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Ushered in the level of foreign medical equipment to accelerate penetration of the primary market melee
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China\\ s medical device industry have been strong, multinational companies rely on technical superiority to accelerate the penetration of rural areas, while the concentration in the low-end market, domestic enterprises are highly profitable field of hard to break. \"Monopoly of multinational high-end, domestic SMEs account for the low-end\" of the balance of pattern, is expected to subversion.
First five months of 2011, four medical device companies Tung Fu Long (300171, stock it), yet the medical wing (002,551, stock it), Qianshan medicine machine (300216, stock it), the rationale for the state apparatus (300,206, stock bar) were landing GEM or small plates, price-earnings ratio of more than 45 times, Tung Fu Long is the issue of up to 96 times earnings. In these companies successful IPO behind lurks a lot to provide strategic or financial support of venture capital institutions, many of whom Fosun (600,196, stock it), deep venture capital and other well-known venture capital companies (Table 1). Momentum has grown in the healthcare industry, medical equipment sub-sectors of the charm gradually.
IPO, the investment and financing in the field events also accelerated warming. Investment in the Group\\ s latest data show that: in January 2010, April 2011, medical devices and the number of cases of private equity financing in the amount of medical and health industry accounted for respectively 23%, 18%, respectively, second only to the traditional strength of the pharmaceutical industry. The pharmaceutical industry\\ s first RMB fund CCB International medical industry funds, spend 100 million yuan following the injection of the vaccine packaging supplies companies Jiang Yin Lanling cork, the ED also Wuliangye (000,858, stock it) Pashtoon\\ s pharmaceutical plastic packaging business investment by 1.8 million.
Medical devices or ultra-pharmaceutical market growth
Funds favor logic, not only to China\\ s medical reform introduced the medical and biological context of the industry into the rising channel, but also from the development of medical device sub-sector potential. Data show that the global consumption of pharmaceuticals and medical devices ratio is about 10:7, while Europe and other developed countries has reached 1:1.02. But in China, \"drug dependent doctors,\" the traditional model, the pharmaceutical market is far more than the medical device market, the development of both capacity and the depth does not match the structure of the future of the pharmaceutical industry will occur within the trend changes. Drug spending accounted for the rise unsustainable, and medical devices in the medical sector is expected to rise in the proportion.
In recent years, the data related to corporate profitability further evidence of this, pharmaceutical industry analyst with Guoxin Securities, He Ping pigeon studies have shown that from 2001 to 2008, the medical device industry compound annual growth rate of revenues and profits were 28% and 41 %, much higher than the pharmaceutical industry 19%, 21% of the revenue and profit growth. CICC expects ,2009-2015 Sun Liang of China medical device industry compound annual growth rate will remain at 20-30%, the growth rate much higher than the SW Luo pharmaceutical industry analyst forecast of consumption of drugs between 2008-2015 16% compound growth rate of SWS while drug costs are expected proportion of total health costs from 33 percent in 2007 to 20% in 2040.
Import substitution and in the process of upgrading, China\\ s medical device industry is also expected to occupy more market share in the world. Currently, the global medical device market size of about $ 350 billion, of which the developed countries control 78%, but with China as the representative of the emerging market countries are experiencing rapid growth. From the State General Administration of Customs statistics show that China\\ s medical equipment import and export in 2010 amounted to $ 22.656 billion, an increase of 23.47%. Among them, exports 14.699 billion U.S. dollars, up 20.05%; imports amounted to $ 7.957 billion, an increase of 30.35%, the trade surplus to $ 6.7 billion.
Expansion of the cake before the trend of the market competing more intense. With the dividend policy of the rural market to foreign investors coveted endless, but highly profitable high-end equipment market is enough to make low-end price war trapped in domestic enterprises jealous. With both sides extending to other spheres of influence, the balance of the original change in the situation is brewing.
Foreign capital to accelerate the market penetration of primary
Rapid development of China\\ s medical device industry, foreign investment, joint ventures have become the main force, the top 10 export enterprises, foreign investment and joint ventures have seven. In the domestic large-scale medical diagnostic and treatment equipment market, General Electric, Philips and Siemens three foreign companies led by an absolute monopoly. According to the Chinese market survey research center conducted a special survey in 2007, the domestic market of about 80% of CT, 90% of the ultrasound equipment, test equipment 85%, 90% of the MRI equipment, 90% of the ECG, 80% of the Monitor high, 90% of high-grade and 60% of the polygraph sleep plotter markets are dominated by multinational brands.
With the new primary care doctors offered to tilt, to broaden the population covered by rural cooperative medical care and reimbursement increase, multinational medical device companies invariably turned their attention to the rural grass-roots marketing, trying to rely on technology, marketing strengths, areas of low take-all high school, through acquisitions, partnerships and other shortcuts to enter the Chinese market is the modus operandi of foreign-funded enterprises.
Back in 2008, to cardiac pacemakers, coronary stents and other products known Medtronic shares of HK $ 1.726 billion invested in Shandong Weigao Group, and the latter 15% stake to become the second largest shareholder. Meanwhile, both sides announced the establishment of a joint venture company, the exclusive distributor in China, Medtronic and Weigao orthopedic orthopedic products company. Healthcare giant General Electric also Xinhua Medical (600,587, stock it) and several domestic companies set up joint venture company, its policy is not inferior to the sensitivity of local enterprises. In the May 2009 launch of the \"Healthymagination\" strategy, General Electric announced that it will invest in the next six years $ 3 billion for the development of 100 kinds can increase the health coverage, improve quality and reduce costs of new products. Also, the medical health of John Dineen, President\\ s visit to China, the claim that most want to visit the county of Sichuan medical and health institutions.
The world-renowned medical imaging and information technology company Care-stream Health (Carestream Health, formerly Kodak\\ s medical imaging business, to $ 2.55 billion after the sale to Canada\\ s equity investment company Onex), as early as 2005, had the product structure of the strategic adjustment, gradually increasing in rural areas and communities to invest in the product market, the proportion of grass-roots level, and take the initiative to lower the price, as its imaging system, the $ 2 million from the previous reduced to 1 / 2 or 1 / 3. In the \"deep grass-roots\" strategy, driven by its low-end 2009 sales contribution to total sales has increased to 40%. Germany\\ s Siemens is also dedicated to community and rural health care market, such as CT scanners, ultrasound machines and other advantages of the \"affordable\" version.
