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Chinese medical device market is actually composed of countless heroes “bow”
July 25, GE Healthcare announced that X-ray global headquarters will move to Beijing from the United States to open up China and other emerging markets. Last year, GE Healthcare has announced $ 2 billion in China\\ s plan, including the establishment of six R & D centers in China, a total of $ 500 million.
China, in the end how much of the fascination with the world\\ s number one medical device company that \"cordial\"? Recently through the VC, PE investment institutions such as the investigation, the reporter learned that the Chinese medical device market has become their investment \"new favorite\" .
Vast
Inspection tour of China\\ s medical device market, Sequoia Capital China partner Kui Zhou said the Chinese medical device market space is extremely broad.
According to him, China\\ s overall medical device sales volume growth in the past decade, nearly five times the rate of 21% annual growth in the last five years, the big market is the range of 20% of accelerated development.
According to Zhou Kui predicted that China\\ s medical device market, the current size is 100 billion yuan. \"Our total expenditure on the medical and health services accounted for 4.7% of GDP, while the developed countries, generally about 10%, which the United States reached 16% of China\\ s medical device and drug consumption ratio of 1:10, the ratio has been developed 1:1, China\\ s medical device industry, there are still large gaps in the market space for development is extremely broad. \"he said to reporters.
Medical device market, has attracted VC and PE investment institutions such great interest.
Figure days Cen Investment Partners, said the king, before the pharmaceutical company\\ s share of their total investment amount of investment of 70%, and from 2010 to now, the pharmaceutical investment has fallen to 50%, medical equipment and medical services of the investment ratio rose to 50%.
Capital Partners and IDG Ventures Suyang preferred that the main reason is that medical devices There is no monopoly in this area, therefore, private enterprises have many opportunities. At the same time, with Shenzhen Mindray Medical and diving medical market at home and abroad, led to a large number of medical device companies to capital markets, this is a good start.
Vice President Hu Minglong diving medical to reporters said that in 2011 China\\ s medical device market capacity also in 1000-120000000000 level, which compared with the world, only a very small piece of cake. The future, as new medical reform, the state began to encourage hospitals to charge through the clinic, in terms of medical equipment will be a new golden years, the opportunity is very good.
In addition, earlier this month at the \"Medical Device Industry Development Forum\", the Ministry of Health Planning and Finance Deputy Director Liu Diankui said, \"five\" strong support during the development of domestic medical equipment, the implementation of centralized bidding and purchasing, health care priority to the purchase of domestic equipment. Liu Diankui that health system reform for the domestic medical device industry, provides unprecedented opportunities and broad space for development, \"second five\" during the economic means to effectively guide the medical use of domestic medical equipment.
Structural opportunities
Sequoia Capital China partner Kui Zhou appears in the low-end medical equipment including medical equipment, supplies and health care of high value household goods. Now, some of the equipment slowly out of the hospital, into the family. The last three years, as Nuokang, will Kang, Kaifeng, billion Teng, new students, according to Rodriguez and other companies introduced products, have started from the hospital to home.
The growth trend will depend on many factors. Kui Zhou believes that the growth of low-end medical equipment, and related policy implications. The growth of high-value consumables, the increased demand associated with the rich.
Segments from the point of view, co-director of Intel Capital China, Wu Ronghui is optimistic about the medical equipment. She said, Intel set up after the number of medical departments, there is a large initiative, Intel and GE together to form a joint venture company, the main direction is the home medical equipment, portable, and can collect a lot of physical characteristics. In the future be possible to detect more chronic disease management and content to the family, community hospitals to promote, market space, which is they are more optimistic about the direction.
And Zhou Kui believe that the medical device industry, there are still structural opportunities.
He said that the industry is very characteristic, many small businesses make money, market, each company has not exhausted his means of competition, there is no great pressure to survive. It can be said medical device industry, the industry has not been fully integrated, not too many very powerful enterprises. Billions of dollars in business less than one hundred, in fact, you can see the concentration is very small. \"In the medical device industry, practitioners see the opportunities, investors can see that there is demand, there are opportunities for structural change.\"
Can expect that, in the market process, there will be companies emerge as industry leaders.
A market research analyst, told reporters, take diving medical, last year, the market scale of operation is 848 million yuan, while in the United States, Wall Street has an excellent micro-listed company called Sport, and its 1998 operating income There are 1.711 billion U.S. dollars, the gap is too big, like diving medicine, like Sequoia Capital investment Yi into the future will become a billion, billion, or even billions of enterprises, because the size of the market to allow such a company.
