Tag Archives: blood bags
Global challenge of diabetes increased to 366 million worldwide health care system
Experts said on Tuesday the current global diabetes has increased 366 million people, one person every seven seconds died of diabetes, diabetes has taken on global health care system constitutes a "great challenge."
Most of them belong to type 2 diabetes, which is poor diet, obesity and lack of exercise related. With the growing acceptance of the developing countries of Western lifestyle, diabetes, problems spread rapidly.
Patients with diabetes lack the ability to control blood sugar, or lead to serious complications such as heart disease and stroke, kidney or nerve damage of, or cause blindness. Currently the number of people with diabetes worldwide die each year from 4.6 million.
Diabetes top medical experts in Lisbon at the European Society of Diabetes (EASD) released the latest data, emphasis on a United Nations meeting next week, Governments should take urgent action.
19-20 September, New York will hold high-level United Nations meeting to discuss what action to take to deal with diabetes and other non-communicable diseases (NCDs) increasingly serious problem. This is the United Nations AIDS conference held in 2001, the second time to disease as the main topic at the meeting.
Spread and the cost of diabetes to the latest data published in the International Diabetes Federation (IDF) of the Definitive Guide "DiabetesAtlas"
Tianjin has achieved the basic medical insurance, urban and rural
From Tianjin Human Resources and Social Security Bureau, Tianjin 2011 residents participated in the basic medical insurance reached 491 million, covering all children, students, rural residents and urban non-employees, the city has achieved co-ordination and urban and rural areas.
From January 1, 2012, the Tianjin to participate in urban and rural residents basic medical insurance, per capita funding criteria from the current 210 yuan per person per year increased to $ 300. Appropriate standards which individual contributions, the government subsidies are further increased.
Secretary of Tianjin People s Insurance hole long since, during the adjustment policies, first implemented the work of medical and health system needs to increase efforts to reduce government subsidies to public out-patient burden. The second is the need to achieve fund balance, Tianjin relatively low current level of funding to improve the funding criteria will ease the pressure on health insurance fund.
From 2013 onwards, insured residents in a hospital (including community health centers) occurred in more than 600 yuan to 3,000 yuan door (emergency) patient medical expenses, reimbursement will increase from the current level of payment in accordance with reimbursement of 40%, respectively, 35%, 30% to 50% uniform.
Occurrence of insured residents of compliance within the provisions of health insurance hospital medical expenses, a hospital Qifubiaozhun from 100 yuan to 300 yuan, two hospitals from 300 yuan to 400 yuan, three hospitals Qifubiaozhun unchanged still $ 500.
Tianjin s current policy adjustments will be January 1, 2012 implementation date. Including through schools, nurseries insured in school children, 2012 to benefit from the treatment of health insurance this year, beginning September 1.
Chinese medical device market can be sustained and rapid growth it?
China\\ s economic development process, in 2010, is bound to be a landmark year. This year, under the pressures of China\\ s GDP remained at 10.5% growth, the overall size of the economy than Japan, the largest in the world\\ s second largest economy of the column. As part of the overall economy, China\\ s medical device industry is particularly dramatic momentum, its market size in one fell swoop this year exceeded 100 billion mark, reaching 120 billion yuan, up 23% growth rate for China\\ s overall economic painted a splendid development.
Chinese medical device market\\ s rapid expansion since the reform and opening up first to benefit from the positive performance of macroeconomic fundamentals. At the same time, governments at all levels in recent years is also inseparable from the national medical and health sector support. National statistics show that in 2006, the national health care spending is 132.023 billion yuan, by 2010, this expenditure is increased to 443.9 billion yuan, of which the central government health expenditures amounted to 148.535 billion yuan, local governments spent $ 295.4 billion health care million, respectively, in 2006, 10.76 times and 2.50 times.