Multinational companies to accelerate the market penetration of Chinese grass-roots, on the one hand the high-end medical equipment market growth, sluggish annual growth rate of about 10%, while the growth rate in the low-end medical equipment up to 30%. On the other hand, primary equipment is a big gap has also given them good reason, in China, medical resources are mainly concentrated in two cities, three major hospitals; 15% of medical institutions in the country\\ s existing equipment and facilities are of the last century products 70 years ago, 60% of the equipment before the mid-1980s of products in the Midwest and rural areas of this phenomenon is more serious. Ministry of Health Planning and Finance Division data show that China now more than 2,000 county hospitals an average gap of 30% of the equipment configuration, a large number of medical diagnostic equipment need to purchase or replacement. All levels of government commitment to put 850 billion yuan in medical reform cake, will also explicitly based medical tilt.
\"Development of medical devices suitable for China\" policy guidelines, in addition to product development and market demand for cost-effective to move closer to the grassroots level, the multinational companies also frequent tactics, sink channel, to create a public image of the first donation, by finance lease force to drive sales for its use in general practice is also to quickly reached the attention of this growing market.
Domestic enterprises: high-end advance
Strong top-down and penetration of different multinational companies, mostly concentrated within the primary market-funded enterprises, the State Food and Drug Administration (SFDA) statistics show that currently there are up to more than 6,000 medical device manufacturers, 118,000 enterprises . Prior to meddle in foreign disdain, these accounted for the vast majority of local small and medium sized medical device manufacturers, with the advantages of cost and divide up the channel in the low-end market. However, the disorder caused by excessive competition price war, coupled with the raw materials, labor costs, export exchange losses, the overall industry profit margins have been severely squeezed.
Although the construction of primary health care system to boost low-end equipment market demand, but read the policy direction of the foreign-funded enterprises have done its homework for the new cake division, top-down inertial advantage, once extended, the threat can not be underestimated. Domestic enterprises active in the main battlefield against the front, while also working to enter the high end. Diving medical (002,223, stock it) in 2010 set up a special laboratory, hoping to embark on extensive growth by the professional way, and can increase oxygen and other sub-areas of technical competence; industry exports ranked second Shenzhen Mindray also said that in the roots in primary market, will force the high-end, the main export-oriented market.
Jiang Feng Chinese Medical Association, pointed out that the relative pharmaceutical industry, medical equipment industry in the intersection of multiple disciplines, involving machinery manufacturing, IT and other technical level has a comparative advantage. China Healthcare Fund partner Chen Yun also believe in the pharmaceutical biotechnology industry, the sub-sectors with the smallest gap between the international advanced level, and return quickly. In addition, domestic investors are listed medical device company gave a positive response, venture enthusiastic, high price-earnings ratio, if used properly raised funds from high-end market segments of the breakthrough is not inconceivable. However, technology gap, the service, such as sales and marketing model are non-soft power gap between the day to make up for a moment.
In fact, deep price war to break through to high-end domestic enterprises, although in the face of strong enemy counterattack arrives move, but should be regarded as instinctive pursuit of highly profitable choice. In the basic health care market take advantage of the diving medical, and stent systems have been successfully break the monopoly of foreign music universal health care (300,003, stock it), although both at the medical device market with gross margin and net profit margin, there exists Tianrang other, the former 20% of their income from government tenders based health care market, but the net profit margin hovering below 20%, while the sub-field advantage in the general health of the music, the higher the market share obtained through the relative strength of pricing, gross margin as high as 80%, net profit margin of more than 50%.
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As the press release medical advertisements are strictly limited, part of the medical institution to use the Internet from print publications or publishing illegal medical advertisements, the same harm to the patient and his family can not be underestimated. Yesterday, the Shanghai Municipal Health Bureau, Health Authority announced to the public in the third quarter of the city investigation of illegal medical advertisements, the city a total of 52 private medical institutions as punishable by law.
Shanghai Yangtze River Hospital, Shanghai Medical Beauty big hospital, Shanghai anal Thai Hospital, Shanghai Peoples Hospital, Shanghai New Hongqiao Hospital, Shanghai Concert Hospital, Hai on the city such as the eye clinic 52 private medical institutions, as the Internet, self-printed publish illegal medical advertisements, or tampering with the contents of the audited medical advertising, health administrative departments shall be investigated.
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To enhance the quality of supervision and management of medical institutions, pharmaceutical, medical institutions to further regulate the use of drugs act, October 11, the State Food and Drug Administration (SFDA) promulgated the "Drug Administration medical institutions (Provisional)" (hereinafter referred to as "measures ").
According to statistics, as of 2009, China has various medical institutions 900 000, 80% of drugs in medical end-consumer. According to SFDA person in charge, the drug agency for drug production, distribution and other aspects of drug quality monitoring has formulated a number of regulations and normative documents, but has not been put to use for medical institutions, pharmaceutical aspects of drug quality control measures. In recent years, medical institutions, drug safety risks become increasingly apparent, Shanghai Ruijin Hospital, A Sting "eye gate" the use of drugs and other medical institutions due to frequent incidents of injury, attracted nationwide attention. As regulatory authorities, medical institutions should be strengthened for quality control of drugs, to further regulate the medical use of drugs act. "Development" approach "is the" Drug Administration Law, "" Drug Administration Law Enforcement Regulations "in the medical institutions, pharmaceutical quality management requirements to improve and supplement is safe and effective drug to protect the people the necessary means." The person in charge said.
"Measures" the purchase of medical drugs, storage, deployment, use and other actions proposed norms, and legal responsibilities related to specific provisions. Has the following characteristics: First, learn business aspects of pharmaceutical quality control ways and means of medical institutions in the drug purchase, storage, deployment, using the process conditions and the behavior of the relevant provisions; two drugs for use in medical institutions weak links and strengthen the deployment of drugs and medicines and other aspects of the demolition of zero quality control; third is to encourage medical institutions to achieve through the implementation of electronic monitoring pharmaceutical drugs can be traced throughout the flow; fourth recall of medicines put forward specific requirements to meet the relevant drug regulatory requirements.
