On July 18, 2019, after years of continuous medical and health system reform and new technology promotion, an innovative medical health service system with Chinese characteristics is taking shape. China's medical digitalization transformation is booming, smart medical care is blooming, and smart hospitals are beginning to appear. In the new medical health service system, the medical cloud has become the pillar of high-rise buildings. According to IDC research, China's medical cloud IT total expenditure reached RMB 5.05 billion in 2018. It is expected to reach RMB 16.88 billion in 2023 and a compound annual growth rate of 27.3% from 2018 to 2023.
The "IDC MarketScape: China Medical Cloud, 2019 Vendor Evaluation" report was officially released based on this background. The report shows that public cloud vendors and medical informatization vendors that provide medical private cloud construction and operation are the two main types of medical cloud vendors. The report selected 11 market-approved medical cloud enterprises for analysis and evaluation, which can be used for hospitals. And the local health care government and various types of emerging medical services are referenced when selecting suppliers.
The medical cloud is not only reflected in the hospital's IT infrastructure adopting cloud computing and medical information systems adopting cloud services, and the medical cloud is also a platform to support new technology applications, such as supporting medical AI applications, medical extended reality (XR) applications, medical robots. Etc.; Medical Cloud will also support the innovation transformation and business operations of comprehensive health services such as medical insurance payment, pharmaceutical circulation and drug research and development, and population health management. From the perspective of health economics, medical cloud will improve the efficiency of medical informationization, and support medical informationization to keep up with the pace of medical transformation.
Based on this study, IDC believes that:
Not only have hospitals begun to adopt cloud computing capabilities such as cloud storage, cloud disaster recovery, big data and scientific computing, but they are also migrating applications to cloud computing platforms. Some small and medium-sized cities have even proposed a comprehensive cloud strategy that uses public or private clouds to fully support the hospital's businesses. The adoption of a hybrid cloud model in hospitals has gradually become a trend, and cloudy management has become a demand faced by hospitals.
In addition to providing IaaS functions such as cloud storage and cloud disaster recovery for hospitals, public cloud has also begun to provide PaaS services for medical institutions and medical informatization vendors.
Including network database, big data processing platform, artificial intelligence development platform, etc., supporting hospitals to deploy application systems based on cloud platforms and to develop new application systems. Public cloud vendors will make full use of their respective advantages to compete. Enterprises with rich cloud computing resources across the country have certain advantages in competition, and can more effectively promote the successful experience gained in a certain hospital to other parts of the country. . Some public cloud vendors take advantage of the abundant resources of cloud resources to build exclusive clouds for hospital customers in many places and gain opportunities in the competition.
The delivery of medical health services has strong regional characteristics, which has contributed to the development of medical private clouds.
The medical private cloud based on a certain region or a certain city is developing rapidly. The medical private cloud supports Internet medical, medical community, family doctor, medical insurance payment, prescription sharing, health management, etc. It is also equipped with artificial systems and other emerging systems to support remote operations. Medical, regional medical and other services. Traditional medical informatization vendors have certain advantages in the private medical cloud field, not only relying on private clouds to support hospital upgrades, but also supporting the expansion of multiple health care businesses.
The development of the future medical cloud will be the simultaneous development of public and private clouds.
The public cloud gradually expanded from providing IaaS services to PaaS services, and began to provide SaaS services based on PaaS services, such as emerging application services such as image cloud platform, telemedicine and artificial intelligence. The medical private cloud begins with cloud application system services, namely SaaS services, and gradually expands to provide IaaS services to healthcare organizations throughout the region, as well as providing a PaaS platform for healthcare organizations to develop and deploy richer applications.
The competition between the public cloud and the private cloud is still mainly in their respective enclosures, but competition has begun.
It is expected that with the continuous advancement of medical digital transformation, the competition between the two will gradually become hot. The initial stage of competition will be equal, and as the competition develops, the companies that are constantly improving in both dimensions will be able to gain an advantage. Of course, in addition to competition, the cooperation between public cloud and private cloud vendors is also a trend. Cooperation can combine the strengths of both parties and help to occupy an advantageous position in the competition.
Xiao Hongliang, Senior Research Manager, IDC China Industry Research and Consulting Services“The importance of medical cloud in building a future medical and health service system has been recognized by hospitals, medical informatization vendors and various cloud vendors. The medical cloud is not only supporting the construction of a new medical and health service system, but also Promote the application of new technologies such as health care big data and medical artificial intelligence. Public cloud vendors will continue to increase the development of medical cloud business, and strive for more initiative in supporting the transformation of hospital business; and information technology vendors that provide medical cloud solutions will accelerate the process of solution cloud deployment, throughout The medical health business strives for greater advantages in cloud migration. In the future development, no matter which type of manufacturers, they need to continuously improve their cloud application capabilities and continue to optimize their future development strategies in order to gain an advantage in the competition. ”
By 2019, more than 50% of life sciences and healthcare organizations will have dedicated resources to support the acquisition, sharing, and analysis of real-world evidence for use throughout their organization.
The increasing availability of real-world evidence (RWE – Real World Evidence) in the medical field gives life sciences and healthcare organizations better capabilities to improve drug efficacy and develop new drugs. Worldwide, many countries, including China, are building RWE systems. As RWE data applications mature, secure cloud platforms, process automation, advanced analytics, machine learning, and cognitive computing technologies are needed that will enable innovators to use RWE data more disciplined.
