Implementing ladder configuration | National large-scale medical equipment configuration plan released

Medical Network October 31st Large-scale medical equipment configuration plan officially released! Whether it is medical institutions, or large medical equipment production and management enterprises, will usher in new changes.

On October 29, the National Health and Health Commission issued the "National Large-scale Medical Equipment Allocation Plan for 2018-2020" (hereinafter referred to as "Planning"), which clearly stipulates that large-scale medical equipment should be configured in a ladder.

The "Planning" points out that the basic principles of planning and allocation are: problem-oriented, overall coordination; fairness and priority, and efficiency; unified planning, hierarchical responsibility; ladder configuration, resource sharing; safety and effectiveness, quality assurance.

Among them, all Class A and Class B equipment must be uniformly planned. The “Planning” proposes that unified planning and grading are responsible. Regardless of ownership, investment entities, affiliation and management of medical institutions, large-scale medical equipment is configured by health and health administration. The department implements unified planning, unified access, and unified supervision. The central and local division of labor is responsible for each other.

Overall, by the end of 2020, the country plans to allocate 22,548 large-scale medical equipment, including 10,097 new ones, which will be implemented in three years.

The standard for the configuration of these medical devices is to ensure the use of quality and safety, control medical costs, and support social medical services.

"Planning" points out that ladder configuration, resource sharing. Guide medical institutions according to functional positioning, medical technology level and other factors in a step-by-step, orderly correspondence, reasonable configuration function, technically appropriate, energy-saving and environmentally friendly equipment. Strict control of public hospital Extraordinary equipment. Support regional medical imaging center and other health health New formats in the field, new model development, and promotion of resource sharing.

The "Management Measures for the Configuration and Use of Large Medical Equipment (Trial)" clearly stated that 'the performance or specifications of equipment configuration should not be improved without authorization, and the configuration management of large medical equipment should be avoided.'

This means that for public hospitals, it is not allowed to import only, but only high-end. Large medical equipment configuration should be based on the hospital's functional positioning, clinical service needs.

Although the overall configuration of large medical equipment is tight, the private market will usher in a new wave of dividends.

The “Planning” explicitly supports social medical treatment. Supports the development of non-public institutions, and does not use the business factor of medical institution level and bed size as the main configuration of non-public medical institutions. standard The key assessment institutions are qualified and technical service capabilities to ensure the application of quality and safety requirements.

In addition, the National Health and Health Commission has upgraded the supervision of large medical equipment configuration!

The "Planning" pointed out that it is necessary to improve the mechanism, strengthen post-event supervision, and implement a 'double random, one open' regulatory model. Increase information disclosure, build a large-scale medical equipment information management platform, and rely on the platform to achieve central-local information interconnection. It is fully transparent and verifiable. Strengthen the evaluation and analysis of equipment use, prevent and control over-utilization, control the excessive and unreasonable growth of medical expenses. Give full play to the role of professional associations, establish and improve self-restraint mechanism, strengthen industry self-discipline and mutual supervision.

Proton heavy ions, as a large-scale device for high-end radiotherapy of cancer, are expensive, but the market demand is increasing. To better balance the cost and benefit of treatment, the Plan proposes that the proton therapy system, the national master plan configuration control is 10 Inside the station, all are new configurations.

According to the regional function positioning, the radiation capacity of medical services and the level of diagnosis and treatment of medical institutions, by the end of 2019, there will be one in each of the six regions of North China, East China, Central South, Northeast, Southwest and Northwest; Medical radiation capacity is strong, concentrated in Beijing-Tianjin-Hebei, Yangtze River Delta, Pearl River Delta and Chengdu-Chongqing Economic Zone in North China, East China, Central South, and Southwest.