Primary Care Medical Device market will open, first served
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.
The domestic market or are in the low-end high-growth health care
Global pharmaceutical consulting firm IMS stakeholders of the China Securities, 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.
Medical equipment market within the next five years to double growth
25-27 September 2011, China Instrument Association laboratory equipment unit in Chongqing Branch of the Organization\\ s governing annual meeting of the year\\ s work is summarized, the meeting called attention to the localization of primary health care unit equipment.
Guo Xiaowei, Deputy Secretary-General in the instrument Association attended the meeting, the Federation of the Association on behalf of member services for the issue of communication with participants.
Branch General Meeting by the laboratory instrument Wen-sheng presided over branch chairman Liu Longguan work report. Over the past year, laboratory equipment branch of the few people under the conditions of shortage of funds, dedicated to member service, a lot of work: Organization edited the \"Handbook of primary health care unit of equipment,\" and actively participate in member self-development and scientific instruments Innovation Award of the declaration, always prepared to help \"instrumentation industry,\" second Five-Year \"development plan\" to provide the material to complete the eight national standards balance the draft report, the organization of the 11 industry papers in the \"primary health care unit equipment manuals \"published.
Subsequently, the conference delegates on the work report were discussed. According to statistics, in 2009 the publication of the new medical reform program implementation, creating a huge demand for medical equipment product, market size in 2010 will reach 120 billion yuan, double the next five years; primary health care units, a total of 138 major equipment items, instrumentation equipment, including 81 conventional, 59%. Foreign companies a monopoly not only in the high-end instrumentation, and began to focus on low-end medical equipment, have the layout of the low-end products and sales. Therefore, the delegates called on relevant government departments, trade organizations and manufacturers, should pay attention to the needs of primary care equipment; domestic enterprises should strengthen scientific research and development for primary health care units to provide much-needed equipment.
Total paid medical system Pathfinder
This year, the Ministry of Human Resources and Social Security has been brewing in the health care payment mechanisms in more action, and in the outpatient service and capitation payment system is activated, the total payment mechanisms in place to implement once meet resistance. Recently, the Ministry of People s Insurance Health Insurance Secretary, Yao said: "At present, the document issued, many places do not know how to do. Capitation payment total should explore ways to explore the direction is more to the hospital medication autonomy. "
This reporter has learned that China s current health insurance fund is facing the pressure of rising medical costs. According to statistics, China s per capita health expenditure growth of 14%. This time, the Ministry of People s Insurance medical institutions and health care departments want to be able to do risk quintals.
In order to enhance the enthusiasm of medical institutions, the People s Insurance Department will carry out exploration by DRGs, plans to give hospitals more autonomy, the specific course of treatment, the hospital can have more right to the drug of choice.
To achieve this goal, the People s Insurance Department will also reform the management of health insurance directory, Yao said: "The future of drug A and Medicare B directory to gradually eliminate the difference, directory management audit will also change, to quality control to gradually direction of development. "
Annual cost settlement
Total amount of prepaid health care system is Medicare departments of medical institutions in the assessment, to calculate the per capita health care costs, costs of the standard here fixed to the hospital pre-paid medical expenses, if the actual cost overruns, cost overruns in part by the hospitals themselves.
At present, most areas have adopted pay-for-service payment. Than the current Medicare payment, the total pre-paid system to enhance control of medical practices, can effectively improve the health care institution to open a large prescription, chaos checks, arbitrary charges, any expansion of services and other defects.
According to Reporters learned that Shanghai has been the pilot of the total amount paid by the mechanism, health insurance departments are organized every year on the 1-year hospital Medicare to negotiate with the hospital total costs, this amount paid on an annual basis negotiations have been in containing health care expenses rapid growth has played a role.
Yao said: "In the past health care sector is concerned about the budget and settlement of revenue management, is to focus on strengthening expenditure budget management, group management, the various groups need to calculate the settlement amount of expenditure and how much different hospitals and expenditure budget What is the amount. "
For this reason, people carry out in co-ordinating the Department made a "how much money to do many things" concept. According to Yao introduction: "I basically made the calculations, according to these hospitals to calculate the tax-free high-tech enterprises, commercial drugs counted as income tax, business is good."