Light of existing individual medical institutions or medical staff by profit, or privately with smuggling drugs to consumers in patients, resulting in serious acts of medical malpractice, and some medical organizations to adopt email sales, Internet sales, the counter medicines and other open-shelf choice disguised drug sales act, "means" prohibited. "Measures" Article VI expressly provides that medical institutions should be in accordance with the provisions of the drug by the special department of procurement, prohibited medical institutions and medical personnel of other departments on their own purchases. Article 23 stipulates that medical institutions may not use email sales, Internet trading, counter-demand, etc. open-shelf sales of prescription drugs directly to the public.
January 30, the Ministry of Health and State Administration of TCM, Ministry of Health, the General Logistics Department jointly issued the "Pharmacy provision of medical institutions" to regulate the medical institutions of Pharmacy. The official said that the introduction of the "way" is a "Pharmacy provision of medical institutions," the echoes, reflecting the health authorities and Drug Administration as a collaborative, roles, to enhance the medical institutions, pharmaceutical management level, to protect people safe and effective drugs.
The legal responsibility, the official said, the purpose of punishment is not a regulatory, medical institutions consciously and actively promote their drug use behavior is normative purpose. "Measures" in addition to the provisions of those who violate provisions of the act in accordance with the "Drug Administration Law" and other punishment, it also convert regulatory philosophy, take notice, notification, credit files recorded violations and other new approach, urging medical norms of drug use behavior.
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Global pharmaceutical consulting firm IMS official told reporters that the next few years, the domestic low-end medical market is expected to achieve 30 percent growth rate. Low-end medical market, the local medical devices industry is expected to lead to benefit, to achieve high growth opportunities.
Among them, the grass roots of the two, one, county hospitals and township health care needs of growth potential, low-end medical market expansion will be followed to find high-growth investment opportunities in the medical industry will continue to sink.
Primary health care space opens
According to IMS analysis, with the domestic health insurance coverage for primary health care and policy support, China\\ s \"top-heavy\" three-tier medical system in the next few years to reverse, in the \"inverted pyramid\" share of the top three hospital clinics expected to decrease, while at the bottom of the share of primary health care sector clinics will grow rapidly. Which is converted to \"first light foot heavy\" and \"are pyramid\" structure, to accommodate our large group of primary care conditions.
The end of 2011, the national basic medical insurance coverage will reach 90%, a substantial increase over 2005. Ministry of Health data provided by mid-October, the current network of rural health service system to further build a strong, 11 provinces had village health clinics included in the new rural cooperative co-ordination. The next step will be the year to ensure the village health system to achieve full coverage of essential drugs, the establishment of new mechanisms to promote grass-roots level.
New medical reform program that the central government in 2009-2011 three-year period to fund the build 2000 county-level hospitals and 29,000 township hospitals, township hospitals and upgrade 5000 3700 community health care institutions, the new 11000 community health care institutions. The goal is to achieve the current node.
Research institutions so that the new medical reform and health insurance coverage for primary care market to accelerate this year to promote the effect will appear.
First to benefit from medical device industry
At present, China\\ s low-end medical equipment procurement, local enterprises topped the list. IMS Management Consulting Principal Consultant Meng Jinli believe that this is due to the government in the primary care market, the strong support of local businesses. In addition, the medical equipment is updated once every 8-12 years, will also be a huge market space. It is understood that \"five,\" China will increase support for the development of domestic medical equipment, the implementation of centralized bidding and procurement, preferential purchasing domestic medical equipment.
Ministry of Health, who describes that from 2012 to 2015, central government will consider supporting primary health care institutions with basic equipment, provincial and county levels to enhance CDC test capacity building, institution-building in public health prevention and control of occupational health institution-building , and equipped with necessary equipment. In addition, the system will continue to improve rural emergency, ambulance and first aid equipment will be necessary to gradually increase. Emergency system in rural areas in 2011 will reach 720 million yuan investment, other medical devices will continue to increase investment.
A medical device company shares in 2011 to keep the good performance confirms this trend. In the context of rising costs, Xinhua medical announcements, company January-September net profit growth of 50% -100%, and because \"the domestic medical equipment market demand\", pulling orders, sales expansion and net profit growth. The diving medical, music medicine, yet the medical wing, red medicine and other medical device companies also have good performance during the performance.
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"Medical Reform Office of the State Council is organizing all forces to develop second five special plan for medical reform period." National Development and Reform Commission deputy director, Office of the State Council, Sun Zhigang, health reform has revealed a new medical reform plan process.
New challenges in health reform focus
It is understood that the first half of this year, all the people covered by basic medical insurance system has 1.27 billion people, the basic drug system in the country 46 000 government-run primary health care institutions to implement comprehensive, coverage of 98%. Implementation of new health care reform more than two years, the central government invested 47.15 billion yuan building a 2233 county-level hospitals and more than 30,000 primary health care institutions, basically there are clinics in each town, each community health service centers there. Reform of public hospitals in 69 cities first started, around the optimization of treatment processes are introduced and improved service delivery and many other convenience Waste Management initiatives.
Sun Zhigang said that the current deepening economic and social development of the proposed new medical and health system challenges, mainly in three aspects: First, from the economic and social development, "1025" period, China s economic and social development will present industrialization, urban , economic globalization and a series of new phase characteristics. Secondly, from the medical and health system, as the deepening medical reform and difficult issues and questions arise, the interests of the pattern of adjustment, institutional contradictions exposed, further increase the difficulty of reform, the complexity is more prominent. Finally, from an international point of view, the world s major public health situation is more severe, especially in developed countries are now in the health system reform.
The next five years, in order to promote sustainable and healthy development of medical and health sector, health care reform need to focus on promoting the following priorities: through sound new rural cooperative medical insurance for urban residents, medical insurance system for urban workers, and effectively play the role of basic security; to medical assistance system into a universal basic health insurance into consideration and increase the relief efforts; while to actively explore and encourage the commercial insurance sector participation in health care management handling services, improve the efficiency of the use of funds and services; also accelerate health care management system, operation mechanism reform, the system to promote seamless, and gradually form a sound framework for a universal basic medical insurance system.
Compensation mechanism for breaking drugs to support medical problems
Reporters found that "get rid of drug dependent doctors" can be described as "second five" medical reform work is a key point.
Some analysts have pointed out that the pharmaceutical industry in domestic "drug dependent medical" system, the reform of the pharmaceutical distribution system is still limited by the entire medical system, which is caused by the dominant retail pharmaceutical and hospital markets, regardless of the reason.