In April 2009, the State Council \"on deepening the reform of medical and health,\" and \"medical and health system 2009-2011 to deepen implementation of the program,\" The introduction of these two documents, marking the country\\ s new round of medical reform health official on the agenda. To promote the implementation of new health care reform, the state promised in 2009 to 2011 three years additional invest 850 billion yuan (12.3 billion U.S. dollars) to establish a universal health insurance system from 2010, covering 90% of China\\ s population, while focusing on improve community health services in rural areas and construction of the center. In this backdrop, China\\ s medical device market ushered in an important period of development, the market outlook is excellent. Real market performance does not live up to expectations, and even better than expected. Medical Imaging Market Research dot com platform, in 2010, China\\ s medical imaging equipment sales grew 31%, especially MRI, CT and other large equipment, the growth rate is even more shocking. Throughout the year, MRI product line growth rate of 52% 1.5T product line growth rate of 74%, 3T product line growth rate of 91%, 78% compound annual growth rate superconducting products; high-end CT sales exceeded 100 units, an increase of 66.67%. In addition, in 2010, China\\ s market growth DSA is also very eye-catching product line annual growth rate of 54%, much higher than the percentage increase over the same period in 2009.
Overall, MRI, CT and DSA are just a Chinese medical device market, the tip of the iceberg. Chinese medical device market growth performance in more low-end medical equipment. The data show that in 2010 China\\ s growth rate in the low-end medical equipment up to 30%, significantly higher than the industry average.
China\\ s demand for low-end Yixie rapid growth of new medical reform policy are inseparable. Speed ??up the construction of hospitals and primary health care to shorten the gap between urban and rural areas is the keynote of the new medical reform. To this end, in the primary hospital will naturally become the focus of national financial investment. Ministry of Health statistics show that in 2009 the Central funds will be arranged 20 billion yuan to support construction of nearly 1,000 county-level hospitals, more than 4700 urban and rural primary health care institutions, to improve primary medical condition; the hospital in 2010 will be the primary focus of the year into the most , government at all levels continue to increase investment in health care, national fiscal expenditure on health care budgets 443.9 billion yuan, of which 138.9 billion yuan from the central government is mainly used for the new rural cooperative medical insurance for urban residents and workers, medical aid and other basic medical security system, a total expenditure of 55.6 billion yuan; In addition to the implementation of basic and vital public health services, and support the construction of urban and rural primary health care institutions of the more than 300 million. However, entering 2011, it means that China\\ s new health care reform into the closing of the year. With 850 billion yuan additional investment gradually put in place, we must ask whether the Chinese medical device market has remained robust growth?
To really answer this question, you need to first figure out exactly what the important factors affecting the past few years the development of China\\ s medical device market, and these factors in the coming period will be what changes occur. In addition, we also need to find out whether there will be an important factor to influence the new order to act on the future of China\\ s medical device market growth.
Fundamentally, medical equipment market trends and demographics of a country or region, economic development level, the Government\\ s emphasis on health and social class structure and other factors are closely related. Next, this paper will analyze these factors:
First of all, China has 1.3 billion people, accounting for 22% of the world\\ s population. Such a large population base out of the medical needs of the birth is difficult to estimate, and its medical device market in China will be a long-term good in the short term will not change. Moreover, with our aging continues to accelerate the positive impact of the favorable factors will also become increasingly evident. Currently, the country\\ s aging population of about 1.6 million people, about 12% of the total population. 2020 China\\ s elderly population will reach 240 million people, it will be 17.17% of the total population.
Secondly, our country still can accomplish a great deal of important strategic opportunities, the national economy can continue to maintain rapid, healthy and orderly development. This is fundamental to people\\ s livelihood and the future of medical device market growth provides essential financial protection. Only sustained economic development, the Government can be more powerful to give financial support to protect the livelihood of the people. And health care is an important part of people\\ s livelihood.
Thirdly, as a socialist China, the world\\ s most capitalist countries are essentially different. This was reflected in the government health care system in the country has a dominant role can not be shaken. The majority of public hospitals, government financial support for a direct impact on these hospitals for various medical equipment medical equipment, especially large-scale high-end level of demand. In the foreseeable period of time, as public hospitals, basic health care services market will not change the subject. Therefore, the Government\\ s emphasis on health care is a particularly important factor. This factor increased the national level that is commonly referred to as policies and regulations, which include medical insurance for urban employees, urban residents and the new rural cooperative medical insurance system such as a set. We have good reason to believe that in the future, the state of health will be more and more attention. \"Second five\" Plan a prominent bright spot is to protect and improve people\\ s livelihood.
