文丨产业象限 山茶

编辑｜钱江

shoushanghailiuzhexue，danzhanglingubushangchuli，tazuoshouniezhezijiduzi，rangroulveweiguqi。yaoyajian，nazhezhusheqideyoushoukuaisujiangzhentouciru，ranhouhuanhuantuiruyaoji。

zhanglin，beijingmouhulianwanggongsideyimingyuangong。zuijinyouyushentiyuanyin，xuyaodingqizhushejisulaijinxingdiaoli。youyugongzuowufapinfanqingjia，yushiyoulekaitouzheiyimu。

zheishizhanglindiyicizaigongsijizijijinxingzhushe，kenengshihaipabeitongshikandaojinzhang，daozhigenghuanzhentoushibuxiaoxinjiangzijihuashangle。

congzheicizhihou，zhanglinjiukaishitongguozaiwangshangyuyuedehushishangmenlaiweizijiwanchengzhushe。

yuzhanglinzijilvexianbenzhuoxiangbi，hushidedongzuohenxunsu，dakaiyaohe、peiyao、xiaodu、zhazhen、anshangxiaodumianqian，ranhoushoushihaogezhongyiliaofeiwuhezhusheqijuhoulikai。zhenggeguochengbuchaoguo10fenzhong，shenzhimeiyouyinqirenhetongshidezhuyi。

从2018年开始，中国卫健委等相关部门就开始推广“互联网+医疗”的线上服务，用更互联网的话说，也可以叫“网约护士”或者“滴滴打针”。

daomuqianweizhi，wangyuehushifazhanyiyou5nian，xianzaichulehushidaojiazheiyangdezhuanyepingtaizhiwai，jingdong、taobao、meituan、xiaohongshu，shenzhixianyushang，douyoulewangyuehushideshenying。

zaixuduoxinwenzhong，zuowangyuehushiyueruguowan，zijishengbingshitongguoappyijianhujiaohushishangmen，yeshifenfangbianshengxin。

danshishizhendeshizheiyangma？fazhanwuniandewangyuehushishiyimenhaoshengyima?

网约护士，一张好看不好吃的饼

guanyuwangyuehushi，xuduoxinwenxihuanjiangqimiaoshuchengyigebucuodezhiyexuanze。

yueruguowan，gongzuoziyou，meiyouyeban，meiyoukeshifuzaderenjiguanxi，yemeiyoupinfandepeixunheyankedekaohe。yibushouji，yigeappjiunengshangmendazhen、shuye、huanyao。

danxuanchuanguixuanchuan，shijigongzuozhongdewangyuehushi，daduoshugongzuoqishibingbuhaogan。

“beijingdehua，shouruhezaiyiyuanshangbanchabuduo。”

shinvshicengshibeijingmouyiyuandezishenhushi，liangnianqianlizhihoukaishizijiyunyingyigewangyuehushipinpai「shiyihujiankang」。zaitanjiwangyuehushideshourushi，shinvshizheiyangshuodao。

hedaduoshuhushitongguo「jinpaihushi」、「hushidaojia」zheileizhuanmendeappjiedanbutong，shinvshicaiyongwangdiandefangshi，zaijingdong、taobao、xiaohongshudengdianshangpingtaishangjingying。

▲shinvshizaixiaohongshushangfenxiangdegongzuorichang

“jingdong、taobaobuchoudian，zheiyangjiagekeyibianyiyixie，gengduorennenggoujieshou。”shinvshitidao：“hehehuorenkaidian，zhuyaoshixiangrangyixieshourubuwendingdehushi，huozhehushibaomayouqudaozhenggelinghuaqian。”

shinvshibiaoshi，zaibeijingpingjunmeitiankeyiyou3~5dan。“xianzaigegexingyedouzaineijuan，wodedingjiayepiandiyixie。”

danbeijingbijingyouqiteshuxing，yinweibeijingxiaofeinengligengqiang，gongzuodenghuanjingdailaidezhiyuegengda，chuangzaolegengduoshangmenzhushe、chouxuezhileidexuqiu。

“quyiyuanxuyaoqingjia，danhenduorengongzuomang，huozhebuyuanyiranggongsitongshizhidaozijideqingkuang，jiuhuiqingwomenshangmenqujitamendazhen。”zheixienianlai，shinvshijingliguozaihuiyishi、dixiacheku、baomuchedenggezhongchangheweikehuzhushedeqingkuang。

likaibeijingzhihou，zheizhonghuanjingdailaidexuqiuhuiyousuogaibian，biruzaizhangsha、chengdoudengdi，xuduowangyuehushiyitiankenengjiuyidan，huozhehaojitiancaiyouyidan。

zhanglinyexiangwomenfenxiangletayouyicizaizhangshachuchadedazhenjingli。

“woshichuchazhiqiantongguoappyuyuedehushi，anzhaozhiqianjingyanzhiyouyizhen，danshichuchadangtianyishenglinshijiwojialeyizhen，yushidangtianjiuyaodaliangzhen，erqieliangzhenzhijianhaiyaojiange3xiaoshi。”