CASS Institute of Economics Research Fellow, contemporary Western theories of economic Zhu Hengpeng also "Medicine Economic News" reporter, said: "drug dependent doctors led to the field of pharmaceutical production and distribution of all the chaos and irregularities in the industry. Drugs to support medical because the pharmaceutical production area is a result of non-standard, while drugs to support medical problem, the problem is ultimately a health care system. "He said that the medical service price is too low, so get rid of drugs to support medical Footwraps hard line.
Reporters learned that the establishment of reasonable compensation mechanism is get rid of drugs to support medical problems can not be avoided. Eric Hong Kong Hospital Management Research Center, he Zhuangyi Jiang is recommended that: "Until now the implementation of health reform, in fact, the key card in two places: First, the money, if you cut off the drug dependent doctors, how compensation; Second, the interests of the department In a question of money, the Central may be a standard requiring a certain percentage of parts must come up with local governments, such as 5%, put in on health reform, like education, like the local financial investment. "
It is understood, medical separation, the pace is accelerating. At present, the reform of public hospitals has been established 17 pilot cities are exploring a complete set of patterns, "five-second" period will be spread across the country. Now, the 17 pilot cities around the pipe to do is separate the affairs separate, medical separation, separate profit and for-profit, co-promote institutional reform.
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By the Ministry led the development of the \"Internet of Things\" second five \"development plan\" will soon be issued, will focus on supporting intelligent industry, agriculture, intelligent, smart logistics, smart transportation, smart grid, smart green, smart security, medical and intelligence the field of intelligent home nine. Smart Healthcare as practical, close to the people\\ s livelihood, the more robust market demand one of the areas, with the integration of two in-depth, networking, cloud computing, the rapid development of mobile Internet, and began the outbreak of …
Into health care with the development trend of intelligent
Internet of Things technology will be widely used in surgical equipment, ICU, hospital and convalescent home care, the smart combination of wireless medical technology, barcode RFID, Internet of Things technology, mobile computing, data fusion technology, will further enhance the medical treatment process efficiency and service quality, enhance the level of integrated management of the hospital, monitoring the work of wireless technology to achieve comprehensive solutions to change and modern digital medical model, intelligent medical and health management, hospital information systems, problems and difficulties, and provide substantially reflect high degree of sharing of medical resources, reduce public health costs.
Through electronic medical and RFID technology can make things a lot of work to implement a wireless health monitoring technology, and telemedicine and self-care, timely collection and a high degree of information sharing can alleviate the shortage of resources, the dilemma of unequal distribution of resources, reduce the public health costs.
Things to rely on technology, the hospital assets, blood, medical waste, hospitals sterile and other management, pharmaceutical production, through the implementation of networking technology for the production process, market liquidity and the patient\\ s full range of drug testing.
Things to rely on communication and application platform technologies, including real-time pay and on-line diagnostics, online pathology analysis, exchange of equipment, etc.; to implement home security monitoring, patients received a variety of real-time information.
Through the Internet of Things technology to implement a disaster site medical data collection, including the interconnection of various medical devices, especially because of secondary disasters caused by the disaster, through the unity of things to achieve on-site resource scheduling.
Intelligent networking technology based on the medical doctor to make it easy, give a simple example: The patient to the hospital, just swipe the card on the self-service machine, you can complete the registration; to any hospital, doctors enter the patient ID number, and immediately see all the health information before, check data; with sensors on the body, doctors will be able to keep abreast of the patient\\ s heartbeat, pulse, temperature and other vital signs, if abnormal, with intelligent medical system will be connected warning to alert patients with timely medical treatment, treatment methods and other information will be sent to help patients with treatment time for the gold …
Development of intelligent medical
The development of intelligent medical divided into seven levels: first, business management systems, including hospital charges and drug management systems; second electronic medical records system, including patient information, image information; Third, clinical applications, including computer physician order entry system ( CPOE), etc.; Fourth, chronic disease management system; five regional health information exchange system; six clinical decision support systems; seven public health and hygiene systems. Overall, China is in the first and second stage to the third stage of the development stage, has not established a true sense of the CPOE, mainly the lack of valid data, data standards are not unified, the lack of clinical background with suppliers, from standards to practical applications is also a lack of standard guidelines. China wants from the second stage to the fifth stage, involving many industry standards and data exchange standard form, which is in need of improvement in the future.
In the remote intelligent health care, domestic development faster, more advanced hospitals in the application of mobile information technology in fact has come to the front. For example, medical information can be achieved, the patient information, disease information and other real-time recording, transmission and processing use, making within the hospital and between hospitals, through networking, real-time, effective sharing of relevant information, which is for remote medical experts consultation, referral hospitals, etc. can play a good supporting role, mainly due to the advance of the policy level and technical level of support. But the lack of long-term operation, the lack of scale, cluster-based industrial development, in addition to facing high costs, safety and privacy issues, this is also to stimulate future intelligent medical
The future direction of intelligent medical
Internet of Things technology for the medical field, through the digital, visual mode, limited health care resources to enable more people to share. From the current perspective of the development of medical information, with community-based health care, health-oriented development is increasingly evident, through radio frequency equipment and other related terminal equipment in the home for signs of the real-time tracking and monitoring of information, through effective things, can achieve sub-health hospital patients or the patient\\ s real-time diagnosis and health alert, which effectively reduce and control the occurrence and development of disease. In addition, the complex networking technology in the pharmaceutical and medication management aspects of the application process will also play a significant role.
With the development of mobile Internet, the future of health care to the individual, moving in the direction of development, by 2015 more than 50% of mobile phone users use mobile medical applications, such as smart capsules, smart wrist, intelligent health monitoring products will be widely used, with smart handheld devices and sensors to effectively measure and transmit health data.
Next few years, China will surpass the size of the smart medical market of $ 10 billion and involve a wide range of peripheral industries, equipment and product variety. Real start of this market, its impact will not be limited to the medical services industry itself, will directly touch including network providers, system integrators, wireless equipment vendors, telecommunications carriers, including the interests of the chain, thus affecting the telecommunications industry are a layout.