Fourth, although the new medical reform into the wrap, urbanization will slow down, but the country\\ s new rural construction has just begun. China has about 800 million farmers living in rural areas. Since the existence of urban and rural economy, China\\ s vast rural areas is still very backward, very weak infrastructure. Unbalanced development of urban and rural social conflicts caused by social disharmony is increasingly becoming an important factor. To effectively mitigate and ultimately solve this problem, the next state will continue to increase rural and backward areas of support efforts. The current state is stepping up the construction of new countryside is proof. As the population, wide area and stalls and so on, the country\\ s new rural construction will be a long process, but along with this great process, to some extent, China\\ s medical device market will have a worthwhile long-term growth looking forward to pulling the engine.
Finally, the introduction of the policy of our country Shehuibanyi private hospitals and foreign hospitals provide valuable development opportunities. Medical services market in China, private hospitals and foreign hospitals will serve as important market players compete with public hospitals on the same stage. Private hospitals and foreign hospitals in China\\ s real development has just started, or the early spring sun, along with the degree of the Chinese market step by step deeper, private hospitals and foreign hospitals can only be a more favorable environment for development, thus, its development prospects will be more bright. I believe that, from the private hospitals and foreign hospitals, good for the future growth of China\\ s medical device market impact will be limitless.
Above, although the new medical reform has entered a wrap, but the impact of China\\ s medical device market, most of the long-term positive factors will continue to exist, and many also likely to play a more beneficial effect. There will also be joined by new factors. Along with the \"second five\" start, in the foreseeable future quite a long time, these positive factors may well join forces to promote China\\ s medical device market to continue to maintain high growth momentum. However, I believe, and different from the past, the future market growth driven Yixie more likely to come from low-end medical equipment needs, the main demand is widespread and numerous, the primary hospital and the majority of the emerging private hospitals and foreign hospitals. Perhaps it is for this reason, long-term high-end medical equipment market accounted for multinational giants have to adapt strategies, point the finger at China\\ s primary health care market. Recently, GE Healthcare has launched a comprehensive strategy for the integration of grass-roots level locking \"spring program.\" Other multinational giants, and the local national brands to be outdone, basic health care market can be described as the battle is imminent.
Bio chip experience blitz
China s bio-chip companies are entering the ranks of international leaders, has more than 500 kinds of bio-chips and related products come out, mainly for the detection of autoimmune diseases, pathogenic microorganisms detection, food safety testing, hla typing test (bone marrow typing) and health screening.
The next five years, biochip in clinical testing, bio-safety testing, import and export quarantine testing, forensic, health screening and other areas of the prospects of getting better. By 2010, the global biochip market value will reach $ 4.2 billion.
"2006 International Bio – Nano – information fusion Conference and International Forum on Biochip Technology," October 12, closed in Beijing. The latest information indicates that the meeting revealed -
14.1% average annual growth of international
On bio-chip technology is in the life sciences since the 1990s and developed rapidly in the field of high-tech. It is the reduction of biochemical analyzer, obtained by micro-processing chip micron-sized structures and biochemical treatment combined with the thousands of life-related information integration in the 1 cm square chip to achieve the cell, protein, dna and other biological components of an accurate, rapid, large amount of information detection. At present, bio-chip applications covering biology, medicine, pharmacy, agriculture, environmental protection, forensics, biotechnology, health sciences and all other areas.
Genetics with the bio-chip pharmacological and pharmacological Genomics Institute, the world s drug market involved about $ 180 billion annually. According to statistics, in 2005 the output value of global bio-chip is about $ 2.3 billion. Among them, the market value of approximately U.S. $ 1.58 billion, the China market value of about 4.1 billion yuan, of which the output value associated with the health examination about 1.8 billion yuan. By 2010, the global biochip market value will reach 4.2 billion U.S. dollars, annual average growth rate of about 14.1%.
At present, China s relevant agencies ongoing study of protein chips in order to produce the sensitivity and specificity, and fixed a lot of activity in a variety of new protein chip. In the 21st century, this technology would not only early diagnosis and treatment of diseases have a tremendous role in promoting monitoring, and environmental protection, food safety, biotechnology, pharmaceutical industry and other fields also have broad prospects for development.
Multinational companies for drug screening
In recent years, bio-chip technology has become an international biotechnology research and development of hot spots. Gene chips, protein chips, cell chips, tissue chips of the older, more mature technologies have been widely applied micro-array chip, microfluidics and other technologies are mature and begin to be applied in various fields.