The health care sector is now facing pressure than in large medical institutions, due to rising medical costs, the threshold current deductibles and payment lines have no control over pay increases.
Total prepaid system, however there are some problems, the total pre-paid method is usually to pay for health care institutions a year total, in this case, the hospital is the biggest risk.
Medical institutions and doctors in order to improve the enthusiasm of the People s Insurance Department plans to phase out the use of medical management and the right medicine to the hospital.
The right medication to be delegated
About how to assess the value of medical services, Yao said: "Medicare should pay for health economics from the perspective of input and output, health insurance departments should also strengthen the research in this area."
In recent years, with investment in improved health care and medical institutions in support of the policy, after years of expansion of development, China s medical institutions, health care quality has also improved, but, once the hospital s total control of a charge in the cost fixed case, how to ensure quality of care? This is a problem faced by medical institutions, but also the challenges facing drug development companies.
According to Yao introduction: "The future medical treatment for full liberalization of the right, according to the DRGs of the pilot hospitals, the patient medication will no longer points A and B drugs, drug use entirely by the hospital to decide how to evaluate hospital , on how to use drugs. "
In addition, the choice of drugs in the directory, the People s Insurance Department has new ideas. Yao said: "The meaning and management of drug prices to adjust the starting point, what is the price of the drug purchase, should cure the patient as a starting point, to consider the economic value of pharmaceutical drugs."
Social Security Medicare national human researcher Dong Zhaohui said: "A new drug program is not cost-effective, we should pay for the new treatment program cost? If this treatment be integrated into the health insurance reimbursement directory, how to be drug list? Last , from the perspective of equity and efficiency, what treatment should be encouraged to limit what treatment options? these issues will be fairness in the assessment and evaluation of the budget in the affirmative. "
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.
Things: the medical industry opportunities and challenges
Things will affect residents in all aspects of medical and health behavior, medical institutions to provide behavior, and the future of health policy, it also requires management to promote innovation and change.
First, a new round of medical reform plan things in advance is no doubt the field of health care an important opportunity for development. The success of the new medical reform, an important evaluation is whether the residents to address \"difficult and expensive\" problem. In addressing the \"difficult\", the application of things that people can use a PC, terminal services, community information, and even cell phone networks to achieve personal account login, register for an appointment anytime, anywhere, online consultation, check their health status and access personalized preventive and rehabilitative guidance; in the hospital, registered, designated price, fees and reimbursement will be directly through the network, greatly simplifying the process for medical treatment to alleviate the queuing problem. In addressing the \"expensive\" side of things so that pharmaceutical production – distribution – sales of the link displayed in public, not only for drug addition, an effective monitoring, drug safety also play a role in safeguarding. Seeking behavior of a fee for each real-time review by the health insurance department links automatically reimbursed for the documents do not meet the principle of reimbursement will be timely feedback to the physician-patient service terminal, and similar scenarios generated by the database processing program other doctors for reference. Conducive to health insurance supervision department of the hospital, and it helps statistics commonly used in the clinical use of drugs, dynamically updated essential drug list.
Second, things to bring the integration of resources and information sharing, and ultimately will lead to information disclosure, administrative transparency, make public a government decision-making, health care system an important part of running. The current field of medical information does not form a whole, the data is less than open, such as hospitals, performance evaluation, the result is only relevant administrative departments within the hospital and hold in the general population is difficult to obtain relevant data. The emergence of things people will provide as a service system into the core system, play the role of public scrutiny, which will help the hospital compete with each other to learn and improve service delivery level. In addition, things in the field of universal health care, the industry will change the traditional pattern. As mentioned above, the development of things required medicines, medical supplies, equipment, and so all access to network-related products, from raw materials into finished products used in the factory to the patient, the whole process will be left on the network can be queried record. This also means that the process of production and distribution of related products will be an open, transparent, fully exposed to public scrutiny.
Third, the Internet of Things should encourage private participation, promote healthy competition. However, IC card, RFID tags, HIS system once applied in the field of health care, they will be with the nature of some public services. Medical field in particular, is experiencing a \"sooner, center of gravity\" of the reform, the future focus is to improve health services accessibility, fairness. Therefore, the Government must be the appropriate guidance. Health resources to avoid the big cities, over-concentration of large hospitals, to bring residents to prevent the digital divide between rich and poor differentiation intensified. Internet of Things technology and community health services, medical insurance combined, so that residents can truly enjoy the convenience of things.
