Health & Beauty

The change of population structure will inevitably affect the development of retail business.

On May 11, the main data of the seventh national census were officially released. According to statistics, the total population of the country in 2020 is 14.178 million, an increase of 72.6 million, or 5.38 percent, compared with 2010 (the sixth national census data). In terms of age composition, compared with 2010, the proportion of population aged 0-14, 15-59, 60 and above increased by 1.35%, 6.79% and 5.44% respectively. It is worth mentioning that the population aged 60 and above in 2020 will increase by 14.43 million to 26.2 million compared with 2018.

The aging of population is further deepened, and industry adjustment is inevitable, and transformation and upgrading and innovation of the track are on the way. How can drugstores give full play to the advantages of terminal services and find a transformable business model?

Prevention and control demand: the demand for slow disease management is strong

The elderly are the main consumption groups of the drugstores, and the body is huge. The rising of the elderly population means the increase of the number of chronic diseases and the increase of the incidence rate of chronic diseases. Personal spending on health care, drug consumption, medical equipment consumption and care will also increase greatly.

More than 70 percent of the 60 year old and over people in China are suffering from one or more chronic diseases and one person is suffering from a variety of chronic diseases, according to a survey published by researchers at the center for disease prevention and control of China. Common chronic diseases are mainly cardiovascular and cerebrovascular diseases, cancer, diabetes, and chronic respiratory diseases.

The high prevalence of chronic diseases in the elderly population and the increase of the proportion of the elderly mean that the demand for the management of chronic diseases is more vigorous. Another noteworthy change is the first negative growth in the sales of end-end drugs in public health institutions in China.

According to the data of the Internet, the sales of end-end drugs in public medical institutions in China in 2020 will be RMB 1217.7 billion, down 12.0% year-on-year from 2019. Community Health Service Center (station) is the only channel for the end of public health institutions to grow against the trend, up 6.1% year-on-year, which is closely related to the state's encouragement to support long-term prescription. In February 2020, the national health insurance agency issued a notice on optimizing the medical care service to promote the prevention and control of pneumonia in New Coronavirus infection. It extended the dosage of prescription to 3 months for patients with chronic diseases such as hypertension and diabetes. Driven by the policy, Hainan, Guangdong, Hunan and other places have launched long prescriptions. Among them, the long-term prescription drug list of Hainan province involves 9 categories: hypertension, diabetes, dyslipidemia, chronic obstructive pulmonary disease and chronic kidney.

On April 1, the state health and Health Commission, the administration of health and medical administration of the people's Republic of China, issued the "long-term prescription management standard (Draft for trial consultation)", which made clear provisions on the qualification requirements for long-term prescriptions and drugs prohibited from issuing long-term prescriptions, with the aim of "promoting classified diagnosis and treatment and promoting rational use of drugs"《 The opinion draft also clearly encourages the long-term prescription issued by the grass-roots medical and health institutions. After the doctor prescribes the prescription, the patients can choose to adjust and take the drugs in the medical institutions and social retail pharmacies. In the community health service center (station), the patients' chronic disease medication occupies the leading position. Many elderly people are also willing to issue slow disease drugs in community medical institutions, and further promote the hierarchical diagnosis and treatment, to some extent, promote the market growth of the drug use in Community Health Service Center (station).

With long prescription, it is convenient for patients to buy medicine in drugstore. For drugstore, the purchase volume or re purchase rate of patients will rise. According to the data of the Internet, the overall sales scale of the terminal of the urban physical drugstore in China will increase by 3.83% in 2020. Among them, the sales volume of chemical drugs (including biological drugs) was 14.1 billion yuan, with a growth rate of 5.19%, which was higher than the overall growth rate. There are 495 products that have exceeded billion yuan. From the perspective of large distribution, 73 digestive system and metabolic drugs, 54 anti-tumor and immunomodulators and 38 cardiovascular system drugs are among the top three in the market of chemical drugs (including biological drugs); The top three of the Chinese patent medicine market are respiratory diseases, digestive system diseases and urinary system diseases, which are 20, and the second, 19 drugs for cardiovascular and cerebrovascular diseases follow. Many of these categories are common chronic diseases. From the sub category situation, there are 42 over billion products in the anti-tumor drug market, while in 2019, there are only 30 of them, which indicates that in recent years, the chain drugstores have made great efforts to develop DTP pharmacy.

