docOPD: docOPD: a medical concierge service that provides primary care and affordable OPD care

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Ashok Singh, 62, suddenly complained of severe stomach pains. Singh tried some home remedies and felt better for a few days. After a few days, he again complained of severe stomach pains and had to be hospitalized. He was diagnosed with choledocholithiasis – the presence of 13.5 mm gallstones in the common bile duct. Delayed first-line treatment resulted in severe infection and deterioration of vital health parameters.

The above case is not an isolated incident. Many patients suffer from serious medical conditions that can be prevented with early intervention, but only if the patient does not postpone a visit to the doctor. Many more continue to suffer in India because they simply do not have easy access to first line treatment, which means they do not have access to a qualified doctor and diagnostic facilities. reliable. In some situations, a 5-7 day delay in seeking medical help is enough for an easily manageable medical condition to turn into a serious or life-threatening condition.

Digital consultations are no longer new, but the data points show that a large chasm continues to exist, particularly in the first line of treatment. With a background in healthcare delivery and building healthcare technology, Vijender Bisht and Abhishek Kumar recognized this gap in needs and launched docOPD which provides integrated OPD healthcare services right at the doorstep.

“Digital medical consultation is only part of the patient treatment cycle. Getting the patient to a first consultation in a timely manner is in itself a big challenge and crucial time is wasted resulting in not reaching the right medical specialty due to lack of guidance at the first point of contact in the global healthcare ecosystem. The concept of the first-base ‘family doctor’, which has almost disappeared or been relegated to the background over the years, has compounded the problem,” says Bisht, co-founder and CEO of docOPD.

Kumar adds that many patients are hesitant to make the first contact with a doctor. The reasons can be many – crowded OPDs, time, travel and money costs, lack of knowledge about which doctor to consult and many other demands before and after the consultation. Many patients drop out of the process if, after the first visit, they cannot access diagnostics, medication, or are too lethargic to have a follow-up visit.

“The spectrum of patient treatment therefore begins with the first point of contact followed by remote or/and in-person consultations, extends to diagnostic, pharmacy and pathology services, covers critical counseling needs and, above all, tracking and navigation of care, not to mention access to the patient’s complete (often lost) medical history for reference,” says Bisht.

The duo realized that for a patient-treatment cycle to be effective, all links in this spectrum, starting with the crucial OPD node, must be robust and interconnected. Many patients fall through the cracks if even one of these aspects is not taken care of.

“Therefore, we have created an end-to-end system that facilitates that basic first contact with a physician and then guides the rest of the process by providing related pharmacy and diagnostic services, taking care of monitoring, arranging “other specialist consultations and/or in-clinic testing where needed. Our system navigates the entire journey with the patient, all at the patient’s doorstep,” says Kumar, co-founder and CTO of docOPD. produced through a subscription service offered by docOPD.

Take the example of a patient who suffers from typhoid, but does not know it yet. Symptoms include very high fever and upset stomach. With docOPD, the patient could schedule a digital consultation with a doctor who, in this case, would prescribe medication to combat fever, stomach pain and at the same time would request a blood test. This could include tests such as CBC, blood culture, Widal, etc. docOPD would ensure that the prescribed medications are delivered to the patient at no additional cost and also perform the blood test from the patient’s home. After the reports are ready, the doctor in video consultation would advise the patient on the future line of treatment. In this case, if the patient requires intravenous therapy, docOPD can provide it at home, although at an additional cost.

Kumar explains what makes docOPD a unique health technology company among others with its intention to offer treatment as a solution to people’s health problems at the doorstep rather than selling health services. “That’s why docOPD has carefully crafted treatment plans to address people’s multiple health concerns. Unlike many Medtech companies, we don’t approach people with the sale or list of services; we actually provide primary health care at home at a very reasonable cost. We sincerely believe that everyone deserves proper treatment from the first stage before it leads to greater healthcare needs,” says Kumar.

The docOPD revenue model consists of offering an integrated OPD plan on subscriptions or pay-as-you-go model. “Furthermore, we have just set up lab and path diagnostics in Delhi NCR to manage the entire supply chain in providing necessary and timely primary care through OPD. We plan to roll it out to 10-12 cities over the next two quarters, and then to 100 cities. Our biggest USP is to cater to an in-between segment where health awareness is significantly low and requires primary attention. Kumar said. The subscription price per person starts from Rs 250, Rs 500 and Rs 1000 for a term.

Enrolled in the NASSCOM incubator program, the company offers three health technology products to cover the entire ecosystem: patient-centric docOPD RX, docOPD Bridge health analytics product and docOPD Enhance for physicians and health service organizations.

“docOPD is making the first line of healthcare treatment authentic, accessible and affordable. The founders and team are fully committed and have the right set of intentions, skills, technology and execution capabilities to make it happen. We would like to pride ourselves on making India; healthier and more affordable. The road ahead of us is very long, but we would make a difference in the Indian healthcare ecosystem,” says Ashish Anand, angel investor and advisor to docOPD.

But why segment DPOs when there is an inclination towards specialized health services in general? “Even with OPD/person/year usage in India at a minimum of 10, the total addressable OPD market in the country stands at $26 billion in 2021. Growing at a CAGR of 13%, it is estimated to hit $37.5 billion by 2024. And there is a dire need in this segment with 60-70% of patients delaying treatment and over 90% of patients needing the right advice,” says Bisht.

The business was incubated as a patient support for IPD from 2016 to 2018, but pivoted to integrated OPD services in 2019. docOPD says it already serves employees of more than 100 companies in addition to its base of growing D2C consumers. In 2021-2022, it experienced 14x growth with 25,000 OPD users.

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