Things in convenience, but also brought some new problems, whether related industries and medical fields complement each other, to achieve information disclosure, management is able to break the bars separated, sharing resources, is a major management challenges. In addition, a unified coding standard, the industry regulatory rules, privacy protection, and also the PPP co-operation of China\\ s development of things should be solved the problem. From the recent process of health information technology can be seen, things will be the promotion of health care and related fields in the set off a new revolution. Synchronization with the new technology from the concept of management changes and challenges, how to seize opportunities in the global trends in difficulties, is the top priority of the next government. I believe in the institutional transformation in the future, things will play a major role in opening the field of health care situation.
The absence of high-end medical equipment China Perspective
According to statistics, in 2008 China\\ s medical device market of 900 billion yuan, accounting for 45% of the total global market; 2010, China\\ s medical device market reached 120 billion yuan, an increase of up to 23%. Some experts predict that in the next few years, China will surpass Japan as the world\\ s second largest medical device market. However, the current medical equipment and more monopolized by foreign brands. Recently, the correspondent of the status quo of China\\ s medical equipment made a survey of China\\ s high-end medical equipment, dialysis, \"absence\" of reasons.
Ms. Lee\\ s father, careful not to fall recently, the doctor said it must be artificial joint replacement, United States production, need a hundred thousand dollars. Ms. Lee is too expensive, and consult a doctor if there are some cheap domestic joint, the answer is no. Ms. Lee can not help but send questions, in recent years, rapid development of China\\ s science and technology, to build satellites, manned space flight can be, how the production of artificial joints can not do?
Medical equipment and more monopolized by imported products
In major hospitals, patients need to do orthopedic fixation, doctors first thought and application, are imported brands. Beijing Union Medical College Hospital Director QIU Gui-xing Academy of Orthopaedic lamented: \"In our hospitals in China to be a routine orthopedic surgery, the size of equipment are all \\ foreign goods\\ , the local infusion of medical equipment is only skin tubes, syringes and other disposable supplies, the number of a bit sad! \"
QIU Gui-xing, said China\\ s current high-end medical equipment more than 80% of the monopoly of foreign multinational companies, foreign medical devices in China\\ s large share of over 70% of the hospital, at the same time, high-end medical devices multinational corporations have begun to focus in low-end product development, have the layout of the low-end products and sales. So strong, \"staking\", making the high prices of medical devices, increase the people\\ s \"expensive.\"
\"Foreign goods\" may not be suitable for Chinese people
As the saying goes \"you pay\", prices of imported medical devices, it means that the effect is not good?
In this regard, deputy director of Peking University Health Science Jiang Baoguo clear that \"foreign goods\" may not be suitable for Chinese people.
\"The current clinical application of orthopedic medical devices abroad, mostly designed in accordance with European and American race, presence of clinical application of bone anatomy does not match with the Chinese people, surgical operation more difficult, resulting in prolonged surgery, doctors and patients to increase the risk. \"Jiangbao Guo pointed out that as currently there is no high-quality orthopedic device products, only a passive role is not entirely suitable for the patient\\ s device, to a certain extent, affect clinical outcomes.
Lack of innovation is the \"common problem\"
Why China\\ s high-end medical equipment, \"absence\"? The reason is not difficult to find, lack of innovation is the \"common problem.\"
\"China\\ s medical device industry started late, low starting point, over ninety percent of low-grade products, industrial environment, mainly SMEs, in the management, development concept, globalization of trade, etc., with the international advanced medical equipment enterprises there is considerable gap. \"Peking University Health Science Research at the Han Hongbin said China\\ s enterprises in technological innovation, product research and development investment in less independent, less innovation, market competitiveness is weak.
\"In practice, we have to face this fact: for the first time applied to the surgical procedures in the medical equipment is often imported, after a period of time will find that the domestic market, there is a corresponding imitation, and that these imitation, and only the low-end products. \"Jiang, vice president of Beijing Ji Shui Tan Hospital Association have very much helpless.
Joint development of a unified understanding of diverse needs
Han Hongbin said the country\\ s medical equipment business outside enemies, competition within peer companies, engineering companies, capital and research strength of the background is not strong, even in the face of new scientific discoveries or inventions, most companies are not able to digest, absorption, transformation and market oriented. Coupled with lack of funds is a common problem in business, so to grow through mergers and acquisitions there are difficulties.
