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Dental clinic, hanging and beating big factory P7
Titanium media injection ： This article is from the official account of WeChat Yuanchuan Research Institute （ID：caijingyanjiu）, author | Yang Dian , edit | Zhou zhehao , Authorized release of titanium media .
Yu Hua used to be a dentist for five years , After watching tens of thousands of open mouths , He felt extremely bored , Throw out soul torture ： Why do I pull out my teeth eight hours a day , The people at the county cultural center hang out on the street all day ？
So Yu Hua decided to work in the County Cultural Center , Write popular 《 Alive 》《 Xu Sanguan sells blood 》, Cao Kefan once commented in the program that ：“ The reason why Yu Hua wrote the novel so cruel and bloody , It's about his experience as a dentist .”
Yu Hua described the oral cavity as “ The most scenic place in the world ”, But he can be said to be out of time . Now , This place has a high salary that people flock to .
In the near future ,“ The first share of high-end private dental chain ” Riel group is listed on the Hong Kong stock exchange , Nearly three years , The average annual income of a single full-time dentist is more than one million . Huang Jiansheng, chief physician of Prosthodontics, said on his microblog , Riel's highest salary is 600-700 ten thousand .
although “ To persuade people to learn medicine ”, But studying medicine is also fastidious , If you can be a dentist in a high-end Dental Hospital , Then the annual salary may hang six big factories P7.
01、 Rely on your own craft
Actor Liu Tao has two widely circulated labels ： First, a good daughter-in-law who helps her husband pay off his debts ; Second, one mouthful value 300 Wan's porcelain teeth —— This is to put a suite in the second and third tier cities in your mouth .
But Liu Tao's teeth are not expensive , It's the dentist . Medical materials used in most dental hospitals , You can buy the same one on Taobao , Like orthodontic brackets 、 Porcelain dental patch material , Prices range from dozens to hundreds .
Even if ordinary people buy the same materials on Taobao , There's still no dental skill , The core production factor of dentistry is the craft of dentists . The scene of looking at teeth is the same as surgery ： A clinic full of disinfectant smell , A sizzling medical instrument , Tight mouth , Put the patient in a high-pressure and tense state of mind . What they expect most is that the doctors they meet are skilled .
Relying on dentists also makes dentistry a low standard industry . In the medical field , Stomatology Department 、 Ophthalmology Department 、 Physical examination as three non core businesses , Most of them are not covered by medical insurance , The price system is opaque , Private hospitals account for a large proportion , The three are famous “ A windfall ”. Of the three , Dental materials 、 The dependence on equipment is the lowest , Dependence on doctors is the highest .
From the cost structure of Tongce and Riel , Medical consumables only account for... Of the operating cost 20%, And labor costs account for almost 50%, More than twice as much as consumables .
This also means that the dental funding threshold is low , Naturally suitable for dental entrepreneurship . The main fixed asset investment of dental clinic is dental chair , The number of dental chairs in a family is 1-5 The investment cost of a single clinic is about 100 ten thousand , The cost of a larger chain oral single store is 300-500 ten thousand .
As a contrast , Medical equipment has always been the largest part of the fixed assets of Aier ophthalmology , achieve 70-80%.2019 year , The equipment investment of Aier ophthalmology single store has reached 2430 ten thousand . Another example is the physical examination institution , According to the data of 100 million euros , Invest in a company that covers an area of 2000-3000 Square meters of physical examination center , Equipment costs account for 50% about , about 1000-1200 ten thousand .
Roughly , The single store investment cost of physical examination and ophthalmology is five to ten times that of dentistry . Dentists with low capital threshold can start their own businesses , Many dentists even choose to cultivate several years of clinical experience in institutions and come out on their own ; And ophthalmology with high capital threshold 、 physical examination , Instead, it gives the soil for the development of chain hospitals .
Reflected in the data , Dental clinics account for the highest proportion of dental clinics , near 50%, And the distribution of dental clinics shows regional characteristics , Zhejiang has a general policy , Sichuan has West China ,CR5 Insufficient 5%, And suitable for chain medical examination and ophthalmology ,CR3、CR5 Namely 41.26%、15%.
