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Medical equipment investment boom of the “cool reflection.”
From 2003 to the present, the domestic medical equipment market CAGR of 28%, ranking first in the medical industry. Each of its rapid development and investment promoter. Especially this year, the medical device industry, surging investment can be said.
This investment boom caused by medical reasons, summary together, may be the following:
First, the market is semi-starved state, export very well. Relative to the pharmaceutical market, the medical device in a relatively backward stage of development. At present, China\\ s medical device market volume of approximately 100 billion yuan, the ratio is 1:10 with the drugs. In developed countries, this ratio is 1:1, indicating that the Chinese medical device market, the demand side there is a huge room for growth. In addition, China\\ s medical equipment used in medical institutions, many of the mid-1980s or the product, now in replacement of the mark. Especially in the current drug development cycle longer the case, the medical device industry by investing in a relatively fast track, and more favored by investors.
For exports, the medical devices are also easier to achieve than the European and American pharmaceutical preparation quality standards. First half of 2011, China\\ s medical equipment exports surged 57% year on year, the direct proof of the medical device industry, the advantages in this regard.
Second, the new medical reform policy preferences. In the new medical reform, the national primary health care system, the construction of exceptionally great importance, but also hopes to reform gradually change the \"drug dependent doctors\\ dilemma. Meanwhile, the national importance of primary health care conditions improve, because the large number of primary health care institutions, will have a huge demand, which means that the medical device industry, there is a huge opportunity.
On the other hand, from the end of last year, with drug prices based health care reform has entered a crucial stage, Drug Development and Reform Commission successive reduction of the maximum retail price and make a lot of pharmaceutical purchasing patterns to adjust to the development of the pharmaceutical market with to a larger uncertainty, making the pharmaceutical industry profits decreased significantly during the first half of this year. In this case, capital investment will be doing the performance was more cautious, it may choose to join the relatively large uncertainty of medical device market, thereby increasing the heat of the medical device industry investment.
Third, follow the \"second five\" promote the general trend of escalation. Countries are currently promoting the manufacturing industry to upgrade medical equipment as part of high-end manufacturing will naturally benefit from the national manufacturing policy and the development of upstream and downstream equipment. China\\ s current production of medical equipment on their own more focused on the consumption of conventional varieties of low-end market, CT, MRI, PET equipment market high value-added of large almost GE, Siemens, Philips and other foreign companies to monopolize. If the localization of high-end products to achieve the one hand, will reduce the price of related products, it also is conducive to the popularity of market applications. However, competition in the high-end products, domestic enterprises in a very vulnerable position. Nevertheless, we have high hopes, because the Chinese medical device industry concentration is low, but also for industry consolidation and restructuring to create many opportunities. In the \"five\" period, the medical device industry, M & A activity to be substantial, the capital will bring endless imagination.
The reason is so full, people can not deny the inevitable investment boom generation. But years of observation and experience tell us that to be timely to do some \"cool reflection.\"
Investment in the medical device industry bring new capacity often, these products can have more concentrated in the lower end, while the high-end products or high value-added products (such as high-end design, new materials, etc.) is only the embellishment. Therefore, the efficiency of production will undoubtedly become a problem: First, whether there will be supply-side low-level duplicated construction; Second, the demand side, although the primary health care sector\\ s demand for medical devices is real, but the state will be how speed to advance with the medical devices is still unknown, after all, this requires substantial financial resources to pay; Third, the pharmaceutical market has been revealed as price risk, policy risk in the medical device industry, price is the same there; Fourth, while the At present the medical device industry strong exports, but with the appreciation of the RMB and domestic raw materials, rising labor costs, export competitiveness is likely to be weakened.
Therefore, for investors, we must see the health care industry upgrading and expansion of market opportunity, but also careful research. In the past, many industries, low-level duplicated construction capacity has brought a lot of painful lessons. Investors still want to look on the innovation, the pursuit of innovation in line with China\\ s national conditions and found that investment in the blue ocean, is the right way.
Precision manufacturing in the Chinese medical market will be “promising.”
China and Asia as a medical device design and manufacturing industry event, MEDTECChina2011 by virtue of their professional, advanced and industry influence, and continued the growth trend over the past sessions of the exhibition, exhibition area, exhibitors and visitors have continued to rise. This year the exhibition from China, the United States, Switzerland, Singapore and other countries or regions 280 of the top equipment, materials and other products, services, solution providers gathered together in a two-day exhibition, the visitors to the and buyers demonstrate their technology in medical equipment and solutions for the latest achievements. In order to better meet the needs of exhibitors and seminars over the same period, the exhibition opened a second venue, in the display area, based on the first floor, set on the second floor exhibition, show an increase over the previous 50% of exhibition space. Many industry heavyweights such as Weiss Tektronix (Vascutek), Styron (Styron), Flextronics (Flextronics), Ashland (Ashland), Nuolan Te (Nolato), KTW, Bluestar Silicones (BluestarSilicones) , ITTEnidine, Preco-Miwa, Modi Victor (Multivac), Dibei fluid control (DibaIndustries), AsahiIntecc, Kaneko and Dunlop (Beijing) Ltd. and other medical devices for the first time exhibitors. In addition, the exhibition also new exhibition in Singapore to the Chinese customers in the medical field and the audience of medical equipment in Southeast Asia in the field of technology and solutions, some of the latest information, subject to many audiences.
Cutting-edge exhibits Exhibitors
The exhibition assembles leading international medical device suppliers, so that Chinese audiences can witness the most advanced concepts, products and technology.
Quite renowned in the industry of the Swiss machine tool manufacturer – Tuo Nasi\\ s (Tornos) to bring its products DECO10a and EvoDECO16a two classic appearance. Both products are acclaimed in the medical field. According Tuona Si (Shanghai) Company Description Sales Director Wang Kai, a single spindle CNC turning centers EvoDECO16a automatic processing of PEEK material can be used to process the vertebrae nails and other products. Equipped with a rotary cutting tool used for drilling, milling, chamfering and other processes, fixed with a special chuck to work with to use cold processing of PEEK material. Another classic of CNC turning centers DECO10a slit has nine full-servo CNC linear axis, independent of the spindle and the spindle system, mainly used in orthopedic trauma, dental implant fields.
Another famous machine tool company in Switzerland Paula Mae (Bumotec) carrying the S-191Linear Mill – Center debut. Paula United States (Shanghai) Trading Co., Ltd. Sales Manager Liu Fulin said that as the United States in recent years, the company focused on the introduction Paula one of the products, this composite center with turning, milling, inserted, grinding, gun drilling and milling functions cyclone, can be widely used in medical equipment, dental and other complex parts and difficult to machine parts.
QUASAR\\ s demonstration with the TLS-HT1000 laser cutting machined out of cardiovascular stent.
