Medical equipment procurement, use, the three major conflicts to get rid of!

Pharmaceutical Network December 18 hearing with the major social changes in our society, all sectors pay more attention to the use of conflict analysis to address and solve the contradictions and problems in this area.

Contradiction analysis is a method of observing and analyzing the contradictory movements of various things and thus resolving contradictions. It is one of the basic methods of Marxist sociology and has universal applicability to the study of social phenomena.

Because of the close relationship between the medical devices and the human life and health, its development level is directly related to whether it can meet the people's need for healthy living. Therefore, the scientific analysis and handling of contradictions in the field of medical devices have important practical significance.

According to the newly released "Report on the Development of China's Medical Device Industry in 2017", the overall imbalance in the development of the medical device industry is not enough. This is mainly reflected in the small-scale domestic-owned enterprises, unbalanced industrial distribution, insufficient R & D investment, Lack of competitiveness and so on.

In order to break the long-term monopoly of imported brands, a series of policies have been introduced at the national level to encourage innovation. The aim is to accelerate the localization of medical devices and achieve the goal of adjusting the unbalanced structure and releasing insufficient space.

As a manager of the medical device industry, we can see from the local part that there are three major contradictions in the introduction, use and after-sale service of medical devices, which are only personal opinions for reference.

Prominent contradiction (introduction): the contradiction between standardized procurement of medical institutions and unfair competition in medical device market.

Policy situation: Government procurement services implemented on October 1, 2017 Bidding The Measures for the Administration of Bid Goods, which mainly regulate the procurement behavior of purchasers and strengthen the supervision and administration of bidding and tendering activities, are newly amended to promote fair protection and to prevent unfair competition.

Analysis of the status quo: There are new requirements in the new era and the medical institutions will surely implement the procurement in strict accordance with the law. However, the disadvantages in the medical equipment purchase and sale market are deep and the market competition environment is harsh. The main features are as follows:

(1) Unfair competition among suppliers, such as the bundling of consumables (reagents) through the donation, borrowing, leasing, leasing, replacement and upgrading of equipment, avoiding the public bidding and long-term occupation of the medical market;

(2) Medical institutions have not enough trust in domestic brands, for example, large-scale top three hospital Specified purchase of imported equipment is more prominent, or set discriminatory, exclusive parameters, the purchase of imported equipment, the lack of proof procedures.

Measures and proposals: (1) The medical institutions should standardize their procurement practices, improve the system processes and create a clean purchasing environment. (2) The medical institutions should give priority to domestic brands by implementing the requirements of the policies and regulations. (3) The equipment manufacturers should act in strict accordance with the law , Refused to participate in unfair competition, and continuously improve the core competitiveness of their products.

Prominent contradictions two (the use of links): the contradiction between the development of medical institutions and the irrational use of medical devices.

Policy situation: The Program for Special Remedial Measures for Medical Supplies promulgated in July 2017 is mainly to highlight outstanding problems in the supervision and administration of the production, distribution and use of medical consumables, and to further strengthen the rational use and rectification of medical consumables medicine Unfair buying and selling and medical services.

Analysis of the status quo: In recent years, medical institutions have been trying to change from quantity scale to quality and benefit, but the results are not satisfactory.The full implementation of the new medical reform model, regulatory agencies such as health and family planning will continue to intensify supervision and management of medical institutions For example, the policy of "two-vote system", "zero addition", "centralized procurement" and "single disease payment" that are promulgated at the national level can not only quickly curb the growth of consumables costs, but at the same time, And the pressure transmitted to the medical equipment manufacturers and medical institutions.

Measures and recommendations: (1) optimize the treatment structure, strengthen medical instruments Reasonable use of monitoring and intervention. (2) According to regulations to carry out 'second bargain' to reduce supplies prices. (3) optimize product mix, reduce consumables varieties, adjust the supply catalog.

Prominent contradictions III (after-sales service): medical institutions on the cost-effective after-sales service needs and manufacturers lack of capacity after-sales service of the conflict.

Policy situation: "Medical Device Quality Supervision and Management Methods" clearly requires that the medical device production and operation enterprise Should be in accordance with the contract, provide medical equipment service, guidance and cooperation with the use of medical equipment units to carry out quality management.

Analysis of the status quo: At present, the major foreign medical equipment companies rely on the market monopoly, equipment maintenance costs high, with the increasing number of users and equipment, manufacturers limited service capabilities, inadequate response, protection is not timely contradictions increasingly prominent. To meet the increasing protection needs of medical institutions, manufacturers have to let profit, authorized third-party maintenance organizations to carry out after-sales service, leading to the third party maintenance industry is rising, but the management of third-party companies there is no uniform norms, and support for jagged .

Measures and Advice: Medical institutions should be cautious in introducing third-party maintenance companies.Firstly, the qualification of third-party maintenance enterprises should be scrutinized and the legitimacy of the sources of third-party company accessories should be reviewed. Second, the management of third-party companies should be strengthened to establish risk management Process control system to ensure the quality and safety of large medical equipment after-sales service.

In short, the medical engineering department should recognize the current situation, act in accordance with the law in accordance with the law, objectively analyze the outstanding contradictions and problems existing in the field of medical devices, standardize the introduction of medical devices, strengthen the supervision of rational use, enhance the level of after-sales service and boost the health of the medical device industry development of.