It's on the prospectus , The non-standard of dentistry is reflected in the cost composition of dentists , And in the public impression , It is reflected in the various fantasies of ordinary people about the profession of dentistry .
In little red book , It's just about “ Like dentists ” There are more than 10000 notes , similar “ What do dentists do when they meet patients of the opposite sex they like ”“ How to hook up with a dentist boyfriend ” The content of is also everywhere , The strong relationship between patients and doctors in the dental industry can also be seen .
02、 Go to the clinic and earn millions a year
In the financial report of Riel group , It would be very interesting to have two data linked together .2019-2021 The fiscal year , The company has accumulated losses 12.27 Billion . meanwhile , Employee benefit expenses accumulated 15.5 Billion .
It costs more to hire employees than to lose money , Riel's money was made by the dentist .
It seems common sense that dentists earn a high salary , But compared with middle and low-end dental clinics , Dentists in high-end dental clinics are the most comfortable . according to 2020 Calculation of annual financial report data , Riel group, which focuses on high-end dentistry , The average income per full-time doctor is 128.79 Ten thousand yuan , The general policy of focusing on middle and low-end dentistry , The average salary of doctors is 46 Ten thousand yuan .
Sum it up in one sentence , That is The dentist itself is the core reason for Riel to make money .
Dr. Riel's educational level is at the leading level in the industry , Riel 856 Full time doctor , Proportion of master's degree or above 50.7%, Higher than henglun Medical 27.4% And Tongce Medical 39.9%.
Based on the barrier of academic qualifications , The doctor's service is also particularly personalized , Can be said to be “ People who are more talented than you work harder than you ”. Based on some feedback from consumers , Riel's service is meticulous ：“ I have cervical spondylosis , They made me a temporary hot water bag ”,“ It's inconvenient for me to travel , Riel employees drive at night 30 Kilometers sent medicine ”.
With highly educated dentists and many services beyond the professional medical field , Riel has a premium over ordinary third-class hospitals 25% Bottom gas . But the agency just saw the money , It was the dentist who finally counted the money .
Behind the high salary is the difficulty of training dentists , Dentists are in short supply .
From the training cycle of dentists , Professional dentists need a long training , From Ben Shubo to clinical training , The general cycle is 13 year , What's more, it can reach 16-17 year ; From the attribute of dentistry itself , General dentistry 、 Orthodontics 、 The implant teeth are very finely divided , Business knowledge is also quite different .
On the supply side ,2019 year , The number of dentists per 100000 population in our country 17.5 people , Much lower than Japan 、 The United States 、 South Korea . More exaggerated in terms of subdivided areas ,“ Only nationwide 5000 Orthodontists around people , and 2019 China has 300 10000 orthodontic consumers ”.
The intervention of capital has increased the demand for dentists .2010 After year , Oral cavity becomes a tuyere , Ran out “ Tooth grass ” Topchoice group medical , China stomatology group 、 Dr. tooth 、 Weimeizi industry, Shuke's parent company, has also successively invested in IPO Launch an impact .
Some dental medical workers said in an interview with the media , The standard dental institutions in China are 10 Thousands of families , There are probably only... Dentists with professional qualifications 17 ten thousand people . therefore , Would rather lose hundreds of millions than miss a dentist , It has become the consensus of the industry .
Behind the shortage of Supply , The high salary of dentists is closely related to social and economic transformation and upgrading .
03、 More and more expensive services
2010 After year , China's economy has entered a period of transition , One notable feature is that the rise of the tertiary industry has brought about changes in the labor structure , Dentist 、 The programmer 、 Fund managers and others have become good occupations standing on the tuyere .
With the evolution of industry and the improvement of social productivity , Those who work in the standardization industry （ For example, manufacturing workers ） The benefits from goods become less and less . The opposite is , As an executive 、 The service industry represented by dentists has gradually become a profit maker . They have received a good education , From the Internet with both high salary and high social recognition 、 Finance 、 Tertiary industries such as medical treatment .
what's more , The services they provide are non standardized , Difficult to replace with tools , The price of services will become more and more expensive .
