'Thirteen Five' | Planning will be out: large medical equipment | Guide configuration made

Pharmaceutical Network November 13 hearing January 10, the State Planning Commission Secretary for Planning and Information Secretary Yan said at the meeting, 'Thirteen Five' large-scale medical equipment configuration plan to be introduced to guide the allocation of domestic, Class A medical equipment directory Will be significantly reduced.

Whether it is for medical institutions, or large-scale medical equipment production and management enterprise , Will bring about new changes.

According to the 'Proton China' public information, held yesterday, 'Chinese Medical Association, the fourteenth national conference on radiation oncology therapy', Hou Yan made a speech entitled 'for the implementation of health China strategy to make its due contribution - large radiation therapy equipment configuration management "keynote speech.

The contents of the speech revolves around the "Notice on Revision" promulgated by the State Council in May 2017 <medical instruments Supervision and Administration Regulations "(State Council Decree No. 680), introduced the national" 1 + 5 "management framework for large-scale medical equipment to implement and implement large-scale medical equipment management.

1 Ordinance: State Council Order No. 680

1 directory: "large medical equipment configuration license management directory"

1 way: ("large-scale medical equipment configuration and use management approach"

1 rule: "A large medical equipment configuration permit management implementation details"

1 plan: the 13th Five-Year Plan

1 platform: configuration approval and regulatory platform

As early as more than a year ago, Hou Yan also said at the academic annual meeting of the Chinese Medical Equipment Institute that the planning for the configuration of large-scale medical equipment for the 13th Five-Year Plan was already under preparation. At the time, she said that the central and local health and family planning administrative departments Responsible for the division of labor, all medical institutions in the implementation of large-scale medical equipment configuration unified planning, unified access, unified supervision.

During the 13th Five-Year Plan period, the main idea of ​​large-scale medical equipment disposition is to focus on optimizing the disposition of resources and unreasonable growth in controlling medical expenses, to make overall plans for the disposition of large-scale medical equipment and to improve the efficiency of resource disposition, to guide the rational allocation of medical institutions, Appropriate technology, energy saving equipment, support the establishment of regional medical imaging centers, and promote resource sharing.

Whether it is yesterday's meeting or last year's meeting, Hou Yan mentioned that in the "13th Five-Year Plan", large-scale medical equipment configuration will guide the deployment of domestic products.

She said that the basic principles of the 13th Five-Year Plan are as follows: demand orientation, overall coordination and coordination; unified planning and grading; responsible for safety, efficiency and quality; ladder configuration and resource sharing.

She explained that all A and B categories should be included in the planning but be classified according to the classification (by the central government or the local government) All medical institutions, whether public or private, should be included in the plan, and from reducing medical costs and medical expenses Overall considerations, ladder-type configuration.Configuration of the standard first and foremost to ensure quality and safety, around reducing medical costs, support for social work and guide the allocation of domestic equipment.

Hou Yan said that the forthcoming "13th Five-Year" category A catalog range will be significantly reduced than the '12th Five-Year'.

It is understood that in the '12th Five-Year' management project, Class A equipment includes PET / CT, PET / MR, surgical robots, head gamma knife, MM50, proton heavy ion therapy system, high-end radiotherapy equipment and 306 brain magnetic Figure and so on.

As for what directory will be compressed, it is not clear.

This will mean that these compressed Category A medical catalogs will be assigned decentralization by the National Health Planning Commission to the local Health Planning Commission.

As a large-scale equipment for high-end radiotherapy of cancer, proton heavy ion not only is expensive, but also invests in heavy ion hospital , Moving from 1 billion to billions of dollars, and from Shandong, Shanghai, the heavy ion hospital charges, each treatment is spending 278,000 yuan (for the same lesion are a single course of treatment).

Although the equipment is expensive, but the market demand continues unabated.Huanyan said at yesterday's meeting:

'There are less than 100 proton-heavy ions in the world, but the demand in China is very large, and the list in our hands has been nearly 70 or 80. How to configure? Some experts say that if our country is using patients with high-end radiotherapy indications Protonated heavy ion therapy may increase the cost of medical care by 6-7 billion yuan, and how to better consider this issue from the perspective of cost-effectiveness of treatment should be what our society should make its due contribution.

In yesterday's meeting, Hou Yan also said that it will strictly manage the allocation of public medical institutions, reserve space for planning planning for private medical institutions, and reserve space in the order of 20% to 25% , Mainly focusing on quality and safety and technical capabilities.

Newly-built private medical institutions may conduct configuration review first according to the departments and personnel drafted by the construction plan, etc. After the assessment is approved, they shall be allowed to go ahead purchase.

To explore the allocation of large-scale medical equipment of Class B to social medical institutions within the free trade pilot zone approved by the State Council and to inform the promised system.