“dawanzhenwohehushishuokeyixianhuiqu，wozaitongguoappzhaobiedehushi，dantaqueshuozijidangtianyemeiyoubiedeshiqing，keyizaizheibiandeng，ranhoutajiuzaifujindenglewo3gexiaoshi。”

“zheizhongqingkuangzaibeijingjueduibukenengchuxian，beijingdehushizongshicongcongmangmangdedawanzheiyizhenganjinquxiayizhen。”zhanglinshuo。

▲shinvshishangmendazhendegongzuozhao tuyuanshinvshixiaohongshu

lingyigeshujuyekeyizuozhengzheizhongqushi，2023nian7yue，zhejiangmouxianjishirenminyiyuangongbuleshangbanniantongguohulianwangfuwuhuanzhedeshuju，qizhongwangyuehushigongji210dan。jiushishuo，jibianyizhenggeyiyuanweidanwei，pingjunxialaimeitianyezhiyouyidan。

chulemeiyouyueruguowandetonghua，wangyuehushitongchanghaihuimianlinxuduofengxian。

changjiandeshisaorao。“womendoushinvhushi，huiyudaoyixienankehu，jiajieshuyedemingyijinxingsaorao。”

weileyingduizheixiewenti，xianzaishinvshianpaihushishangmenzhiqiandoubixuyaoxiantongduifangheshiyiyuankaijudechufangzhengming，zaizhiqian，zheixiezhixuyaozaizhushezhiqianheduijiuxing。

chucizhiwai，huanzhehehushizhijiandeyihuanguanxiyetongyangrangrengandaodanyou。

“xuduolaonianrenzhangqiwochuang，shentidoubijiaocuiruo，tamenzaiyiyuanjiuyishi，youzhenggeyiyuanxitongzhichi，danzaijializhiyouhushiyigeren，jialihuanjingyegengfuza，yidanchuxianwenti，hennanzuochujieshi。”

zhangshamousanjiayiyuandehushixiaohebiaoshi，tamenyiyuanyeyoutuichuzheileishangmenfuwu，youtongshicanyuqizhong，danzaishangmenzhiqiandouhuixiangoumairenshenyiwaixian，yiliaozerenxiandengxiangguanbaoxian。“zheishiyiyuanxitongzidaide，zhiyaocongyiyuanxitongjiedanjiuhuizidongpipei。”

zhongzhongwentidouzaishuoming，wangyuehushizheigegongzuobingbuxiangxuanchuanxushizhongbiaoxiandeneimehaozuo。

护士平台的困境

hehushiyiyang，wangyuehushiyileidepingtaiyebingburongyi。

pingtaimianlindediyigewentijiushitigongfuwudehushigongjibuzu。

anzhaoguojiaweijianweideguiding，“wangyuehushi”xuyaojubeiwunianyishanggongzuojingyanhehushiyishangjishuzhicheng。

danjiezhi2023niandi，zhongguojinyouweishengjishurenyuan1247wanren，qizhongzhiyeyishihezhiyezhuliyishi478wanren，zhucehushi563wanren。

muqianzheibufenweishengjishurenyuanfuwuyiyuanhairengyouquekou。「gongrenribao」jiuzaijinnianguojihushijieshideyipianbaodaozhongtidao，zhongguomuqianhushiquekoujiejin400wan。

zaizheiyangdebeijingxia，guojiaweijianweiweiletuiguangwangyuehushiyizhichangdaogegeyiyuandehushinenggoujianzhi“ganganfuye”。

danzheizhonggulixianranxiaoguoyouxian。“zhiqianwomenyiyuanliyexuanchuanguo，danbaomingbuduo。”xiaohebiaoshi：“henduokeshimeitiangongzuoshigexiaoshi，yigerenfuzeshijigebingren，gongzuoyijinghenleile，xiabanjiuxiangtangzhe，sheihaihuichuquzhuanqianni。”