The aura of social elites is also reflected in film and television dramas . It is different from the reflection of simple farmers at the beginning of the century 《 Rural love 》 And tough workers 《 The steel piano 》, from 2010 The workplace drama of blowout around , The protagonist faces across the domineering President （《 dear , beloved 》） And gentle dentists （《 Mr. love 》）, And the ace traders in the financial circle （《 We can't be friends 》） etc. .
Film critic Mao Jian also worried about “ The rich agree ” Reaction of characterization ：“ To some extent, you can say that all the career dramas and idol dramas are rich dramas , Everyone is pushed to the top , The minimum program should also be like 《 Humble abode 》 like that , The end should have a middle-class dream that can be realized immediately .”
Around the world , The United States has experienced similar stages and changes .
In the last century 70 S before , By car 、 Iron and steel 、 The manufacturing industry represented by kerosene and other industries is the mainstay of the American economy . There are no workers in the factory who have received higher education , You can rely on your hands and sweat to realize the American dream .70 After the s , The economic development driven by computer technology makes the tertiary industry gradually become the main driving force of American economic growth .
There are also some problems in society, such as dentists 、 University Professor 、 High paying jobs such as financial practitioners , also , Society is becoming more and more divided .
Take the medical field for example ,2007 year , The cost of employer sponsored health insurance in the United States has risen on average 6.1%, Higher than workers' wages （3.7%） Or the overall inflation rate （2.6 %) growth . To 2010 year , The cost of health care in the United States is GDP Accounted for as 17%, Buffett once described ：“ This cost is like a tapeworm eating into the American economy ”. Educational field , From the last century 80 From the age of 2010 year , The annual inflation rate of undergraduate tuition is even higher than that in the United States .
however 55 Years ago , Economist Baumol predicted this trend and sounded a wary voice . He put the “ Standardized goods are getting cheaper , Quality of life related services are becoming more and more expensive ” The phenomenon of is called “ Cost disease ”.
With the development of science and technology , Standardized industrial productivity will increase a lot , For example, the automotive industry can make better products at a lower cost , But services like dentists , Or only one patient at a time . In the development stage dominated by service industry , If you want to retain service practitioners , You have to pay a higher salary .
Baumol is worried , The growth of relative costs in the service industry , Will make them more and more unbearable .
04、 The end of the
English writer Defoe's 《 Robinson Crusoe 》 in , When Robinson first saw it, he later called it “ Friday ” When the natives of , Especially noticed his teeth ： A mouth also looks good , Lips are thin , The teeth are neat , As white as ivory .
Now , People's perception of teeth has gone beyond health and beauty itself , It has become a standard for defining identity . The standard configuration of the new middle class is not only school district housing , There should also be orthodontic consumption . Matthew effect is also gradually formed in this process . The poor can't imagine , The rich look at their teeth and see what a BMW looks like .
BBC2014 A report in may provide a picture of the Matthew effect in the end . Yes 6000 After the investigation , The conclusion reads ： The poorest people in society come to 70 Eight teeth less than the richest people in their twenties .
Reference material ：
 In depth discussion series —— Oral medical services ： The chain trend is obvious , The head company has great potential , Pacific Securities
 Three success factors and three basic abilities of Aier ophthalmology , Guangzhou Hang Seng Securities Research Institute
 Is physical examination a good business ？ Billion euro
 Riel group and Tongce Medical , The difficulties behind the two expansion paths , Financial health
 Riel ： From good service in China to good business in China , Qin Shuo's circle of friends
 Behind tooth beauty ：10 Ten thousand institutions vie for 17 Doctor wan ,8 Adult patients encounter fake doctors , The forefront of entrepreneurship
 In depth report of oral medical service industry , Guohai Securities
 “ The rich agree ” It's the most dangerous part of domestic drama ,GQ reports
 《 The arrogance of the elite 》, CITIC publishing group
 Health Insurance Premiums Rise 6.1 Percent In 2007, Less Rapidly Than In Recent Years But Still Faster Than Wages And Inflation,Kaiser Family Foundation.
 Buffett says economy recovering but at slow rate. San Francisco Chronicle.
 The future of society “ Cost disease ”, Wu Xiaobo
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