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Video conferencing systems have as high of more than 100 national high-speed network linking high-performance servers as the basis to form a stable, secure data center and network management. China has completed the layout of seven communications center, with reliable, easy management, high-performance intelligent redundancy, can completely eliminate the troubled north-south interconnection, high-definition 24 hours a day, medical and high-fidelity remote video communication services, Network support is very strong. In terms of price, as high-platform video conferencing service low prices, it has a flexible application deployment, users can flexibly according to changing needs of the deployment, for the strong of this kind of public welfare institutions, without the huge one-time investment cost, easy to better implement cost accounting and greatly reduce the application threshold. At the same time, the system simply apply ordinary broadband network can begin to video applications, video conferencing service platform deployment is very flexible to meet a great extent, the limitations of the hospital network.
As high video conferencing systems, also uses an advanced technology architecture, to ensure stable operation service platform, to ensure that users have enough time during a remote consultation a clear and stable picture. In addition, it can support users in the medical seminars, tele-consultation process conducted on the same side 25 video and 20-way calling, to meet the needs of multi-party calls. To ensure that cases of hospital patients, medical and other documents cases of absolute security, the system also strengthened the safety of products, whether it is voice, video or other data applications, all using high-intensity dynamic data AES256 bit encryption technology, can effectively prevent the information leakage, and enhance the confidentiality of the content.
Active Meeting has a strong network of support, it is based on the WEB log mode, you can run on the LAN, WAN, Internet and satellite Internet, without geographical limitations, to avoid the limitations of the hospital network to fully meet the telemedicine and communication effects. For off-site experts to choose the difficulty, high cost of accommodation, transport, the system is equipped with remote setting function, the system can display the user\\ s audio and video and remote setting of parameters, remote consultation, can directly select the appropriate experts, eliminating the tiring for the patient vulnerable to off-site bodily harm.
As a video communication software, Active Meeting MPEG-4/H.264 video compression technology using voice compression technology and G.7X subject to TCP / IP, UDP, RTP / RTCP / RSVP and Multicast protocol architecture that supports 16 audio and video interactive, with clear voice and video effects, to ensure the user during medical exchanges, academic reports, expert consultation stable when the effect of the multi-party teleconferencing successfully held simultaneously. With user-friendly product design, Active Meeting of the popular instant messaging client registry entry for the conferencing system to facilitate rapid user logon. Discussion for medicine, the system can support application sharing, whiteboard, collaborative browsing, file transmission, speech synchronization and other data sharing; support text chat, electronic show of hands, facial expressions to convey, conference recording and playback, conference voting, flow broadcast and other media files auxiliary functions, which greatly improved the product of interaction and ensure the meeting more lively and serious.
Social security card upgrade
A clear direction has been the electronic medical record information to load. Accordance with the \"new medical reform\" program, electronic medical records medical information will become the \"starting point\", the information of all aspects of the series together. From Shanghai, Shenzhen, Xiamen and other cities of practice, which means that as long as through social security card, the hospital can see each person\\ s medical records and past drug use, while the information the public can also with their social security number and Set the password via the Internet queries.
But this is only the first step in electronic medical records information to load. As the national social security information network access is subject to the same background, the expansion of electronic medical information, but also subject to the network transmission speed and back-end storage capacity. Prior to the person in charge of medical information throughout the interview, we have said, in addition to drug use, another can provide important help in the diagnosis is to check the data of the period. From the current practice, will check the data by adding electronic medical records, is not technically difficult, but the data, especially as the X-rays, magnetic resonance image examination such data, each one has dozens or even hundreds of megabytes, how to store and quickly called in the background, it is troubled over the issue of medical information to promote. The solution to this problem, one needs to increase investment, it also requires the chain together, such as cloud computing from the direction of technological innovation, to find a new breakthrough. Social security card upgrade program announced last week, its function most directly reflected in the medical, therefore, is about to get a social security card for the country\\ s general population, they are most concerned about is that, in addition to real-time settlement of medical insurance costs, the social security What card can accommodate dynamic information? people can enjoy medical information, what kind of tomorrow in the end?
More than half of the residents to build electronic health records
Tianjin medical institutions before the end of this year the implementation of clinical pathways diseases will reach more than 100, District 76 community health service centers will be fully completed \"National Medical Hall\", and ensure standardization of electronic health records of urban and rural residents filing rate of 50% or more . This year, Tianjin Public Health Bureau vigorously promote primary health care institutions \"National Medical Hall\" building will be completed before the end of this year, all 76 urban community health service centers \"National Medical Hall\" building, and Tianjin Public Health Bureau will continue to promote the clinical path management, by the end of the city\\ s implementation of clinical pathways of disease, more than 100 species, actively promote the reform charges for single disease, and vigorously promote electronic medical records as the core of hospital information technology, accelerate the establishment of three medical institutions, medical test results online query system of mutual .
Before the end of this year will implement village health system, essential drugs and included in the scope of Medicare payment; complete standardization of village clinics, township hospitals and village clinics to promote common development; to ensure standardization of electronic health records of urban and rural residents filing rate of 50% or more ; all county maternal and child health agencies to complete the hospital divestitures, more than half of the county to start the women and children organizations infrastructure.
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In February this year, started in real estate by a comprehensive enterprise group investment in Dongguan, Dongguan, Hong Wah Wah Hospital held a health hospitals of the listing ceremony. This is a new round of the top three national hospital accreditation, the country was rated hospitals of the first private hospital, medical real estate capital already entered into a new climax.
In fact, in recent years, the combination of real estate with the medical profession has been around a lot of practice. From the various large-scale medical city hospital to high-end positioning, as well as warm and caring club-style health care, real estate has a capital figure.
Injection in the back of strong capital, private capital to do health professionals generally encounter bottlenecks still do not play loose.
And other real estate developers direct access to old-age difference is that the Pearl River real estate is more ambitious. Last June, the Pearl River real estate and government contract Conghua, plans Conghua create \"life and health of city and Pearl Technologies CBD\" project, commonly known as the Pearl River Conghua city. This project will set the medical, health, education, leisure, retirement, headquarters economy in one. According to reports, Conghua positioned as the Pearl City to the high-end medical and modern service industry as the core, relying on the \"heavy particle cancer therapy equipment\" and other sophisticated medical equipment and technology for the global market\\ s top health care, nursing leisure, education and scientific research and back-office services such as integrated services.
In fact, Medical City, by creating a way to achieve from real estate to an extension of the medical industry is quite common way. Lasted three years, was December 1, 2010 officially opened operations Yanda Guo comprehensive international health city is dominated by the real estate industry, Martin Group to build up. The International City Jiankang total investment is 100 billion, including inter-hospital Yanda Guo, Yanda Golden Age Health Care Center, Yanda Medical Research Institute, Yanda medical training college, Yanda Guo International Conference Centre, 5 projects. This \"large-scale plots in the cluster within the building plan, the regional focus for medical institutions,\" the model is being replicated in many places.