▲xiaohongshupingtaishanghushitucaogongzuoshijianzhang

zaihushigongjibuzudeqingkuangxia，2019nianjiuyoumeitibaodao，yixieyihupingtaibingmeiyouwanquananzhaoguojiabiaozhunshenhepingtaihushi。

chucizhiwai，hesuoyoutigongxianxiafuwudezhongjianpingtaiyiyang，“wangyuehushi”pingtaiyemianlinhushihehuanzhedetiaodanqingkuang。

daozhizheizhongxianxiangdezhijieyuanyinjiushijiage。

zhanglinxiangwomenjieshaotidao，yibantongguopingtaixiadan，dazhendejiageshi200yuanzuoyou。ruguoraoguopingtaizhijiehehushilianxi，zepubianzhixuyao120~130zuoyou。shuyedantongguopingtaixiadanjiagezai600yuanzuoyou，danzhijielianxihushizezhixuyao200~300yuan。

tongshizuoweiyihuzheileishejijiankangheyinsidefuwu，huanzheyepubianyuanyixuanzeyigeshuxi、gudingderenjinxingfuwu。

“biruwomeizhouyizhenchixubannian，yikaishiyeshiconghushiappshanglianxidehushi，yiliangcishuxizhihou，houmiandoushizhijiesixialianxi，yinweishuxiderenfuwugenganxin，erqiewoyebuxiangranggengduorenzhidaowodeshiqing。”zhanglinshuo。

▲yingyongshangdianlidegeleiwangyuehushipingtai

duiyuhushieryan，tamenyetongyangyouyueguopingtaidedongli。zuizhijiededonglijiushibuchouyong。dangengdadedonglishi，hushiyegengxiangyongyoushuyuzijidewendingkeyuan。

“henduokehudoushizhangqixuqiu，ruguodiyicifuwutiyanbijiaohaodehua，jibenshangdouhuizhudongyaoweixin，yiduanshijianhoujiuhuijileiyixiekehu，buyongguoyuyilaipingtai。”beijingdeyiweiwangyuehushitidao。

chucizhiwai，yixiepingtaibuhaodetiyanyechengweihushiyuanlideyuanyin，“xianzaiyixiepingtaibukaihuiyuangenbenqiangbudaodanzi，haiyouxiepingtaitixianmafan，huozhezhinenggoumaihaocai，quejibenbuzenmepaidan。”

zaizheiyangdebeijingxia，wulunshihushihaishixiaofeizhe，doujiangpingtaidangchengleyikuaidianjiaoshi，rangyoujiazhide、zhangqidexiaofeizhehejingyanfengfudehushidouhuizhujianliushidaoxianxia。

zheikenengyeshiweishenme，wangyuehushifazhan5nian，daorujinrengranjiaohaobujiaozuodeyigezhongyaoyuanyin。

结语

suiranwomenqianmianyizhizaitaolunhushideburongyi，yihuozhewangyuehushipingtaidekunnan，danbukefouren，shichangduiyuwangyuehushidexuqiuyizhizaibuduantigao。

shinvshitidao，tamenfuwuchangjingzuiduodeshidazhen，qicihuiyouyixiebufangbianquyiyuanderenxuyaochouxue，yijiyixiedajiankangxingyedejiyinjiance。“dazhendaduodoushihuangtitong（shiguan），weishengsuzhilei，haiyouyixieshilaorenhaizishengbingshuye，doushiyiyuankaihaoyaohechufang，hushidaizhehaocaizhijiequ。”

zheiyiguanchazhenghaokeyihehongguanshujuxianghuzuozheng。

genjuzhongguolaolingxiehuiheguojiatongjijudengxiangguanshuju，jiezhi2023nianmo，zhongguo60suiyishangrenkouchaoguo2.9yi，qizhong80%delaonianrenhuanyoumanxingbing，zheixierenkoudourangyiliaohulichengweigangxu。

chucizhiwai，yimei、shiguanyingeryeshidazhen、chouxuedenghushishangmenxuqiudezhongyaochangjing。shujuxianshi，zhongguomeinianyue130wanduifufucaiyongshiguanyingerdengfuzhushengzhijishuzhiliao。jinnianlai，yimeixingyeyeyinweiroududusu、toumingzhisuan、jiaoyuandanbaidengzhushetianchongjideliuxingdailaidaliangzhushexuqiu。

xiaohongshushang，sousuo“wangyuehushi”dengguanjianci，jiukeyizaixiangguanneirongdepinglunqukandaoxuduowangyouxunwenzijisuozaidishifouyouxiangyingdefuwu，zheiyecongcemiananshilewangyuehushixuqiuzhiguangfan。

suoyi，suiranyanqiandetiaozhanyizhikunraozhewangyuehushizheigechangjingdeqiye，danjudadexuqiujiuxiangshiyizuorouyankejiandejinshan，rangrenbuzhipijuandexiangqianbenfu。