Also from Switzerland, automation solutions in the international leader in the field – Mikron Corporation (Mikron), this exhibition is also showcasing its Mikron EcoLine low volume product assembly automation solutions. With its MikronG05 and MikronEcoLine platform, can achieve high standardized manual, semi-automatic, fully automatic modules of the application, the complex process integration. Through the innovative features of the program, standardization and customization in the perfect balance between the assembly process. According to the Mikron Automation Equipment (Shanghai) Co., Ltd Sales Engineer Wang Yan Hua Jieshao, the solution can be achieved basically unmanned operation, 22 hours a day\\ s work, the work of 300 to 320 days a year, usually just simple maintenance. Present in the medical, electronics, consumer, automotive and other fields have a wide range of applications.
This exhibition, the power of the Ming – Marco Lonsdale\\ s (Willemin-Macodel) and OpenMind jointly launched to showcase their products for the medical industry. Power of the Ming\\ s 408MT and 508MT machine with OpenMind company for the medical industry introduced highly efficient automated programming software system – hyperMILL, the use of the advantages of professional applications software programming and processing characteristics of the machine, to maximize the machine\\ s processing performance to help customers to achieve a perfect process, create more value. According to introduction, the two have grown together for dental, orthopedic surgery, plastic surgery and other medical processing field offers many solutions.
Professional Measurement Austrian intellectual products (OGP) Optical Instrument (Shanghai) Co., Ltd is showcasing its products in medical devices, including ZIP250 measurement system and ZIPlight and so on. According to reports, ZIP250 measurement system uses non-contact (optical) mode, the laser, touch probe combines with the optical probe can be used to measure a variety of materials, colors, transparent or translucent parts of the geometric dimensions and shape tolerance. The exhibition site, there are many buyers from the medical field and the audience measurement products for the OGP consultation.
Mai tin (MIC) of metal processing services (Suzhou) Co., Ltd. demonstrated its launch for the medical industry solutions. Medical equipment for the metal industry, the key element in bending and moving parts often occur during the corrosion cracking and failure, performance degradation and other issues, the fine control of wheat tin shot peening and laser peening process can effectively solve the above problems, and enhance medical equipment , tool box equipment performance and significantly prolong life. China General Manager Lin Jinguo said Mai tin, by providing medical equipment for the metal coating services, can greatly improve the performance of key components and their protection. Not only in harsh environments to protect and maintain the properties of the materials, but also are easy to clean and purify the features to better serve the medical industry.
Exhibition site, a Chinese company\\ s exhibits attracted the attention of the author. From Kunshan QUASAR Machine Co., Ltd. showed its stent laser cutting machine TLS-HT1000. According to the staff, this laser cutting machine can choose many kinds of lasers such as high-performance optical, UV, picosecond and femtosecond lasers, to adapt to a variety of materials processing requirements, and ensure the reliability and stability of the cutting quality . Now mainly used in a variety of materials and value of precision cutting groove carved blind, and precision cutting and thin-walled pipe carved blind ducts.
Huge market potential
In the interview, many exhibitors said that China, with its world-class manufacturers as the advantages and precision manufacturing expertise, has been in the global medical device design and manufacturing played an important role, China has become a major exporter of medical equipment products country. With people\\ s living standards and health consciousness, the future of the Chinese medical market will be \"promising.\" For most businesses, the medical industry has become the ideal of \"the gold industry.\" However, China\\ s medical market is still in its infancy, and truly become the ideal manufacturer of high-end market will take some time; and for the medical industry for quality, high precision requirements, companies must have sufficient capacity to enter the industry.
Increased demand for medical equipment applications Renesas chip austriamicrosystems market share
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With the global medical equipment market demand continues to grow rapidly, foreign analog IC manufacturers have special applications for customer-related made the latest chip solutions. As the world\\ s leading plant Renesas MCU (Renesas), has released the latest Continua display platform, and blood glucose meter has been used by customers; as austriamicrosystems (Austriamicrosystems) and Intersil, the introduction of new high-precision step-down converter with operational amplifier, hoping to improve the stability and precision signal transmission, to avoid medical equipment and industrial products are most concerned about noise issues.
Renesas said the 32-bit MCU through its proposed solutions, Continua latest software platform and related applications, will ensure long-lasting battery life of the energy efficiency rating, and implement the full functionality of the software. As the blood glucose meter like medical devices to enhance online capabilities to meet Continua guidelines, the company made the latest silicon solutions, has 1MB flash memory and with the highest integrated USB function support, the software can handle the increased load without sacrificing user expect long battery life.
According to Continua Health Alliance (ContinuaHealthAlliance) of the latest definitions, through the Continua-certified health care devices, contains a timestamp of the stored measurement results, and automatically transfer data to medical professionals, thereby eliminating error-prone manual operations to collect measurement data to improve the quality of medical data and diagnosis. However, since these devices must be every day to collect and transmit data, which makes power and stability of a new generation of medical products features the latest demands, but also to related significant increase in the chip business.
China refined analysis of major medical equipment market
As society advances, the medical industry is also developing rapidly, medical devices into the mainstream of modern medical care, more people will become increasingly concerned about the large-scale medical equipment market. Market mainly consists of the following four factors to decide.
A state-based system
Chinese medical market, state-owned hospitals from the brand, strength, size, number of other areas account for an overwhelming advantage. The formation of this situation is because, in China 40 years after the founding of the time, only state-owned hospitals, private hospitals have only recently 20 years was the gradual emergence of private hospitals (Hospital of China\\ s current business license is still strictly controlled by the state) due to the accumulation of 40 years of the brand, people only believe that the large state-owned hospitals, resulting in large hospitals, \"something happens\" (waiting queue for a long time, check the queue for a long time, long hospital queues, see a doctor a short time, check the time is short), the hospital wants to come in small phenomenon with Chinese characteristics. Thus the purchasing power of most medical devices focused on the state-owned large and medium hospitals. country that is a burden and the state-owned hospitals non-profit organization, which does not require hospital turned over profits, but recurrent funding to hospitals, hospital loans from banks more easily. so the hospital for equipment purchases, cost is not very great importance due to medical treatment of patients free choice of hospital, which hospital the relationship between market competition and therefore a large inter-hospital medical equipment procurement has obvious psychological comparisons. the same area, a hospital to buy a device, several other soon will buy, and try to buy a higher grade because of hospital state-owned, and therefore must follow the government\\ s administrative divisions to manage, so the medical device market is broken down into small units of the provincial market, the market has some of the various provincial relatively closed, and thus different parts of the purchasing habits, the price are different.