As the bio-chip technology has great commercial value and prospects, the United States, Britain and other developed countries are increasing investment in research.
The United States in the global bio-chip research and development and long-term dominant. December 27, 2004, the U.S. Food and Drug Administration in the world s first company to Roche Diagnostics dna chips and accompanying affymetix company s microarray scanner access permit issued by a medical diagnosis. In the detection of infectious diseases, affymetrix with bioMerieux, France, jointly developed with the microbiological testing related gene chips, in recent years may be declared to the fda.
Almost all of the world s multinational pharmaceutical companies have invested heavily in the use of gene chips to carry out high-throughput screening of new drugs and pharmacological genetics, pharmacology genomics research. Many important international bio-chip multinational companies promising market prospects, have increased.
China has 356 patents
China is the world s first approved to enter clinical microarray country than the United States nearly three years earlier. At present, China has more than 500 kinds of bio-chip and related products available, from 2002 to 2005, cumulative sales of bio-chip nearly 250 million yuan, more than 10 chips or related products to achieve industrial production, Beijing and Shanghai National Engineering Research Center to become the industry leader, Tianjin, Xi an, Nanjing and other places nearly 50 bio-chip R & D institutions and more than 30 bio-chip companies to flourish.
Biochip National Engineering Research Center in Beijing gene chips, protein chips, cell chips and microfluidic chip technology research has been reached or exceeded international standards. For example, the development of autoimmune disease detection, detection of pathogenic micro-organisms, food safety testing, hla typing test (bone marrow typing), health screening and other closely related with the national health-based chip technology, many applications have been developed ahead of the West . It is understood that Beijing Biochip National Engineering Research Center has five products to international markets, including confocal laser scanner to Europe, America, Korea and other regions of the export orders have reached one hundred sets of class size, to achieve our original life science instruments first exit, marking China s bio-chip companies into the ranks of international leaders.
Experts believe that the clinical detection of low-density microarray chips will be the entry point into the clinic. In the future, more sophisticated biochip products from the laboratory into routine clinical testing, clinicians can make use of bio-chip technology to achieve early diagnosis of many diseases and individualized diagnosis and treatment.
"15" period, China s biochip research were 356 domestic patent applications, foreign patents 62. Ministry of Science and major projects, "functional genomics and bio-chips" in the bio-chip research team in the international authority of the journals published nearly 20 articles, reporting with independent intellectual property rights and infectious diseases and tumor-related marker genes and new gene cluster 753, and some of the functions of genes and proteins to carry out a study to obtain, such as viruses, bacterial infections and cancer diagnosis and treatment of the marker gene (cluster) and targeted sirna molecules and a number of important results.
Link
At present the common bio-chip is divided into three categories: first class for the micro-array chip, including gene chips, protein chips, cell chips and tissue microarray. The second category of microfluidic chips, including various types of chip sample preparation, chromatography and capillary electrophoresis chip chips. The third category is the bio-chip based analysis systems or integrated chip, said laboratory. It also includes associated equipment and facilities. Biochip with miniaturization, integration, parallelization, and automation features.
In micro-array chips, China has developed a hepatitis virus detection chip, respiratory pathogens detection chip, sexually transmitted disease pathogens detection chip. In addition, genetic disease diagnosis chip, chip, tumor assessment, cardiovascular disease diagnosis chip is being developed. Part of the tissue microarray products have started to medical research services.
In microfluidic chips, Zhejiang University, Nanjing University and other units have been actively developing, especially in the capillary electrophoresis chips gratifying achievements. In biochip related instrumentation, less domestic R & D units, most dependent on imports.
U S diagnosis of gastroparesis syndrome developed can swallow capsules
SmartPill U.S. company has developed a wireless ingestible medical device SmartPill gastrointestinal (GI) Monitoring System, now the system has received U.S. Food and Drug Administration (FDA) for permission to use in the U.S..
The system size as a large vitamin pill, helps a comprehensive diagnosis of gastroparesis syndrome. Gastroparesis syndrome can affect many patients, including about 50% of diabetes and Parkinson\\ s disease.
Gastroparesis syndrome called gastroparesis symptoms, also known as stomach weakness, stomach paralysis. To delayed gastric emptying is a clinical syndrome characterized, mainly as early satiety, postprandial bloating or weight loss episodes of retching, the clinical examination found no organic damage to the gastrointestinal tract.