\"Development is not simply rely on independent innovation, one or several scientific discovery or technological invention and technology can achieve.\" Han Hongbin that the system of industrial innovation needs top-level design, not only related to the health care industry in all aspects of the innovation chain, and even need involved in the overall theoretical foundation of Western science analysis. Therefore, the medical industry promotion, understanding and unity under the leadership needs of the multi-joint development.
Peking University Third Hospital Chen Zhongqiang that the Government should strengthen efforts to support and develop relevant policies to encourage the influx of related industries, from raw material production to R & D and production equipment, to be as important livelihood industry. In addition, Chen Zhongqiang also suggested to encourage clinicians directly involved in product development to go.
Medical integrators five new skills
With the \"new medical reform\" of the unfolding, the Ministry of Health carried out jointly by the seven departments of the \"safe hospitals\" to create activities progress, and in the \"1025\" period of building a core of electronic medical records for the application of information technology file system and the health of residents of the regional service platform as the core of medical information technology reform, combined with high-definition network security industry, the application of IP technology continues to mature, most hospitals into high-speed network, the establishment of a significant data processing capacity of hospital information systems, regional health care information systems and electronic medical records market under the guidance of national policy the rapid development of large-scale data center construction and integration between application systems show a trend.
The medical profession not only integrator needs to guide the direction of the new hospital, is going to follow this new trend of technological change, upgrade existing technology, and continue to learn and master new skills, make new era of health care industry, security integrators.
Digital trend, to be cross-sectoral collaboration
In recent years, with the physician-patient relationship of tension and other reasons, the hospital system of concern about the increasing security, security systems and the application of digital hospital is also showing a combination of new features. Installation with previous hospital management of each building a separate analog control systems, digital hospital to the application of computer, communications, multimedia, networking and other information technology, disease prevention, care, treatment, care, automation of business management and administration digital operation, to achieve the hospital\\ s medical treatment, teaching, research and management to achieve network. To accomplish such a vast and complex engineering, medical industry, integrators need to communicate with the relevant departments for multi-collaboration efforts to meet the security needs of the different characteristics of departments to build the best fit their application needs security system.
To different functional areas within the hospital\\ s security system for different needs, for example, patient registration hall traffic flow, access to personnel as complex, requiring high-definition monitoring equipment; storeroom and storage of valuable equipment, library and other valuable things on fire has strict security requirements. British product manager Shu-Fen Wang talked about this, said: \"The medical industry integrators in the construction process with the different departments to maintain adequate communication, understanding the different departments of the hospital business processes and its system architecture needs; addition , the integrator needs to focus performance security products and positioning, demand for the different hospital departments to provide the most appropriate security products, to hospitals in different functional areas to meet different security requirements, but also to all security subsystems are integrated in the digital Hospital under the management of a large platform. \"
Since the investment in gold, continuous integration build test
Most general hospitals are usually part of the construction funds from local financial approval, part of the funding comes from the self and society. British Shu-Fen Wang said that \"although the hospital building, diversification of funding sources, but the investment in hospitals in all parts of the distribution ratio determined by the hospitals themselves. Now, for the hospital\\ s investment in the weak system relatively small proportion, the majority of hospital generally choose to build the basis of information in part with funds after the late addition there is a need for the security system, security system in stages to the hospital the digital upgrade. \"benefits of doing so is to ease the hospital\\ s capital pressure, but the hospital information construction stages stretched too thin, the whole hospital is not conducive to the integration of security systems, likely to cause conflicts or different system architecture security is not compatible between brands, will for the post-maintenance as well as a huge digital upgrade difficulties and obstacles.
To solve this problem it is necessary to have the ability to integrate the different subsystems and between different security compatibility between brand-name products. Necessary to be able to integrate different periods and different technical standards of security systems, such as time to be able to use analog integrated analog and digital security systems in the process of upgrading the new IP network system, or is capable of SD and HD monitoring for unified management, but also to the different functional areas of the different building integrated unified security management subsystem, such as the hospital all the video surveillance, access control, fire, police are unified into a management platform for intelligent interaction management, not only from security point of view play a more effective role, from the management level is also an effective way to improve management efficiency.
