As part of telemedicine , Internet hospitals mainly provide online consultation services for users. Compared with offline traditional consultation services, remote consultation can solve some of the direct and clear needs more efficiently and conveniently. From the current contradiction between supply and demand, it can be seen that the value and limitations of Internet hospitals are mainly concentrated in the following aspects:

The first is a remote consultation for minor illnesses. This model has been greatly promoted by the demand for value-based medical care in the United States, but the development in the Chinese market is not satisfactory. The core reason for this is that offline medical services are difficult to meet online demand. As previously analyzed, Chinese users can't trust basic medical care online, and they can't ask for online services that rely on basic medical care. The top three hospitals have exceeded their overall load and have no time and energy. Providing services to users online is completely different from the development of basic medical care in the United States and long-term access to user trust.

Therefore, the current Internet hospital model for small and chronic diseases can only be developed by providing services based on a top three hospital, and it will become a tool for the expansion and development of the top three hospitals. In terms of actual needs and effects, this type of Internet hospital still has its certain value, especially for the consultation of prescribed drugs and general diseases. At present, there are a large number of grassroots clinics and some outpatient clinics in the top three hospitals are all open drug clinics. These people generally have chronic disease and long-term rehabilitation needs. They need more doctors to check their test data and make a diagnosis. There are also many young patients with young patients, such as cold and cough, and other basic problems can be restored with some basic drugs. Because this group of people is busy, it is more difficult to take time to queue up in a large hospital. If they can solve some problems online, they will still try to use it.

However, due to the distrust of the grassroots, the premise of such remote consultation services that patients are willing to accept is that the doctors providing the services come from the top three hospitals, not from the grassroots level, which limits the scale of development of such models, because the top three Hospital doctors are usually busy, even if they provide services through reasonable scheduling, the time is relatively limited, and doctors are a long-term experience accumulation, can not be copied in large quantities like the assembly line, for the frequent occurrence of small diseases such as small routines The problem, the ultimate result of providing services by doctors in large hospitals is the lack of supply, the inability of patients to get better services, and the lack of a means to replicate them on a large scale.

The second category is a remote consultation based on chronic disease and rehabilitation management. This type of Internet hospital does not have a similar independent third-party company in the United States, and more is only part of the basic medical service, providing more perfect services for patients by increasing the Internet. Usually chronic disease and rehabilitation management mainly provides disease management rather than consultation, and more often through doctor assistants or nurses.

In China, independent chronic disease management companies have been developing for several years, but the bottleneck is very large. These companies also pay close attention to doctors in tertiary hospitals to provide specialist services in the field of chronic diseases. This is also related to the fact that Chinese users do not trust the services of non-third hospitals. A big relationship. However, doctors' time and service motivation in tertiary hospitals are limited, and chronic disease management and rehabilitation are long-term services, so they do not match the positioning of doctors in tertiary hospitals.

Therefore, if you want to develop disease management through remote consultation, you must cooperate with offline basic medical care to develop true multi-level collaboration. Through the regular remote consultation service of the top three hospitals and the long-term health management of primary health care institutions, China's chronic disease and rehabilitation management may be able to embark on a path to adapt to the current national conditions. Such a model is of great value to users, but it is very difficult to implement. In particular, it is not easy to mobilize the cooperation of various medical institutions within the system. Of course, with some special triage systems in some areas, there will be some help, but how to build a complete system still needs to be explored.

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