Nine chaos exposure medical fees charged standard price difficult to manage lag
From April this year, Guangxi carried out inspection of medical and health services, prices, uncovered a total of 558 cases of illegal price, the amount of alleged illegal price $ 340 million, has more than 300 million economic sanctions. Inspectors found that medical and health services mainly in the nine aspects of these problems exist because the medical fee policies, and there are all kinds, plus there are a number of medical institutions, income generation, the idea due to increased unit effectiveness.
Nine health issue fee deposit
According to reports, these nine questions are:
Recurring charges.
Price regulations, all surgical equipment and consumables needed in conventional pricing has been included in the cost of surgery, are not separately priced; Also in the \"excluded content\", \"description\" in the clear can be subject to the special price of foreign medical supplies and materials such as the name of the project, other projects are not included in the charges and materials are not allowed. Can be part of the medical units still charge these fees.
Expand the range of charges.
Part of the medical institutions to collect all newborn babies born in the radiation emergency treatment fees, infant and child health medical examinations, neonatal scale inspection, health counseling and other expenses; health advisory fees charged to patients, health education and disease costs, daily living skills assessment and Conductive Education training and other expenses.
Self-reliance project fees.
Such as CT scans of patients to receive the image recording fee, CT laser sheet fee; to collect disposable plastic potty patients, health kits, hygiene sets of cups, the patient identification card, the cost of materials (network maintenance) and other items.
Implementation has not reduced the price of medical services.
Autonomous Price Bureau has lowered subcutaneous injection, intradermal injection, intravenous injection, venous blood, venous blood and other parts of the price of medical services, but some medical institutions according to the former standard charges.
Price higher than the government set prices.
Some medical institutions outside government pricing, raising the standard charge to the patient. Such as patient check-pregnant women receive fetal electrocardiogram costs 22.2 yuan / times, the required standard of 20 yuan / times; community patients, B-routine examination requirements of 24 yuan / part time, it has charged 30 yuan / parts; of patients receive safe catheter was 35.1 yuan / branch, the provisions of 25.32 yuan / support.
Service charges are not only less service.
Some hospital patients to receive \"special treatment by endoscopy,\" \"special treatment by colonoscopy\", X-ray computed tomography (CT) scan (three-dimensional reconstruction) and conventional susceptibility testing and other expenses, but did not provide to patients medical services; on the occasion of hospital emergency patients received consultation fees, but did not actually carry out inter-hospital consultation; on routine ECG of patients do not charge for services rendered in accordance with the provisions of additional ECG leads fees.
Exceeds the rate of price increase fees charged for medical supplies.
Autonomous individual medical institution violates the relevant provisions of the Price Bureau, collected over a one-time price increase rate of medical materials fee.
Inflated the number of arbitrary charges in disguise.
Individual health care institutions in order to avoid inspection, a more subtle and sophisticated means more charges in disguise, in order to reduce medical waste material, to make up for economic losses as an excuse to hospital, in a one-time supplies, medicines, blood products, etc. make a big fuss, making a one-time consumables sales number greater than supply; blood products sales volume greater than the number of databases; drug sales amount greater than the number of libraries.
Management of medical units of the charges are still irregularities in the office.
According to reports, price departments at all levels of medical institutions in recent years, although the specification of continuous rectification, the hospital in charge of publicity, price tag has been more standardized, but upon inspection there are still shortcomings, such as some medical institutions publicity hospital drug prices contents of a single card, coverage is small, prices are not up to date, so that these patients can not fully understand the relevant information on the price charged.
Four main reasons why so difficult to regulate health services charges
Check the price of health services every year, every year some of the problems even check every year. In this regard, the inspectors believe that the main effect by the four main reasons why so difficult to regulate medical and health services fees.
Inspectors analysis, primarily because of some sense of medical and health institutions system, some unit leaders on the management fee not pay enough attention, lack of full price management personnel, or personnel without professional training fees, resulting in individual health care institutions and medical services for pharmaceuticals price policy not know much about, not through understanding.
Followed by medical and health institutions is lagging behind prices management. Medical technology is changing rapidly, making the new health care project is gradually increasing. However, due to poor management of the hospital, did not apply in time to report new medical projects, but projects with reference to other medical charges.