2 decision-making structure: the core of collective decision-making Dean
Because the hospital is a state-owned, so the purchase decision-making structure for the Presidency as the core of collective decision-making. Equipment procurement is president of the core decision-makers rather than the use of sections (ie the President who has a monopoly on the purchase of equipment), while Dean not the technical details of equipment is the solution, so the technical details of the impact of purchasing decisions are not large, only a few key elements will work, so the grade of major medical equipment, marketing, positioning and guiding the selection criteria is very important because the hospital is state, the President will have a lot of senior management, such as the School of Medicine, Health Bureau, the provincial leaders of cities and counties, although the core decision-makers is the president, but must respect the views of superiors, and therefore the government relations in the equipment sales in the process of very important role in addition to Dean, the hospital there is an important leader: party secretary. different hospitals the influence of party secretary different times greater than the power of party secretary Dean, sometimes compete with each other sometimes is weaker Although the use of departments do not have the core decision-making power, but after all the high-tech medical equipment, the President also deterred policy-making, he will seek the views of user groups, while the hospital\\ s academic because each discipline has its own National Institute of Clinical , provinces and municipalities learn, there is a corresponding circle of the \"big names\" of \"experts\", so these people will become opinion leaders in the procurement of equipment. major companies competing to do the work of experts, in order to take advantage of the voice. Equipment Division is a device procurement of specific operations department, equipment, equipment procurement chief in the role of decision-making quite a lot in making the grade equipment, supporting decision-making, especially the maintenance program decision-making are very large say in the products of technology exchange, the user visits, Business negotiations are often arranged by the Equipment Division and many hospitals have a vice president in charge of equipment and this role in the project\\ s influence in decision-making are very different. In general vice president is subordinate to the President\\ s opinion, if he has a very strong background, you may compete openly with the President, such as happened to the vice president was born in the use of sections of the device, then the influence purchasing decisions in a very large clinical benefit indirectly in the procurement decision-making departments also have an influence, especially the leading hospital departments, with high academic standards and treatment of income, the President will be great respect for the views of the department director if the equipment of a technical work of the clinical departments to carry out a very important significance, the department director position may affect the project decision-making initiative.
3 administration and configuration of the license fees
State for all the hospital charges are administrative fees. This enormous impact on the hospital\\ s purchasing behavior. Types of equipment with high fees, hospital willing to purchase, and the price is not sensitive; otherwise purchase a small amount of price-sensitive. States to prevent duplication of investment, the configuration of the number of large medical equipment have a unified plan, each region according to population and economy, traffic conditions to give a quota, and the trial configuration permits issued, only to get the configuration permits the hospital before they can purchase equipment. the result is a evidence is hard to find, and the apparent market is far less than the actual market demand due to a hard card, which permits access to the configuration of hospitals tend to buy high-end equipment \"step.\"
4 procurement: tender
The state where the equipment must be imported through international bidding. Requires at least three international tender bid before bid opening, to the lowest bid evaluation, bid after the actual float up to 15% of the contract price due to the presence of an international tender, making the operation of the project. \" Man screw, \"adds a lot of obstacles, but also increased the number of winning means the relevant circumstances in this regard will be individually analyzed in detail later, if the domestic procurement, you can not through an international tender. general hospital proposed standard will be adopted, although style of operation vary widely in different hospitals, but the ability to control the president of the overall results than the much higher international tender.
The outbreak of medical information meet
It is reported that major national special \"regional collaborative care demonstration project\" is expected in October this year after promotion, the development of mobile health care will become the focus of the object.
According to the Ministry of Information, Deputy Director Dong Baoqing advance, the \"e\" second five \"plan\" specifically deployed on the mobile health care project, from telemedicine, community health, rural health information technology to enhance several aspects of pilot demonstration projects and mobile health promotion efforts. Dong Baoqing mobile health care known as the \"crown jewel.\"
Operators began to layout
Chinese Academy of Engineering Wu He Quan said the U.S. FDA was July 21, 2011 issued draft principles of mobile medical applications. FDA thus inform manufacturers, distributors and other bodies on how FDA intends to use its authority to select software applications on mobile platforms, specifically FDA intends to use the mobile application types.
Wu He Quan is expected in 2015 the world will have at least 500 million smart phone users to use health care applications. China Telecom (quotes, information, comments) Chief Engineer, Ministry of hosts, government and enterprise customers to provide the data show that in 2011 the global mobile market will reach $ 60 billion health care, the size of the domestic market during the year is expected to nearly $ 2 billion yuan.
Insiders said that with the aging trend of increasing domestic, medical care is difficult to alleviate the short period of time. And with 3G communications technology maturity and popularity of mobile medical focus will be the Ministry of Health project. The U.S. FDA has activities for the national health information technology movement direction.
China Mobile (quotes, information, comments), China Unicom (600050), China Telecom has all the relevant high-level health care industry at the First Conference of China Mobile, said in the \"second five\" focus on the development of mobile medical career. According to reports, mobile health in the country at the initial stage, beginning in 2010 ushered in the outbreak period.
General Manager of China Mobile Group\\ s customers, said Dai Zhong, China Mobile has been carried out jointly with the University of Cambridge Research mobile medical information, and released in May 2011 White Paper, the Telecommunications Research Institute set up a dedicated mobile medical project team is currently In more than 20 provinces through 12580, phone WAP, portals and other cities to carry out unlimited appointment register. Provinces under the branches to try to 3G technology, networking technology to provide users with real-time inquiry, health monitoring, medical advice and so on.
In addition, China Unicom set up a \"cloud storage\" service platform for medical and health data collection, transmission and retrieval, as well as mobile medical aid positioning, real-time vital signs signal transmission; China Telecom in China launched more than 200 mobile medical hospital pilot and medium-sized hospitals get high marks.
Ministry of Health Informatization Leading Group Office of the Deputy Director, National Science and Technology major projects team of experts Gao Jie said the mobile medical rapid development to meet the current China\\ s medical industry trends and health reform direction, to facilitate medical information on scheduling and tracking, to address the medical treatment is difficult and unexpected provide an effective means of disease control.
Chain far-reaching benefits
Large mobile medical purposes, Wu He Quan said, the First Hospital of Zhejiang Province, in the province with the help of mobile medical achieve more than 14,000 cases of expert consultation, the ICU mortality decreased an average of 11.6%. Mobile medical outlook is good.
Experts point out that the mobile medical market launch, will drive the network providers, system integrators, telecom operators, suppliers of medical equipment to upgrade the common interest of the chain.
According to reports, the U.S. draft guidelines for mobile medical applications for mobile platforms is referred to with or without commercial wireless handheld computing platform, such as the iPhone and other smart phone or PDA. In the more mature UK mobile medical, patients can use Vodafone\\ s 3G mobile video consulting a doctor. In Japan, the telecom operators to provide users and medical institutions to establish a common platform for collection and distribution of life parameters. Mobile health care has now become a key entry point of things.
Hong Yuan Securities (000,562) software and computer industry researcher Hu Ying believes that the medical information technology is still in the hospital information management phase, the level of investment there is a big gap with the developed countries, policies to promote the new round, the next few years, health care IT total investment of 26.4% compound annual growth rate.
A mobile medical service involving shares of listed companies are the Silver River shares (300,020), iFLYTEK (002 230), Neusoft Group (600 718) and UF Software (600588) and other companies.
Shanghai Jiaotong University School of remote ECG monitoring center academic leaders Guju Kang has revealed, Shanghai, Shenyang, Jinan, Taiyuan, Chongqing, Wuhan and Datong, the city has taken the lead in Sanya eight pilot remote ECG monitoring. Local governments have given financial support. In addition to building software systems, hardware purchase, the mobile medical service fee may be mobile operators, hospitals, software business interests into focus.