Demonstrate new technologies to improve market awareness
Currently in the hospital, in addition to traditional security applications, the number of new applications are increasingly prominent, the future of the medical industry needs new technology and equipment, such as, Internet of Things technology, high-capacity storage, information technology solutions for the whole hospital, the department image fusion, intelligent video analysis, high-definition imaging solutions, card systems, RFID applications, the unified platform management subsystem. Beijing Xin Zhuo more technology development limited liability company president Tu Jing said: \"For hospitals, the user is not familiar with some of the emerging technologies and equipment, the need for engineering companies demonstrate and explain the corresponding Party, meanwhile, lead the user to visit a successful model case, allowing users to learn about new technologies and new equipment in practical applications is how to play a role, how to make hospital management more convenient, improve customer for new technologies, equipment, awareness, so that emerging technologies can successfully enter the market . \"
The successful promotion of new technologies and new equipment, integrators must be within the hospital and construction features in-depth understanding of the process, especially for operating rooms and special areas of construction capacity. The network monitoring system, installation of equipment and more demanding, such as surgical teaching system, related to the multimedia industry expertise, it must be experienced in many fields of engineering business to complete.
Meanwhile, for the hospital\\ s own special needs and upgrade their digital stages of the construction characteristics of the process, contractors must take into account the complete system solution is also very important, which requires equipment manufacturers and engineering companies very detailed understanding of the the demand for hospital characteristics. Beijing Xin Zhuo more Tu Jing said: \"Contractors have to enter the medical field, we need to have strong design and construction capabilities, intelligent system integration capability, high-level intelligent system integration qualification, qualification and other computer systems integration, integration business itself, but also to learn new techniques, constantly on their reserve team updates on the technical knowledge to collect market demand dynamics, together with the relevant manufacturers to meet the industry needs to discuss the characteristics of new products and to market. \"
Control features to meet the different needs of the industry
In general, large general hospitals, such as the top three hospitals qualified for the integrators have very strict requirements, such as Security Project qualification, building intelligent contractor qualifications, computer system integration qualification, some security-related construction software development needs double soft certification , national high-tech enterprises, did not meet the relevant qualifications to undertake the project integrator is not the.
Large general hospital area is very large, and base building and more building functions clearly differentiated, internal medicine and surgery, gynecology and pediatrics, the presentation of the features are not the same, the required security systems are not the same. Integrators need to install different functional areas of the different characteristics of the security features of the system to meet the needs of their differentiation. Import and export of hospital, inpatient corridor, operating room, placed at the expensive medical equipment, drug supply, mobile workers gathered at the (lobby, elevator, cashier, at the dispensary) and focus on the design of hospital security. Hospital building and medical equipment placed at the expensive, drug supply not only the main fire alarm, alarm system also needs the help. Hospital departments focus their security resources from public places, sent to the Security Section; and some emergency needs of the emergency command transmitted to the Presidency for the first time on-site management; In addition, for multimedia conferences, teaching The recording / playback, and more classes for university affiliated hospital; the care of critically ill patients, visits, etc. are managed mainly by the medical staff.
Operating characteristics from the hospital point of view, different hospital systems focus on the required security is not the same, different types of hospitals such as mental focus to quickly locate information, patients can quickly check which location and duration of stay; door for a long time did not turn off alarm, that the door is open or forget to close a long time, the system control interface software will prompt the red alarm time and location, and drive the computer speakers to remind duty attention. The nature of the medical research focuses on the use of laboratory safety, drug safety management, as well as to avoid animal experiments emergencies. Often these places will be divided into different risk levels, according to different risk levels integrators security needs as well as from the customer\\ s individual needs, the formation of different security solutions.
Establish industry standards to promote the process of digital hospital
With the hospital\\ s concern for the security system is increasing, the hospital has the appropriate functions within the management, maintenance and operation security system. Beijing Xin Zhuo more Tu Jing said: \"In recent years, a number of engineering and manufacturers also felt the hospital awareness of security systems, has greatly exceeded the traditional thinking inherent in the current system, many hospitals have realized the importance of security and said strong demand for security. \"
On the status of the medical profession is concerned, there is no industry standard for a specific medical mandatory normative documents, which makes many medical institutions in the digitization process of upgrading the lack of a benchmark.
For this, the British of Shu-Fen Wang said: \"As the number of China\\ s medical industry, the lack of standards, so many are willing to try the latest technology, a large hospital turned to international standards JCI, JCI is a universally accepted standard of medical service standards , on behalf of the hospital services and hospital management, the highest level. \"JCI standard covers 368 standards (including the core standards 200, 168 non-core standards), but also contains several of each standard measure under the elements. \"One of public facilities and safety management, quality improvement, hospital leadership, coordination and cooperation, and information management-related standards in the digital upgrade of the hospital in an important basis for the transformation process.\" She said.