The third reason is the lack of financial allocations, the hospital medical institutions to enhance the software and hardware level and improve employee benefits, only the price issue, through to prescription, over-inspection, light ill treatment, with the high price of drugs and treatment and other means more charges in disguise, leading to high medical costs borne by patients, the burden is too heavy, although improving the economic efficiency of this unit, but also caused tension between patient, doctor-patient conflicts increase.
The fourth reason is because health care institutions driven by profit.
Sun Zhigang: basic medical security system innovation
China is a country with a population 1.3 billion, the basic medical insurance system covers all urban and rural residents. This is a heavy task in developing countries, difficult project.
Doctor to reduce the burden on the masses, China decided to start promoting a universal basic health insurance system. Today, health insurance coverage of China in promoting the achievements of the international community has been attention. How to increase substantially in a short time the number of insured three basic health insurance? The protection of the insured population, while the level of health insurance will increase? Medical assistance if the insured due to high rates of change? This reporter interviewed a State Department Sun Zhigang, office director of health reform.
Correspondents: the establishment of a universal basic medical insurance system, people are concerned about how we achieve universal coverage?
Sun Zhigang: Create a universal basic health care system, build a social safety net is an important part of medical reform, medical reform is the foundation and the core position. To medical insurance for urban workers, the new rural cooperative medical insurance for urban residents as the main urban and rural medical assistance to reveal all the details, supplementary medical insurance and other forms of commercial health insurance to supplement the basic medical insurance system constitutes a universal framework. Reform more than two years, the government has increased investment to support farmers, the city, "one old and one small", students and mobile populations to participate in the new rural cooperative medical insurance for urban residents, a special investment funds to address the central nearly 800 million enterprise retirees off bankruptcy participate in health insurance problems left by history. At the same time, increasing the level of Medicare reimbursement, improved methods of payment, to facilitate settlement of the people, enhance the attractiveness of the system. Currently, three basic medical insurance system covers more than 95% of urban and rural residents, the number of participants increased to 1.295 billion people, with 162 million increase over 2008 people. Among them, the number of new rural cooperative insured to 832 million, an increase of 17 million people; comprehensive medical insurance for urban residents pushed, the number of participants reached 216 million people; the number of insured employee health insurance reached 247 million people.
Reporter: With more and more people join the ranks of the basic medical insurance, the coverage at the same time, how to make the security level is not reduced, but improved? Insured people have been what benefits?
Sun Zhigang: more than two years of reform, the new rural cooperative medical insurance for urban residents and government grant standard increase is substantial, from 80 per year per person in 2009 yuan to 120 yuan in 2010, 2011, increased again to 200. People get benefits from Medicare has four main aspects: First, the new rural cooperative medical insurance for urban residents within the hospital reimbursement policy from 2008 to 48%, 54% to 70% this year. The second is to increase the maximum payment limit. 2010, 90% co-ordination in employee health insurance, medical insurance for urban residents, the new rural cooperative maximum payment limit were increased to the average annual wage of local employees, local residents and the national annual disposable income of farmers per capita net income of 6 times in 2011 to 6 times more and not less than $ 50,000. Third, urban residents in general to carry out the new rural cooperative medical insurance and out-patient co-ordination, not only illness but also take into account the protection of minor ailments. As of end of September 2011, more than 90% of the new rural cooperative medical insurance for urban residents carried out in co-ordinating patient co-ordination. Fourth, a substantial increase in rural children with congenital heart disease in patients with leukemia and the level of protection. The actual cost of medical treatment in children with difficult family reimbursement from 40% to 90%, more than 20,000 "two-disease" children benefit, compensation funds reached 326 million yuan.
Reporter: At present, there are some community families with financial difficulties, had serious illness later, it is difficult to afford the high medical costs, how we solve this problem?
Sun Zhigang: medical assistance basic health care system in the referendum is the last one "security line." This year a substantial increase in Medicaid funding in 2011 has raised 17.85 billion yuan of funds, compared with 88.1% growth in 2008; the central government invested 13 billion yuan, more than double than in 2008. Save the object expanded from Poor Families, households enjoying five guarantees coverage to low-income seriously ill patients gradually, severe disabilities and the elderly low-income families. Relief was significantly improved in 2010, each outpatient, hospital visits Medicaid level of 185 yuan and 1751 yuan, respectively, compared with 2008 increased by 29% and 43%. Of course, we also see that the current level of medical assistance needs of the people there is a large gap, "five", we will further increase investment in medical assistance, to increase the relief efforts, and improve aid policy, building strong people see a doctor for medical treatment last a "security line."