Snatch a mobile medical services
Guju Kang introduced mobile phone services with similar medical services, the user is equipped with hardware and software can be achieved after ECG, respiration, blood pressure signal acquisition, the key step is the physiological signal into a digital hardware signal, after which or by phone computer transmits the signal. Call charges are the same as phone, mobile medical services in the glycemic index may have delivery fees, transfer fees, blood pressure index, mobile communications, software and other operators may be divided into fees from the model.
Remote sensing detection is the more mature mobile medical form, can be detected on a screen more than the patient\\ s ECG. A wireless detection software can detect ultra-Central 100 dynamic disease. Equipment with a 24-hour care for patients. Family or individual can purchase hardware. According to reports from Taiwan for personal sales price of the remote heart monitoring equipment set up to 60,000 yuan. Qinhuangdao Conde medical equipment provided by the domestic price of about 6000 per set.
According to Shanghai in 2011 for the 1350 mobile home community physicians with remote sensing equipment, Qinhuangdao community to achieve more than 60 mobile medical services for families, Huzhou City, related companies began mass production for mobile medical with the detection of watches.
Insiders pointed out that the brightest mobile medical services in the capital, will bring new medical services of benefit distribution.
Cardiovascular disease is the key
National Cardiovascular Center Expert Committee, Vice Chairman Wang Wen introduced Chinese Hypertension League, the incidence of cardiovascular disease from China in 2006 rose rapidly, becoming the biggest killer, if you take strong control measures, 2020 it may decrease the turning point. Currently there are 350 million people a year die of cardiovascular disease, more than 50 million people died of sudden cardiac death, the treatment situation is grim, but the relative lack of treatment intensity.
Ministry of Health, Center for Cardiovascular Disease Prevention Office of the Deputy Director, Chinese Academy of Medical Sciences Fuwai Hospital, chief physician Fletch said mobile medical services in communities, prevention and treatment of cardiovascular disease is significant.
Remote medical care now more mature technologies in remote blood pressure, oxygen, sleep disorders, breathing, blood sugar, such as EEG monitoring, through dynamic, real-time tracking, so that monitoring results more reliable. Department of Cardiology, Peking University People\\ s Hospital, Dr. Xu, director of electrophysiology original that ECG wireless central monitoring software for real-time, dynamic monitoring, about 40% of the number of inter-provincial subjects, the most long-distance up to 1800km, the longest time monitoring 8 months, cardiovascular disease prevention, disaster relief, military promising medical applications.
Department of Cardiology, Chinese PLA General Hospital, deputy director of Luxi Lie that the mobile medical development is huge. Increased domestic aging, promote cardiovascular and cerebrovascular disease increased investment at the same time, a variety of sleep disorders, the increasing number of mental disorders, but also will promote the promotion of mobile medical applications. It is reported that in 2011, the Government per capita grants for prevention and treatment of hypertension will increase to $ 25.
Wang predicts that China in 2011 on cardiovascular and cerebrovascular disease, approximately $ 20 billion direct investment and indirect investment of approximately $ 50 billion and U.S. $ 286.6 billion over the same period compared to the input, there is still great room for improvement. Mobile medical development will be promoted.
Following the Neusoft Group (600,718) year to 114.1 million yuan to complete the largest amount of medical information in the field after the merger, Kingdee International (quotes, information, reviews) (00268.HK)\\ s Shanghai Kingdee health software in August 1 to around 1.2 billion acquisition of Guangzhou Hui signed a 75% stake through the computer. After the acquisition, Kingdee International will continue to increase to 81.48% holding in Guangzhou Hui Tong stake. Insiders pointed out that the medical information market mergers and acquisitions heating up.
Previously, Kingdee health through the acquisition of Shanghai Branch of China Qi-efficient access to the healthcare industry, and this acquisition, Guangzhou Hui Tong has a digital hospital and electronic medical records, mobile medical, digital chronic disease, rural health information technology, and medical treatments regulatory solutions.
Chang, general manager of Kingdee medical column, said the new medical reform started in 2009, the Chinese medical and health information technology industry needs and development potential. With the health care IT information increasingly competitive market, market integration also will be strengthened. Accelerating health information technology business, roots health care industry, an industry focus.
Insiders said Neusoft Group, Kingdee through mergers and acquisitions, will enable customers and business resources to further integrate and expand the development space for their own medical information.
It is reported that Neusoft Group acquired the letter in addition to looking Haikang nearly 20 years of medical experience in the design, but also has the country\\ s 500 or so hospital customers, including nearly 200 top three hospitals, Neusoft Group to be competitive with foreign manufacturers such as IBM . At present, Neusoft Group and UF Software (600588), Kingdee two major international software companies in the medical information management services, the formation of intense competition.
Hong Yuan Securities (000,562) studies suggest that the domestic production of medical information technology and software vendors about 500, as yet formed a unified industry standard and region segmentation, large, medium, small enterprises accounted for 15%, respectively, 60%, 25% , market concentration is low. Financial strength, expand market share through mergers and acquisitions of companies in the healthcare information technology market is expected to obtain a larger space for development.
Capital fought over health care chain
Health sector of the capital market in 2010 was a very eye-catching: inside and outside the healthcare industry as an initial public offering (IPO) one of the largest number of four industries; the average IPO book industries and enterprises the highest return on investment is the healthcare industry industry, the average investment rate of return of 18.68 times.
And health care services throughout the healthcare industry, the growth plates are also outstanding shares. Fifth China Healthcare Industry Investment and Financing Summit disclose figures, from the sub-industry point of view, the original thriving pharmaceutical industry, accounting for 70% of the total financing, to 2010 the proportion fell to 50%, the remaining significant growth from the medical services and medical equipment, especially the former.
\"China\\ s medical needs are long-term sustainable growth, unlike the automobile, telecommunications and other sectors of the growth curve is S-shaped, up to a certain peak that is the turning point, while the medical industry is basically showing linear growth, we are particularly optimistic about the industry.\" direct investment in the company general manager Jin Chen, Yu said at the summit.
Number of private medical institutions to find financing, venture capital for high-quality projects, listed companies and multinational corporations seek seek acquisition opportunities, a variety of needs in the marriage of capital and exchange platform for the medical industry on the corner. And wish to take a slice of the capital market more and more medical institutions. Legend Capital, General Manager Liu Zehui this proposal, \"the leadership of medical institutions bear the greatest risk and responsibility, especially after the introduction of investors, the pressure will be greater, should the purpose of financing, future planning should think carefully, do not order financing and financing. \"
As the public hospital system, reorganization of the detention policy, institutional investors have to take a detour, only bent on private medical institutions. Avenue CapitalGroup Zan Tao, executive director, said: \"Avneue funds invested in the UK a large 1,500-bed hospital, while in China there is no such opportunity. China is now the policy to the social capital is indeed a good imagination, but the tax , human resources, incentive compensation and other supporting policies are not in place, investors have a high-end medical experts can not enter the large public hospitals, not only turned to a private high not low secondary hospitals as investors involved more deeply in love with the privatization of public hospitals, investment the opportunity. \"
Specific to health care institutions, investors place great emphasis on investment targets of the management team. CDH Executive Director Wang Hui said: \"We invested a total of four medical institutions in the Hospital is the hospital, house, equipment in place, the specific operation to be enforced, the time involved in the implementation process, quality of service and other details as investors We have no way to help, but also they have the management strength of the hospital. \"
Shenzhen Capital Group, Liu Gang, general manager of Beijing also shared: \"We are investing in the hospital, tend to find the best professional management team, want to have a strong core management synergy, because the highly specialized treatment services, There should be a core team. \"
Investment institutions to invest funds into the object, the two form a close community of interests, the former often also provide additional support as a value-added services.