A data on the China white paper on Internet slow disease management in 2020 also shows that the market scale of China's Internet slow disease management in 2020 will reach 26.8 billion yuan, with an permeability of 11%; It is expected that by 2025, the market size will reach 235.7 billion yuan, and the permeability will increase to 37%. It is explained that in addition to the basic medical and health institutions and pharmacies, more and more patients with chronic diseases will use the Internet to complete online consultation or re-examination. This is why the listed chain including the common people, Yifeng and Daxin forest should vigorously layout the circuits such as digital, Internet%20 medical treatment, slow disease management and so on. Jianzhijia revealed in the quarterly report that since the end of last year, the company has comprehensively promoted the big data project of slow disease management in stores, has deployed 753 stores, and has provided services such as health self-test and medication guidance for 88000 customers in three months, and opened 176 payment stores for all kinds of slow disease medical insurance.

After the epidemic, the proportion of drug sales of common diseases has declined, while the sales of large health and slow diseases have increased. With the deepening of aging population and more foreign enterprises and prescription drug enterprises transferring resources outside the hospital, Zhang Buyong, President of punctuation information group and General Manager / chief researcher of mineI network, suggested that enterprises pay attention to the slow disease market. "Drugstores can make relevant layout before putting forward the category of slow diseases"

Health and maintenance demand: diversified development trend is more rapid

In addition to the needs of medical and drug treatment, the elderly also need to provide for the aged. One of the prominent characteristics of aging society is that the family scale is developing to miniaturization, and the empty nest elderly scale is expanding rapidly, including the elderly who are not able to move, live alone and lose their ability. In addition to their own needs to take care of their own lives, they also need social needs, emotional companionship needs, medical needs and health management needs.

Changhong pharmacy in Pinghu, Zhejiang Province, should be the first chain drugstore in the industry to participate in home-based elderly care services. At the local two conferences in 2016, at the local two conferences, at that time, Chen Yuefei, member of the CPPCC of Pinghu City and chairman of Zhejiang Changhong pharmacy Co., Ltd., proposed the proposal that "the private institutions should undertake the street pension service center". After the endowment service center was undertaken by the private institutions, the elderly care service center was organized by the private institutions, Private institutions can extend the service connotation through their own advantages, and drugstores are one of the qualified private institutions. Changhong public welfare development center has successively undertaken the home-based elderly care center and the home-based elderly care center and the home-based government purchase projects since the end of 2014. In addition to the regular recreational activities, domestic politics classes, film appreciation, cultural classes and traditional festival celebrations, Changhong public welfare development center also provides some value-added services for the home-based elderly care projects, such as blood pressure for the elderly Blood glucose measurement, health account establishment, monthly arrangement of pharmacist nutritionist, etc. will explain the knowledge of "three high" prevention and treatment, common disease prevention of the elderly, and help these elderly to open up a green channel for medical treatment. According to Wu Yan, director of Changhong public welfare development center, up to now, 76 home-based elderly care centers have been undertaken.

However, such a business model can be said to have no direct economic benefits, whether to copy mainly depends on whether the local government is promoting the purchase and whether pharmacies are willing to invest. For enterprises, its greater significance is to become a part of the development strategy of enterprises as public welfare projects, and to improve the brand image of enterprises. For the industry, it shows that the industrial chain is continuously integrated and developed, and the strength of government enterprise cooperation is further strengthened. He said that in the future, he will continue to explore, realize the coordinated and chain operation of pharmacies, clinics and pension centers, and explore a good model to achieve better development.

