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2011 inventory of Japanese digital medical profession
Medical, health and nursing fields in the future will be accompanied by advances in technology, the development of a bigger industry. This sounds a few years ago can expect to hear anywhere. Noticeable during the year 2011 is not just a simple look, as well as to create new industries for the purpose of practical initiatives.
For example, in the medical field, Fujifilm released in June 2011 to support the use of smart phones emergency stroke diagnosis and treatment of medical aid for Remote Imaging System \"i-Stroke\". The system is with the Tokyo Jikei Medical University will be jointly developed, absorbed clinical practice experience. According to the company, even medical professionals are not the hospital, patients can also view check images and other cases, provide treatment recommendations. Through the use of technology, making previously unattainable medical support possible.
Health areas, Tsukuba University, announced in July 2011 East Japan earthquake victims move into temporary accommodation to provide health support program. Occupancy for temporary housing, providing use of ICT in health care units and were developed for the residents\\ health programs.
Care areas, in November 2011, nursing home care and other services in charge of Japan and China care company announced that it will be used to develop and manage nursing home into work and stay inside the health status of the system. Each floor in the nursing home a laptop computer and configure the number of Taiwan \"iPad\", staff can enter data management system at any time or browse the data.
These examples are just one example in all areas. 2011 year also been found in a lot of desire to change health care through technology, health and care industry, the specific instance.
Creation of new industries can not rely on self-improvement techniques
Medical, health and care industry, changes must have the technical support. But the creation of new industries can not rely on technology (enterprise) self-improvement.
\"Nikkei Electronics\" and Digital Health Online in May 2011 and June, respectively, in the seminar held in Tokyo and Osaka, \"a new generation of medical devices Summit\", the seminar survey results also reflect this problem. When asked who the main participants in the enterprise, \"to create a new industry is facing a problem\", the respondents\\ answers can be divided into the following six points.
(1) can not understand the needs of first-line
(2) did not have the quality required by users
(3) lack of coordination by
(4) are not familiar with \"Japanese Pharmaceutical Affairs Law\" and \"PL Law\"
(5) do not see the government measures
(6) can not estimate the size of the market
To solve these problems, companies must be \"medical, health and care professionals\", \"State (central government, administrative agencies and local government)\" and \"consumers\" to work together.
In the \"Nikkei Electronics\" and Digital Health Online on November 22, 2011 seminar organized by the \"digital future health care 2012 to create new industries, health and care industry, changes will occur ~\", a number of speakers in unison said, \"Digital health is not a separate company to carry out the business.\" As proof of this same speech after the exchange will be very hot. In order to exchange views with speakers, a lot of people waiting in long lines, and you could see the participants to exchange business cards and information scene, the venue the atmosphere was very warm.
December 2011, came the news that the industry, NTT DoCoMo and Omron health care industry was established in June 2012, health care support services in the new company. Although only just started, but finally makes a move towards the creation of new industries to hear the exact footsteps.
Investors look at medical institutions of social capital held
\"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 [2010] 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.
County-level market power industry achieved a new growth point medical device
With the deepening health care reform, the state investment in primary health care system continued to increase as our county hospital network of the leading tertiary care greatly benefited. Especially in the recent National Development and Reform Commission, Ministry of Health launched a robust rural health service system, plans to invest 36 billion yuan within three years arranged focus county hospitals to support national 2176 building, so that each county has at least one county-level hospitals basically reached the standard level, has arranged 31.4 billion yuan of special funds to support the construction of 1877 county-level hospitals to improve medical conditions and environment, capacity and improve service levels.
Market survey, county hospitals have become the medical equipment, especially electronic medical device market share of the fastest growing end. Currently 12 cities in the market penetration of electronic medical devices higher demand from the major procurement of replacement products, the market grew steadily, and now nearly ten thousand county and county-level cities nationwide medical equipment and hospital equipment 15% of the 20 products before and after the 1970s, so the growth in demand for medical devices is most prominent, compared with 2009, growth in demand for equipment procurement nearly 30%.
