At the 62nd China International Medical Equipment Fair (hereinafter referred to as the Chengdu Medical Expo), which was not finished before, it was still possible to see the extremely cheap "whole body DR" at the spring meeting. On the DR's signature red paper bag, the advertising words have been changed, from "590,000 whole body DR" to "full body DR, only 10,000 yuan per month." Of course, cheap and good things don't conflict. According to informed sources, the monthly payment method of 10,000 yuan has reduced the hospital's one-time payment burden, and on the other hand, tested the pressure of the enterprise's payment cycle. A person in charge from a county hospital in Shaanxi said: “It’s good to be cheap, but for large equipment, we consider more quality and after-sales service, and we will not blindly buy because of the nervousness at hand.†Various exhibitions in the equipment industry On the rise, more and more primary medical institutions frequently test high-end equipment in water. They all said that it is important for the hospital to choose the equipment that suits them. How to improve the efficiency of use and maintenance after purchase, "Applicable equipment, appropriate price, suitable service and training, these are the most basic doctors. needs." Policy push for “filling in the fill†　　 The 2009 China Health Statistics Yearbook shows that in the average medical expenses of outpatients in general hospitals, the examination and treatment fee has gradually increased from 2.1 yuan in 1990 to 35.1 yuan in 2004 and 45.3 yuan in 2008. Among the per capita medical expenses of discharged patients, The cost of examination for treatment (including surgery) climbed from 121.5 yuan in 1990 to 1566.3 yuan in 2004 and 1887 yuan in 2008. "This kind of data reflects the strength of medical institutions' investment in equipment from the side, and also shows that the medical device market has certain growth potential." The industry is optimistic about the medical device market, not just that. In recent years, various favorable policies in the medical industry have continued, and the consumption power of the demand side has continued to increase. For example, the central government has issued special construction subsidy funds in batches. In order to strengthen the capacity building of grassroots medical institutions in the central and western regions, at the end of 2008 and early 2009, the central government has arranged 5.25 billion yuan of equipment subsidies for grassroots medical institutions in the central and western regions, supporting community health service centers, township health centers and village clinics to purchase necessary Medical equipment. The subsidy standard is 50,000 yuan for each community health service center, 100,000 yuan for each township health center, and 5,000 yuan for each village health room. In the context of the State Council's large-scale reduction of administrative examination and approval projects in recent years, in 2004, the Ministry of Health, the Ministry of Finance and other ministries jointly promulgated the "Management Measures for the Configuration and Use of Large-scale Medical Equipment". In 2005, the Ministry of Health issued the "National Class B Large Medical Equipment Configuration Plan." Guiding Opinions, in 2008, the Ministry of Health also formulated the “Approval System for the Approval of Class A Large-scale Medical Equipments of the Ministry of Health (Provisional)â€, and gradually strengthened the approval system for large-scale medical equipment configuration licenses. Earlier this year, Zhao Zilin, director of the Planning and Finance Department of the Ministry of Health, stressed at the Ministry of Health's centralized procurement of medical equipment information that the equipment configuration of medical institutions should be based on the principle of “filling in and filling upâ€. The configuration items and quantity should also fully consider the technical level of medical service personnel, the business projects and workloads that are allowed to be carried out, etc. The relevant experts told reporters that the primary health care service system includes urban community health centers (stations) and counties and townships. And the village level three health service network. The county hospital configuration items mainly include CT, X-ray machine, color ultrasound, endoscope, ventilator, electrocardiograph, blood gas analyzer, labor monitor, neonatal jaundice treatment instrument, ophthalmic surgery microscope, otolaryngology treatment table, oral comprehensive treatment 17 categories including Taiwan, blood cell counters, urine analyzers, and ambulances. In addition to the reference to the county hospital's configuration items, the county hospital must also be equipped with special Chinese medicine treatment, rehabilitation, physiotherapy equipment, as well as special equipment for storage, processing, processing, preparation and preparation of traditional Chinese medicine. Bai Zhipeng, secretary general of the China Medical Equipment Association, stressed that safety and effectiveness are the primary issues in the procurement of medical equipment. He pointed out that in the past two years, a few manufacturers have reduced the allocation function of equipment or delayed delivery for low-price bidding, and the problems of poor after-sales service are also real. The insiders pointed out that the bidding is not a once-in-a-lifetime, and the quality of service after the finalists should be included in the assessment criteria for future medical equipment bidding. Taking into account the reality and development needs 　　 In the procurement of medical equipment, the secret battle between local companies and multinational giants has never stopped. "Especially the introduction of large-scale equipment, the proportion of domestic equipment has been low." Bai Zhipeng said, taking a set of "general inspection equipment" as an example, the import of more than 10,000 US dollars, domestically only need more than 10,000 yuan, two The difference is six or seven times. Regarding the cost performance, the industry believes that China's large medical equipment rarely has independent intellectual property rights, while internationally renowned brands have higher technical content and technological standards. "This is an indisputable fact." “But after more than 30 years of hard work, the gap between the two is shrinking.