Zhejiang Greentown Hospital is a combination of real estate and the other a model of medical representatives, by providing good quality health services to improve real estate, and ultimately a win-win.
\"We first build the hospital, put the hospital\\ s location and the quality of Greentown together, want to build an idealized hospital and we hope that the original medical crying completely change the environment, changing health care environment, improving health services, to ease the patient\\ s nervous, irritable mood. \"Chang Zheng Hospital, Hangzhou Greentown was disclosed. After special treatment, the hospital removed the syrup taste; the usual square physicians desk for several decades, into a round to narrow the physician-patient relationship; disease area has a casual coffee bar, roof garden, and so on. \"These small details are the introduction of our new ideas in foreign countries, imperceptibly replaced the old way of medical treatment.\"
In fact, the development of what is known as \"China\\ s first village\" of Guangzhou Clifford of the Clifford Group, successfully established several years ago praying the hospital, becoming the most convincing model of this model. First-class hotel-style rooms, fully meet the needs of each patient\\ s personalized service, the charges are very popular, are the essential elements of success, but also fully embodies the advantages of real estate capital.
In addition, based on the specialist areas of Asia Heart Hospital, medical care through policy (focusing on the mouth), etc., are inseparable from behind the support of real estate capital.
Behind the choice
Involved in medical real estate capital is not a \"Chinese characteristics.\" Former is a small real estate business in Singapore Parkway, with top doctors through a partnership and create a luxurious health care environment, the most rapid growth in Asia\\ s top market value of the largest private medical institutions.
It is understood that the Parkway and the doctors are very special relationship established between the doctor\\ s hospital in the Parkway area, ranging from rented room to start their own clinics, all of the professional outpatient surgery all revenues accruing to doctors; the same time, these doctors can be shared hospital and laboratory equipment, advanced testing, care and ward services, all of these revenues to the Hospital.
Existing in China as the main public hospitals to the medical system, the Parkway model is clearly too difficult to replicate, and currently involved in medical real estate capital is also more \"Zhi Buzai health.\"
\"As a strong risk-averse industry, capital transfer to the medical industry is not surprising.\" Faced with more and more domestic real estate capital influx to the medical industry, Changsha things modern hospital management services Qiao Mu, general manager, said: \"The ultimate aim is to drive through the medical real estate development.\"
Late last year released a \"further encourage and guide social capital held medical opinion\" is undoubtedly more to promote the entry of the pace of real estate capital.
However, \"the introduction of incentives and capital to do medicine can not solve the real estate, commercial, industrial, logistics and other aspects of both integrated business model, which is the profit of many countries to set up medical services, to attract social capital in health reform landing point, single hospital health care market is adjusted to maintain an effective balance between the sustainable development of the hospital means. \"opinions\" way out after the introduction of the policy may also be connected chain of the real estate market, making the wheels of public and non-public co-operation of the hospital. \" Medical Investment Group, a large person in charge.
Appears in the Mu-chiao, a wealth of real estate capital markets with the potential between the medical, most lack the talent to build bridges, \"the medical industry is too specialized, there is no innovative business model, but lack of talent.\"
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\"Good news is yes, but did not see the point particularly fresh.\" One investor watching the Beijing recently issued a \"further encourage and guide social capital held in medical institutions, norms, and strengthen the processing of work,\" after the case said.
Even so, the person still said that in the current trend of gradual liberalization, there is still a lot of social capital into opportunities.
A great blue ocean
\"2010 Statistical Bulletin of China\\ s health development\" show: the end of 2010, total national health agencies 937,000, an increase over the previous year in which 627 hospitals, primary health care institutions increased by 2.0 million, of professional public health agencies to increase 170 . Compared with 2009, increasing 370,000 beds, which increased 267,000 hospital beds, primary health care institutions to increase 92,000 beds. Meanwhile, the total national medical and health institutions reached 5.84 billion passengers clinic visits over the previous year increased by 3.5 million passengers (up 6.4%); hospitals and doctors daily workload continues to increase; hospital beds, the average utilization rate of 86.7%, of which three hospitals bed use rate of 102.9%.
Obviously, the medical institutions in the high load operation, the growth rate of China\\ s medical resources medical needs of the public still keep up with the growth rate.
\"People\\ s medical needs are broken down, for sub-groups of medical services is gradually becoming the focus of medical services is a big blue ocean.\" The investors said.
\"Characteristics of the market itself has specialist big enough.\" Correspondent interviewed another investor surnamed Zhang said. Beijing, for example, released in July this year, \"Beijing 2010 annual report on health and population health status\" display: 2010 Beijing residents in the top three causes of death were cancer, heart disease and cerebrovascular disease, total mortality 73.8%; Beijing high school students to 84.8% detection rate of poor eyesight; young emerging psychosis increased weight; the population over 45 years, more than 1 percent risk of stroke. These health problems is fairly representative of the breakdown of market-based health care specialist.
Test of the brand replication
\"The local policy is certainly good, but for investors, the investment to support future work is more important.\" Tian Tu Cen Wang Venture Partners, said. Wang Cen in 2011 had held the Fifth China Healthcare Industry Investment and Financing Summit Award was named the 2011 Chinese healthcare industry one of the most active investors, from several of its leading medical investment, medical Chi Ming, Iraq Mayer medical and cosmetic.
Cen Wang said, in essence, medical institutions are not lucrative industry, but is not a get rich quick in the field. \"Our next step is to help investors make the brand being copied.\" At the same time, due to lower barriers to entry, their promising model was quickly copied is also a need to consider.
It is clear Research Center data show that, in the current hospital in areas with the highest average income were Children\\ s Hospital, Cancer Hospital, Chest Hospital, Cardiovascular Hospital, hospitals and other blood diseases; the highest average profit hospitals, including cancer hospital , Children\\ s Hospital, Maternity Hospital, and Blood Diseases Hospital, Tuberculosis Hospital; the highest profit margins of hospitals, including Eye Hospital, Dental Hospital, Maternity Hospital, cosmetic surgery hospitals, rehabilitation hospitals.
