Shanxi, Shaanxi laboratory investigation: income down, supplies purchase price also fell

Medical News October 27 Xinhua Securities analyst Song Kai wrote a Shanxi, Shaanxi Province, the hospital laboratory 'grassroots research', especially simple and true, I believe you help.

We visited a domestic top three hospitals in Xi'an and Shanxi Province, a county hospital center of the laboratory. Sample size changes, the top three hospitals daily sample size of 10,000 or so, and continue to maintain the upward trend, year on year growth rate Between 5-10%.

General of the top three hospitals this year, the impact of the classification of treatment received relatively large, generally appeared in the sample size year on year decline in the phenomenon, but in the top hospitals did not see this situation.

But the fee dropped, the April 1, 2017 from Shaanxi Province, lowered the cost of inspection services, the reduction ratio of 15-20% .Therefore, since May this year, the decline in laboratory income, the sample growth rate is far behind the rate of decline in fees The

At the same time, there is a medical image testing service charges, the reduction rate is greater, at 25% .At the same time, and doctors direct service-related service costs rose.

After this adjustment, the laboratory has a lot of projects - in particular, the need for more artificial, such as cell morphology project, the cost of covering labor, equipment depreciation and supplies cost pressure is great. Experts said that in this background , If the quality of domestic things to keep up, the hospital will consider the choice of domestic products.

Shanxi Province, the county center hospital (three B, two substantial) laboratory, the current daily sample size between 700-800, the sample volume fell year on year after the year-on-year growth rate of 10-20% , Mainly with the primary health care coverage and expansion of the classification and treatment and other factors, patients are more left in the primary health care institutions.

Charges, Shanxi Province from the end of 2016 will be reduced by about 8% of the test price, and the combination of items must be hit 85%, resulting in reduced test division income.

Shanxi is a relatively good, you can do a combination of projects, but the charges to be discounted, but this policy is said that the implementation of large hospitals are not in place, the following hospital implementation is relatively strict, the implementation of the policy is similar to Jiangxi, Jiangxi hospital regulations do not allow to engage in the project. some.

Grassroots biochemistry accounted for a larger proportion, such as Shanxi County Center Hospital Laboratory biochemical diagnosis accounted for about 50%, while the higher level of the top three hospitals, such as the top three hospitals in Shaanxi Province, the biochemical accounted for about one-third , While immunology projects accounted for one-third.

And combined with our research in other hospitals, graded clinics led to a large hospital general sample size decline, while the impact of biochemical is more obvious, biochemical diagnostic business in the proportion of large hospitals will continue to decline trend.

We studied the two tertiary hospitals with biochemical equipment is Beckman and Hitachi, have not selected foreign closed biochemical system (such as Roche and Beckman, etc.), for the domestic biochemical system, given the higher Mindray Evaluation. Reagent, the Nine strong and Fosun Long March use more, other brands are also useful.

We are particularly concerned about the grassroots research frontline staff for the biochemical system closed view, generally agreed that the current open system is very convenient to use, you can balance the import of products and domestic products.

But from the short-term situation of domestic enterprises, such as Dirui medical, the closure of the biochemical system is indeed sales of fast growth, there is such a contrast is not surprising, the domestic market demand must be graded, hierarchical, closed Biochemical system to meet the needs of a part of the medical institutions, but from our high-level hospital research situation, the current can not make a trend of the judge.

Large hospitals of the chemical luminous market is basically occupied by foreign brands, we found in the grassroots research, the current domestic brands in the tertiary hospital is relatively more application of new industries and Antu biological.

We survey the Shanxi County Center Hospital currently used chemiluminescence all the Antu biological products, the main project is Tumor Markers and infectious diseases, the evaluation of Antu biological higher, satisfactory service.

But the hospital expressed the desire to add Roche's chemiluminescence system after the future expansion, which is mainly used in Roche and Abbott's products. Some hormonal projects use new products, but not enough.

Large-scale hospital chemiluminescence project growth has dropped, but the proportion of the entire laboratory or rising, and accounted for heavier. Level slightly lower hospitals, faster growth, grass-roots market opportunities and potential is relatively more Big.

In general, molecular diagnostics are the fastest growing in all diagnostic programs. In addition to traditional infectious disease programs (hepatitis B, hepatitis C, tuberculosis, etc.), the clinical needs of individualized diagnostic programs have grown rapidly.

But the molecular diagnosis of the project and the hospital's medical strength is closely related to the general county-level hospital molecular diagnostic workload is still very small, the project is relatively simple, mainly viral hepatitis and HPV and a few other projects.

Molecular diagnostic reagents are basically used domestically, mainly Diana Genetum products, and there are some Kehua biological.

Shanxi County Center Hospital, said the hospital's HPV project faster growth, mainly to do 16,18 two categories, the product is mainly the domestic Jiangsu Shuo. This company we also found in Jiangxi research when the hospital more The

According to the introduction of the company's main model is through their own laboratory to help the hospital to small-scale molecular diagnosis project to cultivate, and then to the hospital, they sell products from the hospital's attitude, this model is successful. Kaipu creature is also such a promotion model.

The top three hospitals were equipped with high-throughput sequencing equipment a few years ago, but in general there were fewer clinical applications.

County hospitals: outsourcing projects are some of their own can not do or the smaller sample size of the project, the Department of Hematology more items, such as bone marrow type, connective tissue disease before the clinical department samples were more obvious, there are more sample outsourcing Situation, the recent inspection department to recover the inspection project, co-ordination arrangements.The main partners have gold domain inspection, there are some samples sent to Shanxi local laboratory.

Large top three hospitals: drug After the addition of zero, the hospital clinical departments to check the sample more obvious, and clinical departments will be outsourced to a third sample samples.

At the same time the hospital will receive samples sent through third-party laboratories, one is to use their logistics, and second, the hospital and laboratory settlement is more convenient, mainly microbial specimens, there are a small amount of swelling and hormone specimens.

After the purchase of sunshine supplies a large proportion of decline in prices, and some down 50% (imports of supplies), the basic have dropped more than 10%, while domestic and imported products prices are declining, but the hospital still value the quality, will consider the brand, Maintenance and price factors.

Shanxi Province, the implementation of supplies two votes system, distribution enterprise Fixed in a few, the main choice of large companies. Shaanxi Province has implemented a two-vote equipment, a greater impact on small dealers, while the dealer's profits were compressed and rebound strongly, hospital The sense of normative improvement.

There are some counties and cities have adopted this model, the research we did not take this model of the hospital, mainly because of this part of the profits generated by the hospital is very important, but also worried about Jicai after the service is not in place. Large top three hospitals or give priority to Quality of service, and will not be managed by this model.