†Liu Xiangchen, general manager of Beijing Baolikang Medical Engineering Co., Ltd., said that more and more local companies are forming their own core competitiveness. In this regard, Bai Zhipeng pointed out that at present, domestically produced low-end medical equipment is particularly outstanding. "I dare say that regardless of quality or craftsmanship, local products are almost the same as foreign countries, and even more functions. Why do we not support good value for money? National industry?" In the Chengdu Medical Expo, buyers from different regions have formed such a consensus. A person in charge of the hospital equipment department said, "I personally used a domestic DR to film for myself. The speed is very fast. It is no less than GE's DR. The image quality is better than the perspective film. It is enough for ordinary medical examination." However, some people are worried. A representative of the hospital who did not want to be named believes that some domestic low-end products are very cheap, but the efficiency of use is worrying. He told reporters that he had purchased two chest DR machines in his hospital and had more than ten faults in two months. Some hospital representatives have said that primary hospitals and ordinary patients need high-quality equipment at reasonable prices, but at the same time hospitals must also consider the issue of equipment replacement. "At this stage, we can no longer consider the equipment at the low end. We must fully consider the sustainability of the equipment. Otherwise, we will have to eliminate it in a few years, resulting in greater waste." A doctor from a western county hospital said that they are currently Using the scythe arm DR of the poverty alleviation project, “the image is much clearer than the CR we used before, the operation is simple, and the work efficiency is obviously improvedâ€. This doctor relishes not only the performance improvement of existing equipment, "fast response after sale, continuous training of doctors, these are very important. This domestic company promises that the software will be upgraded for life, and we will be trained regularly. At present, Basically done." However, foreign companies are not willing to follow. Recently, Siemens launched the first low-cost medical device products in China. The person in charge of the company said that Siemens' superior products such as X-ray machines, CT and ultrasound machines will develop models that are suitable for primary medical services. A more intense competition has begun. Enterprises participate in the construction of medical talents 　　 Bai Zhipeng said that according to the size of medical institutions at different levels and the number of people they serve, equipment procurement must have a clear functional positioning. “According to their respective equipment standards, what is missing.†It is reported that the new medical reform plan proposes that each The central support quota accepted by county-level hospitals averaged 18 million yuan, which was configured according to the standards of second-class hospitals. The investment in the village clinic (every 60 square meters) is 50,000 yuan, of which 10,000 yuan is used to purchase equipment. Many primary care institutions have suggested that continuous training and timely registration are essential to get good equipment in place. In this regard, many experts stressed that the emphasis on talent training is the guarantee to achieve the best use of grassroots equipment. “The lack of talents in primary medical institutions is still very serious.†At the “Dural Health and County Hospital Construction Forum†held recently, Liu Kui, director of the Infrastructure Equipment Division of the Financial Planning Department of the Ministry of Health, said that in the operation of equipment, the basic medical institutions’ technology People urgently need business training. The reporter noted that some prophetic enterprises have achieved initial success in participating in the training of medical institutions. Taking the rural medical informatization pilot project as an example, in October 2007, the Ministry of Health and the Health Department of Ningxia Hui Autonomous Region joined hands with Carestream Health to reach a cooperation. In addition to the equipment, Ruiyi conducted continuous professional training in the local area. Since the implementation of the project, the county-level medical institutions in the four counties of the Ningxia Hui Autonomous Region, the two counties of the Sichuan and Sichuan districts have successfully realized digitalization and data informatization, and can conduct remote consultation and telemedicine education through the Internet. According to statistics, the medical information platform saves local patients 53% of the time spent on medical treatment; the total medical cost savings is about 72%. The four pilot medical institutions completed a total of 45,833 CR examinations per year. The number of outpatients in the radiology department increased significantly, and the local diagnostic compliance rate increased from the initial 20% to over 90%. Mindray Group also proposed to establish a “through train service†system throughout the country. It plans to gradually establish Mindray “through train service†in each county, and directly support the hospital customers in personnel training, equipment maintenance and clinical application. It seems that to improve the status quo of rural medical and health care, it is necessary to further verify the theory from practice, and it is necessary for the state, society, enterprises and other parties to work together to achieve rational allocation of rural medical equipment and personnel. On November 23, the National Development and Reform Commission and the Ministry of Health and the Ministry of Human Resources and Health issued the "Opinions on Reforming the Price Formation Mechanism of Drugs and Medical Services", demanding a reduction in the price of inspection and treatment of large medical equipment. In the future, there will be a lot of variables in the primary health care market, and it will compete for the most extensive medical consumer groups in China. This competition has just begun.
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Major components:Pullulan and purified water
Character:The product is cylindrical and is made of two hard and elastic empty sacs made up of two sets of cap and body. The bag is smooth, uniform in color, smooth in incision, free of deformation, non-toxic and harmless, and is no odor
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In this regard, Wang Dongsheng, director of the Social Development Department of the National Development and Reform Commission, once said that the allocation of medical equipment should proceed from the reality of China, and set standards according to demand. The production department should arrange production according to the needs of the market. "Can not be across the board, a policy, a standard, but We must adhere to one principle, that is, adapt to local conditions and proceed from reality."