In various specialist areas, the tumor hospital revenue and average profit is relatively high, but because of high technical content, the lack of good doctors, not easy to enter, you need to form their own medical characteristics and to establish a good reputation difficult, risky investment. Easy access to some areas and excessive competition, the risk is relatively high, such as the current investment hotter ophthalmic, oral, orthopedic and other fields everywhere, all kinds of medical institutions is endless.
To ophthalmology, for example, Ireland has been listed eye, Puri Eye Hospital Group, Iger ophthalmology, ophthalmic fraternity, also won the bet-owned wind, some local, such as Shanxi Eye Hospital Eye Hospital, Southeast Eye Hospital Group, Nanjing Drum Tower hospital to gain a foothold in their respective markets.
\"It\\ s important to do the brand, and strengthen the brand\\ s core competencies, like Dao Pei Hospital, set up their own position in the field of blood diseases.\" One investor said Zhaoxing.
Four directions and the opportunities
The State Council \"to further encourage and guide social capital held medical bodies (Guo Ban Fa  58)\" (referred to as \"No. 58\") before the release of foreign investment in medical institutions is the existing \"Foreign Investment Industrial Guidance Catalogue\" restricted in the industry, and is limited to joint ventures and partnerships with foreign investment, China\\ s share or interest shall not be less than 30%. \"No. 58\" was released, Jiangsu, Fujian and other places have started trying to pilot foreign-owned hospitals, but there are some provinces in the domestic equity ratio on the Chinese constraints.
An investment advisory expert advice: the current state while allowing access to social capital, but in such an industry-led public hospital, private medical institutions in attracting talent, health insurance coverage, public trust in the weak not half will be solved of.
Non-public capital can be considered the first to enter some of the serious shortage of supply, and public medical institutions are quite different market segments. For example, some Medicare reimbursement itself is not in the field of health care; or some people less sensitive to price, such as high-end medical care; and the ability to cooperate directly with the public sector or rely on public sector resources in areas such as primary care and public hospital system and so on.
\"In the \\ basic security, strong grass-roots\\ approach under the guidance of primary care may be an opportunity.\" Some analysts have said so.
In the management of public hospitals to improve efficiency, national policy has demonstrated the management of public hospitals welcomed the company\\ s professional attitude.
However, Phoenix Hospital Management Co., Ltd. joint secretary of the Board Jiangtian Fan, freely admits that: \"social capital now want to participate in the public hospital system is not easy.\" Prior to a forum, it said that Phoenix is ??doing the actual are hosted on the way to hospital.
Medical social capital to do first developed regions
Medical social capital to do, especially as the industry\\ s recent focus of the investment community the most. July 19, the Beijing Municipal Health Bureau issued \"to further encourage and guide social capital to inform medical institutions organized\" (the \"Notice\"). The same day, Zhejiang is also the dissemination of social capital to do the local implementation of health advice. Thus, in addition to Beijing, the eastern developed regions, Shanghai, Jiangsu, Zhejiang, Fujian, as the vanguard of all the social capital of the State Council late last year to do their own health policy implementation details.
According to the Beijing Municipal Health Bureau of Development and Planning said that Beijing is being developed for regional health planning, non-public medical institutions will have a reasonable space, the fastest at the end of the introduction of regional health planning.
Rules have been put
Beijing issued the policy rules, meaning its policy has always been a model recognized by the industry. \"Notice\" expressly prohibit the running of hospitals unreasonably restrain social capital: meet the bid conditions, with appropriate qualifications should be approved license to practice without undue restriction of their scope of practice; of social capital held by access to medical institutions in medical technology, physician associate into the nurse access, etc., are not allowed to set the legal, regulatory restrictions outside; the purpose of social capital can operate independently bid for-profit or non-profit medical institutions; encourage social capital to organize non-profit medical institutions, support the organization of for-profit medical institutions, qualified staff to guide the relative lack of medical resources in urban and rural areas according to open individual clinics.
\"Notice\" will simplify the approval procedures for non-public hospitals. The requirements of the Beijing Health Bureau, Beijing health authorities of each county will be August 1 of the social capital held in the approval process for medical institutions to do the \"downsizing\", unified process, streamlined approval process will be known to the public. In addition, the \"notice\" also called for the strengthening of social capital held in medical institutions of technical guidance, protection of social capital held by medical institutions in the policy knowledge and information, sharing data and other public resources and public medical institutions enjoy the same rights; the county will be medical agency level, the technical guidance into industry training.
In addition, to allow foreign medical institutions, enterprises and other economic organizations and the country\\ s medical institutions, enterprises and other economic organizations established in the form of joint venture or cooperative medical institutions, Hong Kong and Macao Special Administrative Region and Taiwan region of the capital held in medical institutions in the Mainland can enjoy priority support policy.
There is no doubt, \"notice\" is in the implementation of the State Council issued in December last year, the \"No. 58\", and proposed a local implementation of concrete steps.
The same day, Zhejiang Province, \"to further encourage and guide social capital to implement the views held in medical institutions,\" was officially released.
Previously, Fujian Province, where the opinions had been issued as early as late last year, and then, in March this year in Shanghai, Jiangsu end of May this year, also officially released the local implementation of social capital run medical advice.
Throughout the implementation of these local version of the opinion, in the implementation of the central spirit of the document do not see the different aspects, but in some implementation details to grasp the scale is not the same.
Encourage both directions
In accordance with requirements of the Beijing Municipal Health Bureau: the set of non-public medical institutions should be consistent with the Regional health planning and regional medical institutions planning the general idea of ??the county in the region in the formulation and adjustment of regional health planning, medical institutions and other health resources planning configuration planning, to give non-public medical institutions have a reasonable space. So, what non-public space is part of the hospital do?
Beijing in the previously disclosed on the idea of ??regional health planning in Beijing will focus on encouraging the development of two types of private hospitals: one is on a grade scale, with a market potential of the characteristics of competitive and specialized medical institutions, and government-run public Hospital to form a \"dislocation competition\", the pattern of sound development; the other is the floating population of temporary services, medical needs, or to meet the medical needs of the general population of community clinics, clinics, and government-run community health service centers (stations) the formation of the complementary pattern.
In fact, specialist care is now more social capital into a real field.
