Opportunities and Challenges: China Medical Devices under Grading Medical Treatment

Medicine Network November 30 hearing

The main objective of the 13th Five-Year Medical Reform is to basically establish a relatively systematic medical and health system framework by 2017. By 2020, a basic medical and health system covering urban and rural residents will be basically established so that all people enjoy basic medical and health services. Goals, the establishment of basic health care system covering urban and rural residents, the key lies in how to establish an effective classification system, modern hospital Management system, universal health insurance system, drug Supply security system, the overall regulatory system, co-ordinating the promotion and improvement of personnel training and use of incentive evaluation mechanism to speed up the formation of a wide range of health and medical services to promote the construction of public health service system, the so-called medical reform work key 5 +1 tasks. How to establish a scientific and reasonable grading system is the most important goal to achieve the basic medical and health goals covering urban and rural residents.

Due to the dual structure of urban and rural areas in China's social and economic development, 80% of China's healthcare resources are concentrated in the cities. Among them, 80% of the health resources are highly concentrated in large public high-level hospitals, and a large part of the demand for medical and health services is in At the grassroots level, such a structure with misplaced resources and needs has made it difficult for medical treatment to become a barrier to establishing a basic medical and health system that covers both urban and rural residents. How to allocate the most reasonable and efficient health resources under the existing conditions of limited health resources is the crux of the problem , While the idea of ​​grading diagnosis and treatment is based on the severity of the disease and the difficulty of treatment for grading, different levels of medical institutions to undertake different diseases treatment, according to the classification from the general examination to the specialist treatment mode of treatment, to achieve grass-roots first visit, Two-way referral, rapid division, up and down linkage, the final formation of minor illnesses in the community, seriously ill into the hospital, rehabilitation community back to the ideal pattern of medical treatment eventually can effectively solve this problem, at the same time be able to control the minor illnesses and evil, and medicine Separate policies such as controlling the cost of medical insurance and promoting the establishment of a basic medical and health system covering both urban and rural areas.

The year before last year, the Outline of the National Health Service System Plan (2015-2020) proposed that we should gradually implement the first visit to the grassroots level, referral bidirectionally, link up and down, and divide and dictate gradually to establish and improve the grading diagnosis and treatment mode. Subsequently, Guiding Opinions on Promoting the Construction of a Hierarchical Medical Treatment System "pointed out that it is necessary to speed up the deployment and promotion of the construction of a hierarchical medical treatment system, form a scientific and orderly medical pattern, raise people's health level, and further guarantee and improve people's livelihood. Based on the central government's policy implementation of grading medical treatment and treatment, The above documents require active exploration and practice, and as of mid-2017, more than 25 provinces across the country have issued classified treatment-related documents one after another.

Data from the "2017 grading medical data report"

Under the goal of grading medical treatment, strive to cover all community health service agencies and township health centers and 70% of village clinics by 2020. Under such a specific target, grassroots health medical resources will release tremendous demand, accompanied by Patient diversion and the load on major hospitals will also be effectively mitigated The country's preoccupation with grassroots medical policies in the first half of 2017 must have been obvious to all. Whether it is the sinking of medical resources or the medical equipment like Guizhou The centralized procurement has been clearly stated: primary care will become medical instruments Prior to this, Lianyungang Health Committee of the People's Liberation Army that is for the next five township hospitals proposed procurement of a number of CT, DR, anesthesia machines, etc., including 28 large-scale equipment, of which the East China Sea double The store is prepared to purchase a CT hospital equipment.It is foreseeable that, as the aging population continues to increase the load of the existing hospital, the hospital will continue to purchase the second procurement.This demand for the second purchase the following Several sources: Upgrading leads to an increase in the demand for secondary procurement of hospitals. The scale of large-scale hospitals will be expanded step by step. New branches or mergers and acquisitions will be opened and need to be re-purchased. With the expansion of hospital operations and the increase of patients, The current trend of the impact of the hospital need to keep up with the pace of development of the times, keep up with cutting-edge technology; from the above conditions, the hospital will certainly choose the second purchase of better and more distinctive products. To radiology, for example, Dynamic DR and mobile DR in radiographic equipment are the best options at this stage.

In addition, the graded diagnosis and treatment set up a complete diagnostic diversion system, whereby the positioning and responsibility of hospitals at all levels have significantly changed. The primary hospitals bear the first consultation of patients and divert patients from senior and middle-level hospitals, which will effectively solve the problems of the current two Level and tertiary hospitals overloaded operation of the plight of medical reform later in the clinical above the second and third level hospitals to assume more of the two clinics, three clinics, to solve the serious and difficult incurable diseases task. And senior medical institutions will be added Large-scale grassroots hospitals for long-distance training, business teaching and teaching responsibility.The above changes make these hospitals have more and higher medical equipment composite requirements.First is multi-functional, able to integrate multiple functions, A device can run a variety of diagnostic methods, and can take advantage of a variety of diagnostic advantages, can better reduce the risk of missed diagnosis, misdiagnosis and improve the accuracy of disease diagnosis.Second, portability, without space constraints, can be Doctors, to provide greater convenience to patients, making it more convenient for visits. Demand for family doctors in the context of health reform will show an order of magnitude increase, and doctors Of the family doctor's goal requires a large number of innovative and innovative portable diagnostic equipment support.Moreover, interoperability will also be the basic requirements of medical grading diagnosis and treatment, through the Internet, devices connected to each other, the image transmission fast real-time, this is to solve An effective way to reduce the inefficiency of medical diagnosis.

Government-led medical reform, promote localization of medical devices, to encourage high-level hospitals to buy domestic equipment, while vigorously supporting innovative and core technology of medical enterprise Development.Hierarchy diagnosis and treatment for the diagnosis of disease efficiency, diagnostic accuracy put forward higher requirements, the need to keep up with the clinical application of equipment supply, which also gave the opportunity for the development of national medical equipment, but also to the national medical equipment enterprises A higher standard.Development and production of more excellent and excellent products is the key to the development of national medical devices, increase investment in research and development, cultivate innovative culture is the development of national medical avenue.