Survey, county and county-level city hospital medical equipment market share in the overall market continues to expand. 2009 China at all levels of electronic medical equipment market totaled about 300 billion yuan, of which, at the county level and county-level city hospital market of about 37 billion yuan, 10.7 percent by the year 2008 rose 12.3% in 2009, the growth rate living in hospitals at the first market.
From the product perspective, the large-scale equipment at the county level and county-level city hospitals the most lacking. For example: CT, MR, co2 laser treatment machine.
Currently the major medical device companies have been seen at the county level market opportunities, and take the appropriate measures to deal with a number of multinational companies also have come to the front, their approach includes the development of products for the grassroots, for domestic partners, donors products, and the primary hospital of promotion and education work. For example, Philips and Neusoft Medical joint venture, the company\\ s first generation of products aimed at the target is China\\ s low-end market. GE\\ s are made for grass-roots \"early health\" concept, as GE to preventive health care into the primary function of urban communities and rural medical institutions paving stones, and focus on development for early detection, early diagnosis and early treatment the product.
Thus, as the government, businesses and hospitals at all levels of enthusiasm gradually being mobilized for the county and county-level city hospital market is driven by huge, so in the next few years, the domestic county, county City Hospital\\ s medical device market will be more rapid development.
Blue Ocean equipment for the medical device can also be leveraging Wang big market
There is a class of people, their passion for the medical devices even more than the doctors, these people are investors. They are not saving for the spirit of worship in this industry, but to break, rich mythology, high price-earnings ratio, exciting high-growth markets such as hot words rush.
However, if the big blue ocean is not without swirl device, under the sea may be calm surging undercurrent. How investors can safely steer towards a more broad area? Take a strong ship, choose a proper route, more importantly – with the wind and waves decisive and courage.
Equipment is king
The external surface of the support of a policy, within the natural growth of a strong driving force, no wonder that in the primary market, in addition to real estate professional fund, there is little PE, VC not interfere with medicine. In the secondary market, making the rich mythology of writing are mostly medical stocks.
In the pharmaceutical industry, the largest two categories of medicines and medical equipment. Among them, the medical device much favored by investors. Rainbow Medical Devices Division, General Manager, Medical Equipment Industry Corporation is China Wei Xing investment adviser, told reporters: \"In the U.S., sales of equipment and drugs, the market ratio of 1:1, while in our country, this proportion is only about 1:10 or 2:10. \"Therefore, as the level of national economic development and health, equipment room to grow bigger than drugs. \"I estimate that each year in equipment, particularly consumables should be able to reach this 20% to 30% growth rate.\" Wei Xing said.
Extension of medical devices is very large, small gauze, syringes, large CT, ultrasound, are within the scope of medical devices. According to clinical departments, such as the use of risk indicators, medical equipment division can be different, not all segments have the same investment value, development speed and capacity are not the same market.
Correct choice of segments
Wei Xing Investors are advised to take adequate attention to our library of various diseases, disease incidence, the index indicates that certain pharmaceutical products directly to the potential market size. If the incidence is very low, such as blood diseases, drugs and equipment related to the size of the market are not large; Secondly, attention and determine new technologies may have a significant impact on the industry.
Gauze, cotton, bandages and other consumables are also part of the daily use of medical devices, there are some companies doing well related to stability, sustained profitability, but the market is very limited room for growth, it is difficult to meet the general financial investors in high-speed enterprise growth requirements. Xing Wei told reporters, in addition to CT, ultrasound and other large equipment, there are three types of supplies of medical devices also have investment value, one of Cardiology; second orthopedic materials; Third, diagnostic reagents.
Heart stents
\"Now the whole domestic market, all of the stent, including Cardiology, accessories, sales of the year to reach 150 billion yuan, our national consumption of materials is estimated at 60 billion a year or so of total sales, accounting for a total of Cardiology, the four one, so this is a very large space industry segment. \"Wei Xing said.
Why can account for a small stand so much market share?