In fact, many chain drugstores have development plans in the field of health management, such as the establishment of sanatorium, joint medical institutions with hospitals, and the support of local government resources, the diversified development of enterprises is becoming more and more rapid. Huairen ecological health care Industrial Park project is a project currently planned and constructed by Huairen Da health industry Co., Ltd. covering an area of more than 70000 square meters. It mainly solves the aging and custody of disabled people in Huaihua and its surrounding areas, improves the service level of elderly care and disability in the combination of medical care and maintenance in Huaihua downtown, and creates a "life cycle health service platform with Chinese medicine characteristics", To realize the integration of "health care, care, medical care and health". In addition to the health care Industrial Park project, as early as 2016, Huairen established Hunan Huairen medical and Health Industry Development Co., Ltd. and Huairen Jinqiu elderly care service center, which combined with its own advantages in brand, talent, resources and channels, to carry out community and home care old service. And relying on 120 Huairen pharmacy stores, 21 Huairen outpatient clinics, 1 Huairen traditional Chinese medicine hospital and Huairen Jinyuan family property, it provides health management, rehabilitation care, domestic service, spiritual comfort and life care for the elderly at home. Lin Chengxiong, chairman of the board of directors, said at the annual meeting of Hunan Branch of CPMC pharmacy management college / Hunan pharmacy alliance, that TCM service is becoming an important direction of the transformation and development of Social Pharmacy in China. Pharmacies should give full play to the role of platform, jointly create the ecological advantages of the whole industrial chain of regional health services and jointly obtain new market opportunities.

Community advantage: looking for work that can be carried out in prevention

"Health has been integrated into all policies, and consensus has been formed across sectors, industries and ownership!" Cheng Mou, vice president of punctuation information group and general manager of retail resources platform, said at the 2021 China Pharmaceutical Terminal Marketing Summit. On May 13, the State Bureau of disease prevention and control officially listed, which means that the concept of "treating disease without disease" began to be implemented from the top-level design, and the function of disease control organization changed from simple prevention and control of diseases to comprehensive maintenance and promotion of population health.

How to find the direction of social pharmacy transformation in the future from health management? Cheng suggests that pharmacies can try to find out the work that can be carried out in the prevention process, such as implementing health knowledge popularization action, implementing mental health promotion action, and implementing elderly health promotion action, etc., and mobilizing all parties to participate in the activities by using community advantages.

On May 10, the state health insurance bureau and the national health and Health Commission issued the guidance on establishing and perfecting the "two channel" management mechanism of negotiated drugs for national medical insurance. This is the first time that designated retail pharmacies are included in the scope of medical insurance drug supply and security, and unified payment standards with medical institutions are implemented, which is considered as the good of drugstores. On the one hand, when the insured patients can not buy drugs in the medical insurance catalogue, there is a choice of the channel of drugstore, which plays a certain role in improving the flow of drug stores and undertaking a larger prescription outflow market; On the other hand, the role and position of drugstores in the construction of medical and health system are affirmed again. "In the trend of aging Chinese social population, it is necessary to better manage and use the medical insurance fund well", and can firmly determine the industry transformation, said Jiyue Fei.

With the continuous policy of pharmacy benefits, enterprises should "stand at a higher level to break through, innovate and create", but there are still two core problems to be solved: customers accept it? How can drugstores be able to handle it?

This requires drugstores to first position value. Cheng Mou believes that drugstores are essentially a terminal type to meet the health needs of 1.4 billion people, and have the same essential value of all terminals, such as product marketing, professional services, image display, brand cultivation, information collection, consumption tracking and other functions. At the same time, it is necessary to distinguish the advantages and disadvantages of other terminals. In terms of viscosity and service experience, physical pharmacies have incomparable advantages.

Secondly, starting from standardization and specialization, the whole system improves the professional ability of pharmaceutical service and management, such as establishing pharmaceutical service management system; Setting up pharmaceutical service area; Improve the ability of licensed pharmacists to correctly review prescription, accurately adjust prescription and guide drug use; The pharmaceutical technicians have the ability to master the basic drug guidance and health information dissemination; It can establish medical records or electronic health files for patients, and carry out slow disease and special disease management; Provide science popularization publicity and convenience services.

Third, from the customer composition, we should formulate a store and a policy, subdivide the market, clarify the core demands of customers, explore one-stop diversified business model, and finally realize the management from category management to customer management.

Therefore, as long as we constantly strengthen their "skills" and fully tap the health needs of the elderly, pharmacies will usher in many new development opportunities in the future.