Chen, Yu introduced the gold companies to invest in two medical institutions, compared to other industries, investment in the medical industry to spend on doing up the value-added services to help invest in the top three hospitals and medical institutions to establish co-operation, a large hospital for the medical expert resources , and even help them replicate the chain of medical institutions, participation, including holding a license, looking for an apartment, to get to such trivial things.
In fact, the medical services in the healthcare industry\\ s share is not large. \"If the health care equivalent to hospital, then the investment opportunities in China are very small. The gradual improvement in the external policy environment, investors may wish to invest in some proper extension of the border, focusing on the entire health industry chain, which is still very pragmatic tactics. \"Liuze Hui said.
The medical information in 2011 will reach 13 billion yuan investment
Medical information on the process at the macro by national health policies. Market-oriented reforms in recent years, the medical business was driven by investment in information technology, and reform policy changes, but also for some small hospitals are no more ability to invest. The recent reform of public service-oriented tendency, beneficial changes in the pattern of past investment.
In today\\ s rapid development of information technology, medical industry, information technology investment year on year. Medical and health services related to people\\ s livelihood, and medical information is medical and health services in the information age can better serve patients, an important support service to the community, is being more and more government departments and relevant enterprises and organizations concerned.
Healthcare information technology investment growth slowed, increasing year by year
Medical information on the process at the macro by national health policies. Market-oriented reforms in recent years, the medical business was driven by investment in information technology, and reform policy changes, but also for some small hospitals are no more ability to invest. The recent reform of public service-oriented tendency, beneficial changes in the pattern of past investment.
Application of information technology from the hospital perspective, a different scale the level of hospital IT applications is still evident. Overall, the high level of IT application level higher than the average hospital lower level hospitals.
Most tertiary hospitals and some of the first of the two hospitals, has been basically completed the construction of the first round of the HIS system, part of the advanced tertiary hospital HIS system has entered a consolidation phase; and most of a hospital and part of the following two hospitals are HIS system in the building of the first round of the process.
PACS / RIS system at all levels of the distribution of the hospital basically similar, but the number of hospitals in the application of the system in general less certain. In some advanced hospitals, including PACS / RIS, LIS, including the integration of hospital information system (or integrated HIS system) applications are relatively mature. Meanwhile, the mobile information technology and other new technology is entering the hospital information technology applications.
The rapid development of public health information. After 2003, public health information technology and application quick start in 2006, into a more substantial construction phase, and achieved initial results. Integrated emergency health system planning, but also into the work of the Ministry of Health.
Administrative systems at all levels of health, disease prevention and control system, an integrated collection of health information resources platform system, health inspection information systems, disease early warning and monitoring systems, medical treatment information system, based on geographic information system (GIS) of the Command and Control information systems, public health information service system, has a few advanced cities in the country began construction.
From the medical point of view the structure of investment in IT applications, information technology investment each year toward a more optimal structure changes. 2002 to 2006, an increasing proportion of low hardware products, software and services, the proportion is increasing. More new applications emerge, the development and outsourcing services, IT services market, compared with the growth of health care provided a new impetus.
Telemedicine and regional health information technology applications, is the redistribution of medical resources to play a more active role. The one hand, doctors and medical equipment on the allocation of resources, so that benefit economically backward regions; the other hand, the allocation of resources in the patient, such as the realization of two-way referral, but also help alleviate the large hospital resource constraints, make full use of small the hospital\\ s medical resources.
Healthcare information technology market demand outlook
According to the analysis of CMP Consulting and forecasts, 2007 to 2011, China\\ s medical industry information technology investment is expected to reach a compound annual growth rate of 17.7%. Investment in 2007 is expected to reach 6.839 billion yuan in 2011 will reach 13 billion yuan.
From the investment structure, the next five years, IT hardware investment proportion will decline further, the proportion of investment in software and services will be increased year by year.
The next five years, China\\ s medical information market will have the following trends:
① the medical industry for more companies to join the ranks of the IT market competition. Throughout China\\ s medical information market, starting from 1993 has gone through three stages of development. The first stage is to do HIS, a large number of independent software vendor (ISV) flock there; second stage is the price war and immature market, a large number of ISV drained; third phase is the involvement of foreign companies.
The future of China\\ s medical industry, the rapid growth of IT market, more manufacturers will be concerned about. International companies, in addition to Intel\\ s digital health care to single out, as with the Digital Enterprise, tied for the mobile market, the industry market, others such as IBM, Oracle, Cisco and so established a professional medical industry sectors.
The country, some manufacturers see this huge market, is involved, such as Founder acquisition program in the medical industry in order to provide five of the ISV Zhongbang. The most noteworthy is that the entry of foreign companies, they will undoubtedly medical information market becomes more competitive situation in full swing.
② IT and gradually expand the scope of application, and more new applications to enter the eye. HIS pattern of world domination will eventually be broken, it is being broken. Following the PACS (medical imaging information system) after the rapid development, USIS (ultrasound information system), PIS (pathology information system), CMS (cost accounting system), PEIS (Medical Information System) is also developing the future of electronic medical records, community a wider range of medical and health management, this also creates more applications.
In application, the process will continue a trilogy. The first step, billing systems and clinical systems; the second step, electronic medical records, structured system, more conducive to inquiry; the third step, the workflow engine, the main software development, SOA architecture, more flexible, you can re-process.
③ integrated healthcare IT products and services while to get people\\ s attention. ISV in many medical industry seems to integrate products and services, is to solve the original the best way to market with low profit margins, but also more in line with the Chinese people\\ s habits. While medical information is not related to service the main source of corporate profits, but began to rely more and more ISV services, the market to do the fine deep.
④ competitive pressures will lead to the medical products industry information integration between enterprises and service providers. Early appearance of ISV domestic enterprises to survive mostly through the introduction of strategic investment, etc., grow bigger, more survival and development opportunities. The next step will grow up ISV through acquisitions, integrate the region\\ s small ISV, customers get more resources, improve the product line, expand the battlefield, in response to competition from domestic and foreign firms.