In addition, high domestic labor costs is not the number of China\\ s medical industry is one of the obstacles in the process. Shu-Fen Wang said: \"Many hospitals do not realize that the digital upgrade of the true meaning, preferring to hire more labor to replace anti-technology management in the role of hospital security.\"
But to achieve real security, for the safety of hospital patients to provide quality service, must be implemented air defense, anti-technology, anti-material combination, can effectively prevent loss, mitigate risks, improve the safety factor. Medical industry integrators have to actively participate in the discussion to the industry standard for the future of China\\ s medical industry provide the basis for the establishment of standards.
Medical and health information technology development process
Hospital is a typical feature of both labor-intensive and knowledge-intensive organizations, the patient to the hospital for treatment, hospitalization and even surgery to go through a very complex treatment process to complete, and involves a lot of logistics, cost of treatment as well as complex information deal with. The doctor diagnosed the patient, treatment should also collect a lot of relevant information and expertise with a comprehensive analysis of the whole process involves basic medicine, medical imaging, anatomy, pharmacology, pathology and psychology more professional disciplines, the medical complexity of the business itself will determine the hospital to provide technical support for information systems complexity. In China, hospital size, the level of reference times is incomplete, and a variety of general hospitals and specialist hospitals category diversity, the corresponding increase of the technical difficulty of their product development and innovation requirements. The development of China s medical and health information relatively late, with the domestic economy in recent years, sustained and rapid development, investment in the health care industry continued to increase, driven by China s medical and health information technology s rapid development.
According to the International uniform level of information into the medical system, hospital information systems development in general through three stages: the hospital management information (HIS) stage, the clinical management of information technology (CIS) stage, and local health services (GMIS) phase. In addition to the three stages of information technology, the hospital and public health management in the basic management information system (MIS) with the deepening health care reform has gradually built up. Hospital Management Information System (HIS) is a fee for the center, the emergency door of registration, designated price, charges, and inpatient dispensing of prescription, dispensing, billing, and the hospital staff, financial, material, etc., used to manage computer networks and information from the point of collection of information for management information, management and decision-making. At present, China has basically established a large hospital s HIS system mature, expanding its applications, wireless technology and handheld devices is gradually applied to the HIS system. Small hospitals to deploy HIS system, community health service centers and rural hospitals have begun to build HIS system.
Clinical Management Information System (CIS) is a patient-centered, with a picture archiving and transmission system (PACS), radiology information system (RIS), laboratory information system (LIS), pathology information system (PIS), Surgical Information Systems (ORIS) , a comprehensive collection of patient clinical information, and available to doctors by medical workstation. Doctors can use the electronic prescription order entry system input, your doctor and check application form, check test results, the establishment of electronic medical records. This system will enable medical file "paperless", to improve diagnosis and treatment of automation, and lay the foundation for the launching of the regional health care. At present, China s major hospitals are in the peak period of construction of the CIS system, subsystem, such as PACS and other applications are mature. As the deployment and operation of each subsystem are relatively independent of stage, more advanced information technology to integrate the hospital has already begun.
Public Health and regional health care management information system is to use IT technology to the community health care resources and services, such as medical insurance, community health and related hospitals, telemedicine, health administration authorities, pharmaceutical suppliers, equipment suppliers, banks and other connections together into one system, to achieve local health services.
At present, China s regional medical information system is still in the exploration and testing phase, the government at the regional health care management processes and management policy has not yet mature, such as how to referral, the ownership records and other issues need to be further clarified. Basic data required for the regional medical system construction has just started, residents of health records, data centers, regional medical system in its infancy.
Basic management information system (MIS) departments of hospitals and medical management of basic business management. With the depth of information technology applications, management information systems for medical institutions, the demand becomes stronger, the hospital cost accounting management and OA is the main management information system. In the new health care reform, the public hospitals, driven by demand for cost accounting information systems. Construction of the hospital s cost accounting system is still in its infancy, because the government s management policies are being developed and adjusted in different medical institutions, the development of cost accounting systems vary widely. With the establishment of a network of community health care, community health of the cost accounting system in the pilot phase, OA in the initial stages of the same building.