Reporter: With economic development, increasing mobility of persons, health care system to meet the needs of social development?
Sun Zhigang: To make people see a doctor for reimbursement easier and more convenient, we have the basic medical security management system is also innovative. Promotion of medical treatment, "Card", co-ordination within the region to achieve real-time settlement of medical expenses. Province, 18 provinces have been carried out real-time networked remote medical billing, a number of places to explore inter-provincial "peer to peer" networking or commission settlement, reducing the masses "run errands" Loaning. Promote the reform of payment methods to explore the implementation by disease, total prepaid capitation payment and so on. Changchun, Chengdu and other places to explore health insurance pay for "negotiating mechanism" to curb the excessive growth of medical costs, reduce the burden on patients to see a doctor. Innovation in health care management services to managers, commissioned by some local commercial insurance agency with qualified health care managers involved in service, with good results. Explore the urban and rural basic medical insurance system reform, Tianjin, Chongqing, Ningxia Province as well as more than 40 cities to achieve the basic medical insurance system, urban and rural areas. Basic medical insurance system reform and innovation management from the point to the surface pattern is formed. Meanwhile, the commercial health insurance has also been a positive development. Commercial health insurance premiums in 2010 reached 67.75 billion yuan, up 15.7% compared to 2008.
Difficult to coming mercury free medical
Mercury thermometer in the family is becoming increasingly popular. Mercury is highly toxic if accidentally broken thermometers, mercury scattered out how to deal with?
The experts are given the standard advice is: spread sulfur, can form such a stable form of mercury sulfide, or mercury drops with a syringe to suck up, and then sealed with water, but the average family can not be ready to sulfur and syringes. As a result, Beijing Tiantan Hospital Health Education Office Nifu Jiang gives a more viable option, \"sweep up poured into sewers, ventilation window.\"
Geochemistry, Chinese Academy of Sciences researcher Xin-Bin Feng in \"Mercury Research\" for more than 10 years. He recently accidentally broke two in the bedroom mercury thermometer. The professionals in the ventilation window before the first instrument to measure the concentration of mercury move into the bedroom, found that \"the atmosphere than the mercury concentration in the outdoor 1,000 times higher.\" Although he quickly spread sulfur and windows open for ventilation, but until a month later the indoor concentration of mercury was slowly returning to normal.
It is estimated that a standard mercury thermometer contains 1 gram of mercury, such as evaporation of all, can a 15 m2 large, 3-meter room concentration of 22.2 mg of mercury / cubic meter. The average person in the mercury concentration from 1 to 3 mg / cubic meter of room, just two hours may lead to headache, fever, abdominal cramps, dyspnea, or may be due to the respiratory tract and lung tissue damage, respiratory failure to death.
Medical mercury mercury pollution accounts for about one-tenth. How to reduce mercury emissions from medical care, the implementation of mercury-free health care, is becoming an international health security in the world.
Global Village of Beijing, said Zhang Hong, director, Global Village of Beijing in Beijing, Tianjin, Kunming, Fenyang and had a \"medical mercury products and mercury-free alternatives survey\" found that all respondents of hospitals and doctors practice, only 25% -30% using a mercury thermometer.
Beijing Tiantan Hospital and the hospital is no mercury Jishuitan pilot hospitals, developed a 30% reduction of mercury-containing devices goals. This is a difficult task. Only the traditional one or two dollars a thermometer, electronic thermometer without mercury price up to a hundred dollars. Old-fashioned mercury sphygmomanometer price of about 100 yuan, Ji Shui Tan Hospital finally have to replace the mechanical blood pressure than 1700 yuan. To this end, the hospital was spent in the equipment replacement in about 60 million.
\"Are hospitals pay for their own, there is no economic benefit, bear only a social responsibility.\" Jishuitan Hospital Equipment Section Yangxu Bo said, if you want to further promote mercury-free health care, countries need to introduce relevant incentives, lower prices, increase accuracy degree.
It is reported that the World Health Organization has established the world\\ s mercury elimination program, the goal is to reduce the mercury thermometer in 2017 and global demand for blood pressure 70%. The European Parliament has passed legislation to ban EU mercury-containing thermometers.