⑤ integrated industrial chain to promote the integration of applications will become the future mainstream of development. For most of the main ISV, technology increasingly can not be the threshold of its development, and integration will become a focus of future competition. Cooperation with advanced manufacturers in its platform for development, will help domestic manufacturers stand to the global healthcare information technology applications in the forefront. Integration of industrial chain, integrating medical IT resources, applications will become the mainstream of medical information.
⑥ As the market matures, user needs become more rational. If the health care industry, users of IT procurement is divided into impulsive type, image type, rational three, then after several years of application and development of related processes and applications will become the core of user attention. And because users of business processes and applications to consider more and more users demand will become more rational.
⑦ medical information outsourcing, cross-enterprise integration of IT resources. From the development of advanced foreign experience, medical IT system outsourcing has been a certain degree of application, while the domestic market into the warm-up period. Medical IT outsourcing, IT resources to some extent may promote faster integration, to promote IT applications. For example, to implement telemedicine systems, government, hospitals, research institutions, telecommunications infrastructure operators, large-scale professional IT outsourcing service provider, the medical industry ISV, etc., may be integrated into a network, to jointly promote the development of medical and health services.
⑧ public health information will be rapid development in the country. After 2003, public health information technology to accelerate the pace of development; after 2005, public demand for health information technology to accelerate the release of evidence; expected starting in 2007 for the next five years, different areas of China\\ s public health information development will be further accelerated.
⑨ integrated regional health information to more demand for the release. The end of 2006, the Ministry of Science published \"regional collaborative care demonstration project,\" a list of major projects, assume the subject, has been clearly stated to be brought together multi-power, to \"the sharing of resources, long-term service, low cost, low risk\" building concept, building covering health, education, industry management, disease reporting and public health services, information services platform.
Reform process in the medical industry, how to integrate medical resources, to achieve better patient care institutions in the community between the referral and large hospitals as a key, and regional health information technology integration solutions to support its development as a key .
Eight Latin American medical device market opportunities flowing
In Mexico, Brazil, Chile and Venezuela as the representative of South American countries in recent years rapid economic growth, Latin America has become a world economic growth Daxin power. Including the Caribbean countries, including Latin America there are 41 countries with a total population of about 500 million people. It is understood that some 23 countries in Latin American countries (mostly island) does not practice medical equipment management system. These include Angela Island, Andean and Barbuda, Aruba, Bahamas, Barbados, Belize, British Virgin Islands, Cayman Islands, Dominica, Dominican Republic, San Salvador, and so on. Of these countries, except for some British colonies, the medical device exporters as long as local health departments in registration of its products, you can output to the country free medical products. While the other 18 Latin American countries (the total population of about 90% of the total population of Latin America) is basically developed their own medical device product management system. These countries include Argentina, Brazil, Bolivia, Chile, Colombia, Costa Rica, Cuba, Ecuador, Guatemala, Honduras, Jamaica, Mexico, Nicaragua, Panama, Peru, Puerto Rico Valley, Uruguay and Venezuela.
Incidentally, the Paraguayan government departments last year, just started to develop products for the import of medical equipment management system of the draft. Compared with European countries, Latin American countries, medical equipment management system is relatively generous allotment. Even countries like Brazil and Mexico in Latin America such a big country, and its imports of medical equipment management system is also trump northern neighbor – the United States as strict. As Brazil, Mexico, Argentina, Venezuela and Chile and other Latin American major economies in the past 10 years economic development well, making it the health sector in the import of medical equipment products have sufficient funds, it is commonly used in hospital equipment and equipment imports increase in number. Latin America has now become an international medical device manufacturers hot new export markets. According to foreign media related news, I now eight major Latin American economies, the medical device market in 2010 for a brief overview of the situation.
It is well-known international consulting firm Datamonitor released a material disclosure in 2010, eight major economies in Latin America\\ s GDP will reach $ 4.2 trillion total GDP. About 2.8 times in Africa and Asia (excluding Japan) of 40%. The eight Latin American countries, a combined population of 484 million. After 2007 and 2008 after the international financial crisis, Latin America\\ s major economies, the national economy recovered well, GDP generally increased from 1 to 3 percentage points. Particularly Colombia, the international financial crisis in 2008, the GDP fell nearly 3 percent, after two years of adjustment, the national economy has been restored to 2007 levels, and a slight increase. Mexico, Brazil, Venezuela and Chile and other Latin American countries and oil-exporting mineral major economic growth momentum. Mexico has become Latin America\\ s largest importer of medical devices. Followed by Brazil, Colombia, Venezuela, Argentina and Chile. Although Brazil is Latin America\\ s largest country, but in the past few years, the country\\ s total amount of imported medical products are only slightly more than half of Mexico.
Argentina
In 2002, Argentina has experienced a domestic economic crisis, the national currency – the peso dollar once fell to 8 to 9 pesos. But after several years of restoration, in 2010 the Argentine peso exchange rate to revert to the United States 10 years ago, ie $ 1 for 3.9 pesos. Argentina\\ s medical device industry is relatively weak, so most of the products needed equipment imported from abroad. It is estimated that the medical device market in Argentina 500 million to 600 million dollars, the equivalent of 1.9 billion to 23 billion pesos.
Brazil
Brazil is Latin America\\ s most populous country, the region\\ s most developed industrial countries. Brazil\\ s medical device market in 2010, total sales of $ 2.631 billion, second only to the size of Mexico, ranked second in Latin America. Brazil has a relatively comprehensive medical device industry, it is less than the number of imported medical equipment in Mexico. Brazilian medical products export growth for three consecutive years, more than 28%, indicating that the country\\ s medical device industry, export-oriented high level.
Chile
Chile\\ s per capita GDP the highest in Latin America (approximately more than 6000 U.S. dollars), so the government for funding for the import of medical products is very abundant. In 2010, the country\\ s health sector totaled $ 453 million of imports of medical equipment and device products, primarily in Latin America are imported medical equipment market.
Columbia
Colombia is the third most populous country in Latin America. The national economic output in 2010 will reach $ 250 billion. But the country\\ s medical device industry level is not high, so the health sector needed to import medical equipment products. Colombia, in 2010 the total imports of medical equipment will amount to $ 620.3 million.
Mexico
Mexico medical equipment market in Latin America called the \"leader.\" Since 2010 the country\\ s medical device market value of $ 2.7 billion, even more than many of its population than Brazil (Note: the Brazilian population of 186 million, and Mexico 106.9 million). The biggest difference between the Department for Mexico medical equipment mainly imported products (mainly the U.S. product), while Brazil is able to achieve self-sufficiency, only CT, MRI and other high-end diagnostic equipment need imported from overseas. As early as ten years ago, Mexico joined NAFTA already, so the United States and Canada, North America, including the production of medical devices can be developed unimpeded access to the Mexican market, resulting in today\\ s medical device market, the Mexican American products dominate the world the situation.
Peru
According to foreign reports, the medical device market in Peru in 2010 the total size of $ 229 million, as eight major Latin American economies, the \"bottom of the country.\" But Peru\\ s medical device market is the fastest growing countries in Latin America market. According to statistics, the import growth rate of the medical device market in Peru has more than 10% for three consecutive years. Because Peru is a major exporter of minerals, so little by the international financial crisis, and its population of 7.6 million fully integrated into the national health insurance, universal health insurance health authorities to implement the country\\ s imports of medical products to expand the foundation.
