios, obtaining traffic, generating revenue, and making a lot of profits. Nowadays, safe doctors who have been listed in Hong Kong for more than half a year, how to create income may be an urgent consideration. The second fire: Internet medical unicorns add "new members" According to data from the Prospective Industry Research Institute, from 2009 to 2017, China's Internet medical market has surged from 200 million yuan to 32.5 billion yuan, with a compound growth rate of 89%. It is expected that the market growth rate will remain at around 40%. In 2020, China's Internet medical market is expected to reach 90 billion yuan. Among many Internet medical companies, many companies have become unicorns in the new industry through financing, bringing vitality to the industry, such as micro-medicine, medical association and new oxygen. In May 2018, Micromedical announced the completion of the $500 million Pre-IPO round of financing. After the financing, the valuation of micro-medicine rose to 5.5 billion US dollars, becoming one of the largest unicorn companies in the industry. In July 2018, the Medical Association announced the completion of the 1 billion yuan D round of financing. It is reported that this round of financing was completed in June 2018, led by CIC Zhongcai, Sequoia Capital China Fund, China Power Health Industry Fund, Huaxing New Economy Fund and so on. The relevant person in charge of the medical association said that after this round of financing, the medical association has become one of the unicorns, and the company's valuation is more than 1 billion US dollars. In September 2018, Xinyang announced the completion of the $70 million E round of financing, led by Lanxin Asia Investment Group. According to the statistics of the billion euros, New Oxygen has completed five rounds of financing. After this round of financing, the cumulative amount of new oxygen financing has exceeded 1.5 billion yuan, becoming a new unicorn enterprise in the Internet medical field. The third fire: Ningxia was approved to become China's first "Internet + medical health" demonstration province On July 31, 2018, the National Health and Health Committee approved the construction of the “Internet + Medical Health†demonstration province (district) in Ningxia Hui Autonomous Region, becoming the first “Internet + Medical Health†demonstration province in China, and established the Ningxia Yinchuan “Internet +†"medical" status in the country as the "leader". Two years ago, Yinchuan started its first shot in the field of Internet hospitals. The Yinchuan Municipal Government announced that it would build Yinchuan Smart Internet Hospital with the doctor. Subsequently, dozens of national Internet medical companies such as Lilac Garden, Hangxin Jinglian, Peking University Medical Letter, Chunyu Doctor, Jingdong Medical City, 360 Health, etc. signed a strategic cooperation agreement with Yinchuan Municipal Government to jointly study the depth of Internet and medical health. Fusion. Yinchuan is located in the northwest of China, which lacks medical care and medicine. It has no geographical advantage, but it is why it has become an important area for piloting the first policy. August 16, 2014, "National Health and Family Planning Commission on the promotion of medical institutions telemedicine services opinions" issued, requiring planning health administrative departments at all levels to actively promote the development of local telemedicine services. By January 25, 2015, Ningxia was selected as one of the five provinces for the telemedicine policy pilot. With the support and encouragement of the national policy, Ningxia Yinchuan seized the opportunity to become a national “Internet + medical health†construction template. Ma Xiaofei, director of the Yinchuan Municipal Health Planning Commission, believes that the "mystery" of the development of "Internet + medical" lies in four points: First, it should be problem-oriented, oriented to the needs of ordinary people, and guided by the needs of the clinical front line; With government-led, overall planning, step by step; third, to achieve multi-win, this is the most important point; finally, it is low-cost can be copied and promoted. The fourth fire: three types of equipment approval points released - medical imaging AI Since the artificial intelligence has been booming in China, many segments of the medical imaging AI segment have been added one after another. It was once considered to be one of the most easy areas for medical AI to land. Capital also has an eager anticipation. According to data from the venture capital data platform, Whale's data shows that in the past five years, AI medical applications have completed 86 financing projects, of which 31% are images, accounting for the first. On December 25th, the “Artificial Intelligence Medical Device Registration and Declaration Public Welfare Training†was held in Beijing. The three types of equipment approval points in the medical AI field were announced, and the scope of application was defined. The database and data faced by the medical AI products in the approval process were explained. Security, software updates, cloud computing services and more. In fact, in early April 2018, the FDA approved the first software program developed by IDx to use the IDx-DR, an autonomous artificial intelligence diagnostic device for first-line medical care. This program can be used to view the retina without the involvement of a professional doctor. The photo is used to diagnose diabetic retinopathy. Several AI products approved by the United States are all in the Class II certification process, which proves safety and effectiveness by comparing with the traditional CDSS (Clinical Decision Support System). However, the national level is relatively strict in the face of such new things, and the path control of clinical evaluation is very cautious. Without certification, there is no market access qualification. If the company is mainly engaged in medical AI products, the development of the company must be blocked. The release of the three types of equipment approval points is undoubtedly a major breakthrough for medical AI companies and industries. 2018 technology medical "a cold" A cold: the remote horizon "crash" The climax of the incident occurred on April 16, 2018, and the directors of 18 multi-site hospitals rushed to Xi'an to defend their rights. The deans said that they were "spoofed" by the "remote vision." The company cooperates with grassroots hospitals in the form of financial leasing and promises to “pay the rent†to attract hospitals. However, in the second half of 2017, the suspected capital chain breaks, making each hospital less than two or three million. On the high debt of hundreds of millions of yuan, thousands of hospitals across the country were involved. Not only that, from January of this year, the remote vision completely stopped paying wages, and employees left the company in batches. At the same time, financial leasing companies, agents, and equipment vendors have also swarmed, and the litigation cases against the company have been overwhelming. According to the analysis, the surface is caused by the rapid expansion of the remote horizon and the crisis of the capital chain break, and the deeper reason is that the large loopholes in the financial leasing mode that lacks financial operation lead to a series of chain reactions. According to public information, the remote vision was founded in January 2013 and achieved profitability in 2014. In 2015 and 2016, it won 200 million yuan and 880 million yuan in round A and B round financing, with a financing amount of more than 1 billion yuan. The valuation once exceeded 6 billion yuan, which is called the "unicorn" in the telemedicine industry. According to its official website, the group has 13 subsidiaries since its establishment five years ago, and has cooperated with 2,000 hospitals and networked nearly 40,000 medical institutions. The "crash" of the remote vision brought a chill to the industry. Han Chunshan, the founder of the remote vision, also admitted in the media interview that the remote horizon has indeed done something wrong, which definitely affects the development of the industry. The hospital does not dare to cooperate with related companies, and the equipment leasing link can hardly be done. 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