Tsinghua University professor of clinical trials
Rehabilitation Engineering Research Center of Tsinghua University, Professor Zhang Jichuan said recently from his Beijing Rui Haibo Co., Ltd. developed paraplegia walking machine, after three improved and three prototype trial, technology is now ripe for practical clinical trials of paraplegic walking machine has been developed to complete. According to reports, the core technology has been applied for two patents, market prospect is broad.
According to Professor Zhang Jichuan introduction, paraplegia paraplegic disabled walking machine is used for travel aids and rehabilitation equipment. According to reports, the product has two main purposes: First, as a means of transport for paraplegic patients wore, driven by an independent agency in the foot to walk; two, and with the medical treadmill, lower extremity dysfunction as a major rehabilitation training equipment.
Zhang Jichuan said the product is an innovative design, at home and abroad has not been similar reports. According to reports, the walking machine with only one leg on each side of a small motor can achieve a large, leg linkage to simulate normal walking gait alternately, walking speed is adjustable. In addition, the walking machine can be achieved by unlocking the natural body posture, body with self-locking function, in the case of control system failure, the walking machine is self-locking state, to ensure the safety of users.
Walking machine control system consists of optical encoder, microprocessor, power amplifiers, position feedback system, etc., can be achieved automatically alternating legs gait and gait phase with automatic compensation function. Patients may need to manually adjust the walking speed. Currently used in clinical trials for practical walking machine has been developed to complete paraplegia. The walking machine using lightweight, high strength of titanium alloy, with a total weight of only 9.6 kg.
Reportedly, the product of the third round of the prototype in the China Rehabilitation Research Center conducted a trial in patients with good effect, meet the design requirements, has been welcomed by paraplegics.
As individuals with paraplegia is the main target of walking machine sound upper limb function in patients with paraplegia, according to the Second National Sample Survey on Disability, only paraplegia calculation, China had approximately 600 million paraplegia, if you consider 1 / 3 people with the requirements and ability to pay, there will be more than 200 million sets of market demand.
Zhang Jichuan said the product as an alternative to imports and exports is very likely, to further improve the performance, stability, quality and implementation of the mold in the case of mass production, coupled with the price advantage in the international market will also have a great a competitive advantage.
New ultrasound breast scanner in Europe began to use
Siemens Healthcare recently launched a new ultrasound system – automated breast volume scanner Acuson S2000 ABVS, currently in Europe radiology and gynecology clinics started, including Switzerland, France, Portugal, Norway, Germany and other countries can use the new patients screening method to be checked. As the three-dimensional (3D) image acquisition devices more accurate, this technique is especially suitable for the diagnosis of breast tissue density.
Germany Diavero diagnostic center, Dr. Frank was the first to use new ultrasound technology doctors, he said: "The ABVS system is manual ultrasonic inspection progress. This automated system provides consistent image quality, regardless of who is a doctor."
Acuson S2000 ABVS is the world s first multi-functional ultrasound breast scanner breast volume can automatically obtain images of women. The system is independent of the use of standardized treatment, the ultrasound to a new level. Dr. Frank said: "ABVS breast cancer screening ultrasound systems will become an important part of this technology in high-risk patients will play a key role in early detection and it can also be used for genetic susceptibility to diseases such as cancer cases or follow-up examination. "
According to the New England Journal of Medicine (NEJM), said the increase in breast tissue density of the five women with breast cancer risk factor. Conventional X-ray breast cancer screening will continue to be the preferred method. However, the Radiological Society of North America, published in 2002, a study showed that: if a breast ultrasound and the combination can not be touched for the detection rate of invasive breast cancer increased by 42%. "I always perform in patients with breast tissue density ultrasound to make sure the entire area was thorough." Stblen Dr.
The system automatically obtain three-dimensional images of breast volume scanner, the data provide the entire breast, and these numbers previously not available in conventional medical ultrasound systems. In addition to automated functions, Acuson S2000 ABVS allow all types of conventional ultrasound done manually. Dr. Stblen like this feature, which is more than the previous ultrasound diagnostic system of this type can greatly improve image quality. Application of the system is very flexible. I can immediately follow up automatic image acquisition, all of these components to help doctors more accurately than conventional methods of diagnosis. "