Venezuela
Venezuela is the main oil-exporting countries in Latin America. As the soaring international oil prices in recent years, the Venezuelan government in the hands hold a lot of petrodollars. It is understood that in 2010, Venezuela imported a total of 7.86 billion dollars in medical devices, the number second only to Mexico. But Venezuela\\ s population is only the latter less than 1 / 3. Thus, if the amount of per capita imports of medical equipment calculated Venezuela ranking Latin American countries should be the first. The future of China\\ s medical device manufacturers should increase the rich Venezuela and other Latin American market development efforts for products to export more to the Latin American market.
Cuba
Cuba\\ s total population currently has 1125 people, many in the Caribbean island nation in the first place. Cuba is a small, but its industrial output value close to Colombia and other South American countries. As has long been subjected to the U.S. economic blockade, Cuba has only primary medical equipment production capacity, most devices still imported from abroad. Cuba and Venezuela and other oil-rich Latin American relationship better. Last year and this year, Venezuela has been for 2 years a lot of oil to Cuba, and Cuban medical products and places to send medical teams, etc. return Venezuela (Cuba\\ s medical standards are high). Because the United States cut off any financial dealings with Cuba, it is necessary Cuba CT, MRI and other high-end equipment, mostly from EU countries. It is estimated that Cuba\\ s medical device market is roughly $ 300 million, of which imports about 20%. As China\\ s friendly country, the Cuban government last year, the Chinese government $ 350 million long-term low-interest loans, part of which is used to pay for imported products of China\\ s medical equipment costs.
According to Datamonitor consulting firm reported that the eight major Latin American economies between 2008 and 2013 the average annual growth rate of medical equipment market will reach 4.6%. To 2013, the eight countries of the medical device market value will reach $ 9.2 billion or higher. In short, Latin American countries are generally good recovery the national economy, the overall upward trend. Latin American market is expected to become China\\ s medical device industry, new export markets, its growth is very broad.
Purchase of medical equipment: Holter System Selection Guide
(1) Holter ECG recorder system\\ s key component is the Holter system directly determines the overall performance. Therefore, the choice is a key logger component.
With the memory digital signal processing technology and medical technology, the rapid development of digital continuous Holter-type recording system gradually replace the traditional tape has become a mainstream product. General should consider buying digital recorders, buy digital recorder, to examine the AID converter sampling rate, frequency response and other parameters. These parameters affect the image quality. Higher sampling rate and wide frequency response range to avoid aliasing. VPS generally require sampling rate 128 / s or more, frequency response range of 0.5 ~ 20 Hz or more.
With the extensive application of digital circuits, the frequency response, the sampling rate has improved significantly, some instrument sampling rate of 1000 Hz, a clear record of the patient can be released pacemaker pulse signal, in order to facilitate work on the pacing electrocardiogram and pacemaker status the analysis.
(2) general primary hospital convenience check purchase three-channel Holter system can meet the clinical requirements, and be sure to choose a large Hospital synchronous 12-lead Holter monitoring system to meet the clinical and research needs. Examine the products when they purchase brand awareness, science and technology, time to market, service procedures are complete and so on. VI should be based on high-end products into the products.
(3) focus on the choice of Hoher system, the software level, determines the grade of Holter systems, high-end software must have a complete dynamic ECG database, powerful analysis and editing in English, and software upgrades.
For example, the power grid, gold titanium instrumentation network, Hengxin instrumentation, Chun Kai electronic instrumentation in the past can only be edited several common arrhythmia and analysis, can now dozens of complex arrhythmias for editing and analysis. But also developed a sinus heart rate turbulence (referred to as HRT), microvolt T-wave alternans great (TWaveAhemation, TWA), sleep apnea screening, evaluation of atrioventricular node function and other aspects of the inspection.
(4) ECG playback system from the host mainframe computer, software and laser printers and other accessories. Computer Wind0WS 2000 or Windows XP platform. Capacity, high speed, the English version of the software. Powerful software. Sound analysis of Holter database, and a Chinese version of the software, monitors and printers, Taiwan groups especially the Guangzhou office | Beijing Taishi | Shenzhen Instrument | Tachometer | Meter | CIMA instrument sales platform in Guangzhou general application displays the current resolution The large-screen high-color display. Playback quality is a measure of the system software level of dynamic ECG key indicators.
Currently, there are still many technical Holter monitoring limitations and deficiencies, yet continue to develop a class of replacement soon Holter high-tech products, it is necessary to grasp the development of dynamic Holter and technical content of care to buy.
New medical reform: the five leading nonprofit medical Avenue
If you can not effectively mobilize the enthusiasm of staff, "the medical cause of public welfare" is just empty talk and jargon.
As we all know, to restore public welfare is an important new health care reform one of the goals, however, many people are clear what is meant by public interest and there is no clear understanding.
Public welfare medical services are not cheap
Currently, the most popular kind of muddled ideas, is the "public welfare medical services should be cheap," and its so-called "public hospitals, public welfare" means public hospitals, the hospital should be cheap.
Everyone knows that medical services continue to indulge in cheap, is bound to damage the young people entering the field of health care initiative, and therefore do not know about welfare benefits after all, is not enough words, so-called "government compensation," saying it should be transported and birth. In short, in order to maintain the "cheap and has a public" service, the government should pay for dependents. Government performance can be assessed, based on performance to determine the level of compensation for public hospitals. These ideas, with people able to understand the language, nothing more than assessment model workers, advanced options, bonuses.
These ideas and concepts familiar to the Chinese people. 30 years ago, China s production of both food, cups or the provision of medical services, are based on this concept, and the establishment of a set of system and organizational system. The name of this system is called a planned economy. The results we all know, the government certainly has the Top model workers to elect advanced, but the national economy to the brink of collapse. The production of food, in order to Top model workers, selected advanced medical services should be easier than the more feasible and better able to produce a public good effect. But in the old system, food in short supply, producers in the program managers so spare no efforts to the performance of all of us (now called the "Performance") for a variety of carefully assessing the case or not the production of enthusiasm. Thus, since 1978, the Chinese people, under the guidance of Deng Xiaoping Theory, and gradually abandoned the planned economy towards a market economy. Since then, no shortage of food.
This public service who will say good things, the key is what the specific objectives of public welfare, whether in what institutional and organizational arrangements to achieve this goal? As some have argued that to achieve the public welfare, the state should control everything. The medical field, the state should be planning, financing, compensation (or payment), service delivery, operations management, quality assurance, performance assessment, all-round, full-links, all-weather management. However, in practice, based on this idea and concept of the formation of some of the health reform policy, or is not necessary, or unenforceable, or not sustainable, because these policies as the planned economic system and policy, in that it "looks beautiful ", but has greatly dampened the enthusiasm of the majority of health care workers, eventually the majority of people do not feel the real benefits, so that public welfare vanished.