By 2019, the digital mobile connectivity system that brings together life sciences companies, patients, and hospitals will increase by 50% to enhance brand recognition, promote clinical trial recruitment, and improve medication adherence.
IDC expects digital mobile connectivity between life sciences companies, patients and hospitals to continue to increase rapidly, whether it is the number of applications initiated or developed by life sciences companies, or the connections between patients and hospitals, which will help Good drug compliance and increased efficiency in clinical trial recruitment, thereby reducing costs, improving trust between hospitals and patients, and improving patient outcomes. In the future, China will be a potential area for mobile connectivity in the implementation of prescription sharing mechanisms, PBM (drug benefit management) applications, and medical payments.
By 2020, the IoT-based asset tracking and inventory management system in hospitals will double to improve patient safety, improve employee satisfaction, and improve operational efficiency.
The IoT platform for hospital asset monitoring and tracking helps improve inventory management, improve overall operational efficiency and reliability of the supply chain, and increases staff satisfaction, timeliness of care, and patient safety. In the Asia Pacific region, IDC's 2016 Asia Pacific Health Survey shows that 40% of large hospitals are planning to deploy an IoT platform that optimizes resources and assets to improve the patient experience. In the IoT system planning, clinical care, telemedicine, and patient-generated use will also be supported.
By the end of 2020, 15% of the data used for diagnosis and treatment was collected and shared by the patients themselves (with data model).
As medical institutions become more digital, patients can now not only retrieve health-related information for their own benefit, but also measure, collect, and share health data independently. With the advancement of nanotechnology, there are more and more sensors with measurable and automatic data transmission with IoT functions. Patient-generated data (PGD – Patient Generated Data) has become an important source of valuable information for clinical decision-making. . As a sensor to diversified health monitoring devices (portable, wearable, implantable and absorbable) and connected consumer electronic devices (such as smart phones, personal health apparel, fitness trackers) are growing rapidly.
By 2020, one in four hospitals with 200 or more beds will deploy robots to take on time-consuming tasks, reduce manual work and avoid errors, improve the sustainability of business operations and improve Patient safety.
Robotics is used in healthcare and life sciences to automate existing processes and recreate established systems. According to IDC's 2017 World Robotics Survey IDC Survey and Hospital Deployment Robot Investment Plan (IDC Health Insights #us42725617, June 2017), 31% of hospitals in North America with more than 200 beds, 27% in Western Europe, and Asia Pacific 15 % of hospitals have invested in robotics or plan to invest in robots in 2017. Improvements to existing infrastructure, systems, networks, and system capabilities require support for robotic operations.
By 2021, 20% of healthcare organizations will complete blockchain pilot projects and begin to apply blockchain technology to operations management and patient identification.
IDC Health Insights predicts that within the next three years, healthcare organizations will focus on using Distributed Accounting Technology (DLT) to create unalterable records to manage the supply chain and identify patients. Now 5.7% of medical institutions and 10.8% of payers report that they are ready to apply blockchain technology, and 30.3% of medical institutions and 50.1% of payers are evaluating blockchain technology and intend to apply it in the next three years. It is expected that by 2021, blockchain technology will be applied to systems such as grading medical treatment, medical insurance payment, and commercial insurance payment.
By 2021, 20% of healthcare organizations and 40% of life sciences companies will achieve 15%-20% productivity gains through the adoption of cognitive/artificial intelligence technology.
According to IDC's 2016 IT and Communications Survey (from January to March 2017), only 7% of healthcare organizations and 27% of payers (ie 8% of the pharmaceutical industry's head office) have cognitive/laboratory production Intelligent Technology. By 2021, operational cognitive technologies are expected to become core competencies and major operational tools throughout the life sciences industry.
Driven by strong data management needs, by 2021, 20% of commercial payers' back-office operations will shift to Business Process as a Service (BPaaS) contract model.
For many payers, the solution will be to outsource critical back-office functions to Process-as-a-service (BPaaS). BPaaS vendors will expand and optimize their operations centers to leverage the global workforce. Effectively cooperate with the expertise of clinical and medical insurance administration, and with the help of robotic process automation (RPA – Robotics Process Automation). China's medical insurance business also presents a trend of outsourcing, such as Liaoyang City Medical Insurance Bureau will medical claims and control management Outsourced to Neusoft, the government has accepted the idea of using process processing as an outsourcing service.
By 2020, there will be hundreds of millions of dollars in legal proceedings against medical device manufacturers, the cause of which is due to the number of deaths caused by cyber attacks on connected medical devices during hospitalization.
The number and scope of threats to health care providers is growing, as cybercriminals consider medical organizations to be soft targets. IDC predicts that medical device hijacking of the virus will be the third wave of cyber attacks on medical institutions following the theft and extortion of patient data. These attacks not only involve the network, but also potentially harm the patient and extort ransom. By 2022, with the aid of artificial intelligence and machine learning, the complexity of cyber attacks will increase dramatically. In 2022, medical device manufacturers will receive class actions from patients because of the damage caused by the network supply to patients.
By 2021, digital medical services will account for 6% of total global medical expenses.
A new generation of digital healthcare services is reaching consumers in a faster, more personalized way. According to China Internet Medical Market Forecast, 2017– 2021 (IDC #CHC42906517, July 2017), the number of Internet medical consultations reached 3.7 million in 2016, and is expected to reach 23.4 million in 2017, and has maintained rapid growth in the following years. By 2021, the number of consultations reached 480 million, accounting for about 6% of all medical consultations. Worldwide, by 2021, digital medical services will account for 6% of total global medical expenses.