Reporters note: during the period 2006 to 2010, in the medical field have occurred in the case of investment and financing, Beijing is not only the largest number, while the average length of investment is the highest. In addition, Shanghai, Zhejiang, Shenzhen is also more concentrated. Key features and more specialist investment direction, dentistry, ophthalmology, obstetrics and gynecology, pediatrics, orthopedics, medical and other demand for larger, relatively low barriers to entry which most institutional investors concerned about the field.
In fact, Beijing medical institutions, social capital is still quite large. Last year, the establishment of medical institutions in Beijing, a total of 94,581 beds, of which the private sector about 10 000, rather than set beds of small number of more specialist private medical institutions.
The Zhejiang Province, the \"opinion\" also said, and strive to \"Twelve Five\", the number of beds in non-public sector accounted for the total number of beds in medical institutions across the province the proportion of 20% or more, and to encourage eligible institutions will be included in health insurance fixed-point range, and the establishment of special subsidies.
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Although many foreign companies announced plans to enter the primary, but the high-end market is still hot, GE, United States, Siemens and other companies have launched a series of high-end imaging devices.
In announcing the launch into the grass-roots \"spring action\" at the same time, GE Healthcare in the high-end market, there is no silence. Recently, the company officially launched in Beijing, a new generation of Discovery MR 750 3.0T magnetic resonance instrument. The product development and clinical research to achieve a major breakthrough in the application to meet the needs of multi-faceted high-end users. The product launch, a lot of three hospital director is very interested in the product. With several foreign companies launched high-end products, three hospitals purchase boom set off again.
With the advance of medical reform, not only the low-end market, strong demand for medical equipment, three high-end medical equipment for hospital demand has not shrunk, many large hospitals are actively purchasing new equipment.
According to market research firm Frost & Sullivan predicts that from now to 2015, China\\ s medical instrument and equipment market will double, reaching $ 53.7 billion. This value covers the stent from the patient monitors and other products, most of which growth is likely to come from expensive MRI and CT scanners, both of higher profits. Although many foreign companies announced plans to enter the primary, but the high-end market is still hot, GE, United States, Siemens and other companies have launched a series of high-end imaging devices.
Demand for tertiary hospitals
According to statistics, compared to Europe, America, China has a large hospital in the amount of equipment on the huge gap still exists. Data show that U.S. per million PET and PET-CT has a number of 5 to 6 units, 3 units in Japan, while China is only 0.1 units.
In the NMR equipment, China has only 1.6 units per million magnetic resonance imaging, the United States has 18 units per million people. In the high-end, domestic medical equipment ownership is still inadequate.
Dai Jianping, vice president of the Chinese Medical Association, said: \"NMR techniques in Parkinson\\ s disease, Alzheimer\\ s disease, cancer and other areas of research and diagnostics can play an important role.\"
Siemens Medical Solutions Europe Hanlin, president of China, said: \"China\\ s CT scanner is very small, so the high frequency of use in China one device to scan up to 100 daily patients, the average utilization rate of the German hospital three times the more. \"
\"At present, three high-end medical equipment, hospital utilization function is only 50% to 60%, many of the media that there is a waste of purchasing high-end equipment,\" Dai Jianping said: \"In fact, even at research-oriented medical institution its equipment is mainly used for clinical, research and a lot of features for no access. to MR 750, for example, many U.S. research institutions have three, so the high utilization rate of its functions. \"
In addition, three hospitals, the high-end medical equipment to the hospital brought a lot of income. Has a CT scanner for the hospital in terms of China, CT scan diagnosis is a major source of income, the highest rate of profit contribution can reach 30%.
With three high-end medical equipment for hospitals rising demand for its earnings growth to be expected. GE and Philips medical equipment business in China will double-digit growth, while Siemens said its objectives are: medical imaging equipment market in China is higher than expected sales growth of 10% annual growth.
NMR as the preferred foreign products
As the economic downturn caused by the U.S. medical equipment market, long-term depression, according to market research firm Frost & Sullivan said, the U.S. medical imaging equipment and services market has shrunk to one-third in 2010, down from $ 14.4 billion to $ 9.7 billion.
Therefore, the next few years, GE and Philips, Siemens will intensify the more high-end products into the Chinese market, such as the Discovery MR 750 3.0T magnetic resonance imaging instrument such as high-end equipment will gradually enter the Chinese market.
With the 3.0T into the era of nuclear magnetic resonance, NMR future high-end products become the focus of hospital purchasing products. Density of magnetic resonance equipment for high resolution, no radiation, safe and harmless to human body characteristics, widely used in cardiovascular disease and cancer and other major diseases, early diagnosis.
Duke University Brain Imaging Research Center, Professor Allen Song: \"The next 10 years is 10 years of brain function.\" Medical device industry is highly technology-intensive, involving a wide and comprehensive academic industry, technology threshold is high. NMR high-end domestic enterprises difficult product launch. Therefore, the high-end NMR equipment market or the foreign monopoly.
In research activities, health care providers for a higher stability of the equipment requirements. According to GE Healthcare China, vice president and general manager, Imaging Division, Chen Yan introduction: \"MR750 brings the industry a more accurate functional imaging, brain imaging done before MRI machine will heat a little longer, resulting in serious drift data distortion. MR750 cold gradient within the fMRI brain imaging to make long-term stability by 200% data collection rate of 0.03% drift, to achieve a more stable, more realistic functional brain imaging. \"
In addition, the three hospitals to buy foreign products have their actual needs. This reporter has learned, not only in tertiary hospitals have routine diagnostic needs in scientific research there is a certain demand. Many hospitals plan to their own NMR equipment upgrade from the 1.5T 3.0T.
As the only 3.0T products, MR750 unique gradient system the first time that eDWI 3.0T whole body diffusion imaging. eDWI provide a new clinical cancer screening high-resolution high signal to noise ratio method, at the molecular level to assess the diagnosis and prognosis, for the conduct of scientific research and medical institutions, it is an excellent choice.
Third Xiangya Hospital, Central South University, Wang Wei, director of radiology, said: \"We purchase high-end device has two purposes: first, to improve health care quality, whether it is qualitative, location, or quantitative, all illnesses are hoping to timely, accurate diagnosis , so that more patients relieve pain later; second, high-end equipment can be the development of Chinese medicine to the world\\ s leading academic level, we have a very good hospital clinical team of technicians and experts, the application of such high-end equipment After the rest of the world can be assessed by countries in this case, we purchase high-end positioning equipment is completely accurate. \"