The specific objectives of public good is it? It should be noted is that I care about is the medical cause of public welfare, rather than the so-called "public hospitals, the public welfare."
"Medical cause of public welfare" refers to the basic health services affordability and accessibility. "Basic health services", that is, a certain level of economic development under the conditions of public health insurance (or basic medical insurance system) can protect the health services; "affordability" refers to the urban and rural residents will not be because of family financial difficulties and can not receive basic medical services, that is, to solve the expensive problem; "accessibility", refers basically to the nearest urban and rural residents seeking basic medical services, medical treatment is to alleviate the difficult problem.
The need to establish new mechanisms to achieve public welfare
To achieve the medical cause of public welfare, as long as the "repair" good 5th Avenue, you can reach the terminal.
1st Avenue: toward universal health insurance, so that all people can seek care, to solve expensive problems.
Goal is threefold: to expand the basic medical security system coverage to ensure that the vast majority of people (90%) can participate in at least one public medical insurance; improve the level of public health insurance, to health insurance for medical expenses within the directory more than 70%; health care organizations improve the management level, to promote medical institutions for the insured to choose cost-effective service line.
Let people seek care, is not that public sector services are cheap, but to improve the health care system. To achieve this goal, the key is government money to help the people insured. Now, universal health care on the right track, it goes without saying this has. The task ahead is to constantly improve the health care system, improve the level of medical care.
2nd Avenue: reduce the medication, so that people see a doctor to take medicine more affordable, so that the payment of health insurance fund more sustainable.
There are three problems to be solved the same: to all public health institutions to provincial drug concentration in the tender price as a sales price ceiling; allow medical institutions within the directory in the successful independent negotiations with pharmaceutical companies, self-purchase; allow medical institutions to determine their own Drug addition rate, as long as the final sales price can not exceed the bid price.
Public hospitals to hold down prices is a common phenomenon. The same company s drugs, most public hospitals purchase price higher than the wholesale market. Government sale of drugs in state hospitals can only increase 15%, its conception is rooted in the public hospitals do not make profits on drugs, it seems to give people the benefits and health insurance funds, but the consequences of this control is public hospitals in the drug procurement chain as far as possible high not to low.
If you do not solve this problem, even if the implementation of a universal health insurance, health insurance fund will bear the burden of public hospitals to hold down prices, universal health care brought about by the public welfare will not be able to implement. To curb the public hospitals to hold down prices, is actually very simple, you can solve these three problems. The policy mix has been in very few places to explore, welcomed by the medical institutions, works well, but its importance has not yet been fully understood. The combination of the following five-point policy benefits:
Heavy drug prices: the provinces into the bidding of each drug, its Heavy selling prices are at least 13% (drug prices are now based on the increase in the price of 15%).
Initiative to improve health care institutions: All medical institutions through self-efforts to reasonable and legitimate, open and transparent manner from the medical to get more circulation revenue. Well known that many drugs in the wholesale market and there is a big price difference between the price.
Commercial bribery and heal chronic illness: the difference between the purchase of medicine belongs to all the income of employees, if the staff responsible for drug procurement not serious "bargain" and attempted to secret kickbacks, they will meet their colleagues and managers powerful inspectors.
Over the line Divine: The fiscal policy mix does not require a penny, it can be implemented throughout the country.
Bidding system reform to promote drugs: focus on pharmaceutical cost-effective health care institutions will be actively involved in bidding drugs and active pharmaceutical circulation squeezed "water."
3rd Avenue: Let the independent development of medical institutions to increase the effective supply of medical services, medical treatment is difficult to effectively ease.
This road has six breakthrough: to break into the medical field hinder the social capital of all the "glass door" to implement the Office of Medical diversification; effectively implementing the "affairs separate, separate management from operation" principle, so that public health institutions and health authorities from superior-subordinate relationship; promote the incorporation of public medical institutions, public medical institutions to effectively improve the corporate governance structure, so that stakeholders (particularly representatives of the medical staff and public representatives) to the Council and the Board of Supervisors; established system of public medical institutions, investors, In the case of the formation of the necessary public sector administration, on behalf of the government playing the role of the investor; explore the public sector the government Council members and public members of the justice system, ensure that all elected directors and supervisors of public transparency; to explore public medical institutions, social accountability, specifically directors and supervisors of medical institutions management oversight responsibilities, and the emergence of misconduct in the management (especially corruption) is to monitor.
Supply of medical services in many parts of the shortage problem is not solved, public welfare would be impossible. "Affairs separate, separate management from operation" principle, the party s congress has been loaded reports and documents in the national health care reform program has been reiterated several times, but in practice around the reform has not been effectively implemented. The fundamental reason is that health administrative departments of the "separation of management from operation," the strategic importance of the principle of lack of awareness and understanding. The principles of the new medical reform is not implemented, the private and public sector development will be subject to administration of the extrusion.
4th Avenue: public finance purchase of welfare services for the whole society, to establish a new mechanism for the government to promote public welfare.
This road there are five signs: the establishment of a new mechanism for government procurement of services, the purchase of various types of objects to set a non-discriminatory rules of the game; for personal public health services, such as immunization, maternal and child health services, and special (for example, various types of screening), may issue vouchers, to the beneficiaries to choose the service provider; the original public sector there is no need to increase operating expenses, that is not necessary, "dependent"; can "keep things", but special Fund should adhere to the configuration of competition and openness; to maintain open and transparent government procurement of services.
Local government procurement of services in the construction of a new mechanism, yet to take significant steps. The key reason is that, over the old system is still stuck in dead-end into the past, that in health administration system to manage the internal use of administrative power of public sector finances. "Building mechanism" to implement, requires new public management ideas, such as the object of public financial subsidies should not be limited to public medical institutions, but should be expanded to meet the target set by the Government s welfare to all medical institutions.
5th Avenue: to promote the full labor contract system, to improve medical treatment and enthusiasm for work.
There are five problems to be solved: the effective implementation of the autonomy of public sector employment, setting a quota for other posts by the medical institutions themselves, dilute and the phasing out of public sector staffing of administrative management; promote full labor contract system in the management and backbone through the employment contract to explore the annual salary system; through the implementation of the labor contract system, to promote the physician s "more practice" to achieve the free movement of medical personnel; to take "old old methods, new new approach, the people approach" measures to steadily promote the administration of institutions of public personnel system to the corporate transformation of human resource management; government (through existing veteran management) with overall responsibility for public sector pension for all retirees and other benefits, so that retirees and medical institutions from the original relationship between the executive and the progressive realization of the social old-age security.
Countries, especially China s experience and lessons have proved to personnel administration system (or "quasi-civil service") to manage the medical personnel of medical institutions is not successful. To mobilize the enthusiasm of staff, the only way is to introduce market mechanisms and human resource management concepts and systems, allowing surgeons to become a free Practitioners, a professional manager to president. Once the actual implementation of the full labor contract system and the full realization of social old-age, all types of medical institutions in a fair environment to carry out fair competition.