Domestic medical device companies have good products, and some are even better than similar foreign products. However, these products are difficult to promote and have a place in the market. In addition to the short-term marketing capabilities of enterprises, the most important reason is the constraints of the big environment: bidding policies, procurement methods, trading insider, etc. are all obstacles to the development of domestic medical devices. Pessimistic people will denounce all unfairness, and wise people will judge the situation and strive for initiative in many restrictions.
According to the statistics of China Chamber of Commerce for Import and Export of Medicines and Health Products, in 2012, China's medical equipment imports amounted to 12.472 billion US dollars, an increase of 14.56%. Among them, the import value of 31 varieties reached 100 million US dollars, and the high value-added products such as general medical equipment, color ultrasonic diagnostic equipment, rehabilitation equipment for making up physiological defects, X-ray tomograph, endoscope, medical catheter, MRI apparatus are the Lord.
From 2014, the implementation of various medically beneficial policies has promoted the expansion of China's medical equipment market. Industry professionals also believe that 2015 will also be the year of medical equipment development, but because it was once the market occupied by imported medical equipment, domestic The expansion of medical equipment still needs to be implemented in some policies.
Tender policy is not strict, multinational companies have high rebates
"Depending on the displacement, the price of an imported CT can range from 2 million yuan to tens of millions of yuan. And domestically produced more than 1 million yuan can be bought." A hospital president in Shanxi said that although the domestic equipment is very large The price advantage, but did not enter the hospital's procurement vision.
The reason is very simple. The Dean said that everyone blindly thinks that the expensive things are good. They think that affordable domestic medical equipment is not as expensive as imported medical equipment, but most people may not know the price of imported medical equipment. The reason why it is expensive is not limited to the product itself, but there are many processes in the middle.
Some domestic medical device manufacturers believe that there is not much difference between the same grade of equipment, domestic equipment and imported equipment. Domestic equipment can fully meet the clinical needs, and more can meet the requirements of the people. Taking Meinova Medical Technology as an example, Meinova Medical has mastered the core technology of DR R&D and is committed to the development of digital X-ray machine products with excellent quality, good performance and obvious price advantages, and has obtained basic medical institutions such as small and medium-sized hospitals. Trust and praise. At the same time, Meinova Medical has been accelerating the research and development of high-end medical equipment , advancing to the high-end medical field, and competing with imported equipment. Such as Meinuo micro-dose digital mammography machine, panoramic digital dental machine, pet DR and other products, with low radiation dose, clear imaging, fast imaging speed, easy operation and so on.
Moreover, local medical devices have greater advantages. First, we must improve the level of primary medical care and recommend new medical reforms. The price is moderate, which satisfies the needs of some small and medium-sized medical institutions, effectively serves the people, improves the disease screening rate, helps early detection and early treatment in the grassroots areas, and reduces the incidence of poverty caused by diseases.
More important is to reduce after-sales service costs. The after-sales maintenance of imported equipment is carried out by the original company's specialized personnel, and the price is expensive. Once the maintenance is not timely and the supply of consumables is interrupted, the use of the equipment will be embarrassed, affecting the progress of diagnosis and treatment. Menova's self-developed CCD detectors exclusively introduce a “lifetime warranty†policy, which greatly reduces the maintenance costs of medical institutions, and is more convenient and faster.
Many domestic large-scale medical equipment technology levels fully compete with imported products, and reduce patient medical expenses. The reduction of the purchase cost and the maintenance price can alleviate the economic burden of the hospital to a certain extent, thereby reducing the occurrence of adverse medical treatments such as over-examination and over-medication, and helping to reduce the economic burden on patients when they seek medical treatment.
Moreover, domestic medical equipment can protect the health and privacy of Chinese patients. The core technology of imported medical equipment is in the hands of foreign companies. Therefore, information security such as medical diagnosis, treatment data and medical records of patients are facing great risks. The use of domestic medical equipment such as Meinova can protect the health and privacy of Chinese patients to a certain extent. Chongqing Shanwaishan Technology Co., Ltd. is the chairman unit of China Blood Purification Industry Alliance. The chairman of the company, Gao Guangyong, said: "Some Chinese hospitals do not need such expensive and advanced equipment, which causes resources to be idle and wasted."
The industry believes that the main reasons for domestic medical devices to expand into the domestic market are:
First, China's current medical device industry standards and policies are generated in the context of a large number of imported medical devices. Chen Kun, director of the Department of Clinical Laboratory, Jiangbei District Hospital of Chongqing, said that the hospital regularly submits the results of the inspection to the Chongqing Clinical Testing Center to assess whether the inspection is accurate. “All the centers use imported products, and the technical parameters are also based on imported products, so we also have to If you use imported ones, otherwise the results will be too different and the hospital will be rectified."
Second, the procurement bidding policy is not implemented strictly. In the actual bidding procurement, many units expressly stipulate that only imported products are purchased. Gao Guangyong told reporters that a large hospital in Beijing only purchases imported products, and enterprises complain about them. However, the hospital said that if they do not withdraw their complaints immediately, they will use their influence in the industry to make the national hospitals not use our products.
Third, many medical equipment purchases cost public finances. Some hospitals do not consider cost-effectiveness and only purchase the most expensive imported products. According to industry insiders, high rebates on imported products have become an open secret of the industry. Many multinational companies have also let the heads of hospitals travel freely in the name of going abroad for study and participating in academic conferences, in order to obtain benefits in purchasing prices, which also squeezed domestically. Market space for products.
Medical institutions should classify the use of medical devices
In recent years, the state has increased its support for medical devices. However, it is difficult for high-quality domestically produced products to enter medical institutions, forming a cycle of “researching and refueling, and braking on the marketâ€, which has spurred the enthusiasm of independent innovation. Imported medical devices have formed a monopoly, which has caused tremendous impact on China's medical market, and has also brought arduous challenges to the domestic management of technological monopoly and disease information.
Industry insiders have called for the state to change its policy from three aspects in order to change this situation.
The first is to classify and use medical devices at all levels of medical institutions. " The CT equipment of some county-level hospitals even exceeds the provincial hospitals, and how much money is bought. The hospital itself said that the actual utilization rate is not high." According to industry insiders, the health authorities should recommend the use of medical institutions. Suitable high-, medium-, and low-grade medical devices: the highest-end medical devices can achieve strict control of safety, effectiveness, and life-sustaining purposes; mid-range medical devices are second, and low-end products are routinely used and safe. Sexuality, effectiveness.
The second is to increase the proportion of domestic medical device inspection and medical insurance reimbursement. Within the scope of medical insurance reimbursement, the proportion of inspection and reimbursement for domestic and imported medical devices is the same, which affects the enthusiasm of hospitals for using domestic products. Li Xiaoping suggested that in terms of the proportion of medical insurance reimbursement, the proportion of domestic medical equipment inspection reimbursement should be appropriately increased, and the proportion of inspection and reimbursement for imported products that are not urgently needed in clinical practice should be reduced.
The third is to invest in research funding to support domestically superior products. Because it can not guarantee the actual benefits, many companies no longer set up research and development departments, only engaged in imitation, basic production. To solve this problem, we need to plan and guide from the national level: sort out the advantages and disadvantages of China's medical devices, and adopt measures such as tax reduction and subsidies for existing superior products to increase support.
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