First from a high cardiovascular morbidity. Previously, the incidence of coronary heart disease in China compared to other diseases is not very high, but as living standards improve, the incidence was significantly increased. At present, the incidence of disease, the library is ranked first in cardiovascular and cerebrovascular disease, and the second is cancer, then diabetes and other chronic diseases; Second, the new technology lead to market blowout. In the medical field, as long as there is a fundamental technology appears, can not solve the problem to solve before, the instant formation of a huge market space. Implantation of cardiac stents is to address cardiovascular congestion, that is a fundamental technique of coronary heart disease; Third, economic level, the improvement of health care system, so that the public health care costs and improve their ability to withstand.
With the increase in the number of patients, utilization of new technologies to improve, in a long time, the heart stent market will maintain a high rate of natural increase.
How to market maturity?
Cardiology Devices market has grown to a relatively standardized and mature stage, the number of major companies from more than 60, reduced to no more than 10 present, of which domestic enterprises, including Shanghai minimally invasive, music universal health care (300 003), Shandong JW and so on. Imports are mainly manufacturers Boston Scientific, Johnson & Johnson, USA Medtronic Corporation.
Technically, a good domestic and imported bracket bracket gap is very small. In terms of price, according to China\\ s WTO commitments, medical equipment required by the market price, from the practical point of view, is priced by the purchaser, the hospital is the leading market-driven. Equipment prices will differ according to different manufacturers, at present, the heart stent made of four large manufacturers execution unit are ten thousand seven hundred yuan, the price of imported manufacturers implement different. To Johnson, for example, the price of each product is nineteen thousand three hundred yuan, or about twice the domestic bracket, \"spread mainly from foreign manufacturers for R & D investment is much larger than the domestic manufacturers.\" Wei Xing said.
Now, in the Cardiology market, the market share of domestic products has reached 70%. Hospitals in the mainstream of the basic cardiac stents, are based on domestic-based, supplemented by imports.
Orthopedic materials
Orthopaedic basically divided into three sections: trauma category, type of spinal, joint classes. In the domestic market, the production of orthopedic materials business more than seventy to eighty, of which, the joint production of the material is not more than ten national companies, but wound class, there is still a large number of small workshops, industry concentration is lower than the overall Cardiology. Creation Holdings, Comfort Medical is relatively good in the field of listed companies.
Orthopedics imported products and domestic product prices far. Trauma products, import parts and domestic parts of the spread is probably about double; spine products, domestic parts price is about 70% of imported parts. In technology, design, development, materials, surface treatment, etc., domestic products and imported products, there are still some gaps. For example, the Xindi Si is the world\\ s production of orthopedic trauma supplies top-ranked business class, which created the standard AO, AO products out of the body, there will be no mucus attached to the surface, while the domestic product of the treatment process difficult to achieve, But this does not affect the use of the results. As a result of quality problems caused by the broken nail broken boards, would severely affect the patient\\ s use. AO\\ s products may also happen, but the proportion is much lower than domestic products.
Current market share in orthopedic trauma class materials, the amount of domestic products over imported products, but is lower than from the total sales of imported products; joint-like material, the use of the total imports for 70% to 80% , made only a small part of the use of the product; spine class is mainly imported. Major orthopedic hospital on the choice of materials are mainly imported, domestic, supplemented.
Diagnostic reagents
Medical devices in diagnostic reagents is very different segments of the market space, domestic Kehua, Fosun, foreign Roche, are relevant listed companies.
The current chaos in this area, domestic products and imported products there is a huge gap between the price and technology. For example, the conventional two pairs of semi hepatitis B surface antibody testing, domestic products are mostly used in enzyme linked immunosorbent assay, usually costs 30 yuan per capita, but with Abbott, Roche, represented by imported products, the cost per test up to several thousand pieces. This disparity is due to the price of imported products with the use of diagnostic methods and diagnostic equipment is more advanced, you can achieve higher accuracy. In addition, since the use of biochemical methods, tests are complete, such as lung problems just want to look, but do a body check, tentatively not to comment on the need for it, but this, patients need to pay higher treatment costs in the affirmative.
In other countries, usually by charging disease, the treatment of each disease has provided the cost of the cap, as is the Medicare payment, special circumstances require more than this standard, you need health insurance approval. We do not have this national standard, and, in our country, because the existence of the chain stakeholders, health care products seems to be greater the higher the selling price set out, the health care system seems to be more conducive to the survival of expensive medical products. Therefore, the imported diagnostic reagents market in China has accounted for most of the country.
China\\ s pharmaceutical enterprises often do not attach importance to R & D, to clone, imitation-based. However, in the field of diagnostic reagents, but there is a huge barrier. \"Because the imported reagents are mostly closed, you need to use in the relevant instruments, such as biochemical analyzer, is done well abroad, we imported this machine, you must use it the reagent products and can compete to design a equipment even greater difficulty. \"Wei Xing said. In this area, our only way out R & D, but this is precisely the domestic pharmaceutical companies short board.
Only the pipe in the above three segments, the current stage of development and maturity of the market is different, but they have a big market space, growing faster than other investments that have the value of its basic characteristics.
Investment combat chapter
Both market and R & D
Medical equipment for a high-tech industries, R & D capability is important, but by no means the only lifeline. Market often heard such a voice: \"the lack of research and development of domestic pharmaceutical companies, not even research and development.\" Does this mean that the domestic pharmaceutical companies do not have the strength and the development of investment value?
Long-term commitment to investment in the field of medicine OrbiMed Wang Jian, senior managing director said: \"China\\ s enterprises in R & D investment and R & D capability is relatively weak, which in current practice, not necessarily how much of a disadvantage Because China is now a great opportunity to market and rapid growth of domestic demand, medical to second and third tier cities and rural areas to push the product in need of medical services and the large number of people, but the relatively low purchasing power in this situation, the spend a lot of money and time only sophisticated research and development, but not to seize market opportunities, and some more harm than good. \"examples from the market point of view, some companies tend to mature products, production and sales, some companies tend to innovative technology R & D, in the current China, many success stories is the former rather than latter. If the large market in the face of a company dominate the market, the ability to make a profit is more important than research and development.
However, people without finest hour, when the market more competitive, companies must be the original downward margin pressure, and when the market becomes more mature, if not technology, will be very dangerous. Wang Jian said: \"within the limits of enterprises in R & D is also necessary, should take precautions as institutional investors, and that it should invest more in more early, higher levels of technology innovation.\"
Investment real: a domestic manufacturer of orthopedic devices, the existing products in the market has grown rapidly in sales, gross profit margin is high. But with the market compared to other similar products lack of differentiation, gross margins in the future may be getting lower and lower. This company hopes to introduce institutional investors, investment OrbiMed prior to several issues of concern to them: your products and technology with other companies any different? Where art? How can you better than others after a few years? The company\\ s answer is that they have advanced technology with overseas companies and individuals have a lot of cooperation, and several leading U.S. companies have established a strategic partnership. All shareholders are also some well-known inside the industry who can bring a number of related advanced technologies. Faced with such a business, recently, there can be profitable in the market; long-term, can be imported from the West to develop the required technology. Therefore, OrbiMed the decision to invest.
More potential in the early project
Currently, the equity market is the demand exceeds supply, particularly in the pharmaceutical industry, a good business behind a number of investment institutions have coveted and coveted. Pre-IPO project to turn? Face of the extraordinarily high cost of investment, how many people can do no turning back? For most institutional investors, in order to succeed in this industry may have to hope some of the mid or even early investment projects. Warburg Pincus investment in health care for Dunlop is a relatively successful case.
Investment real: a medical product registration, should be the first clinically validated its efficacy and safety, Dunlop\\ s main product is the drug of Cardiology stents, such products usually require thousands of patients through clinical trials, and then to State Food and Drug Administration for approval, registration process takes about two to three years, when the time to get the certificate of registration to be eligible for sale in the marketplace, but that does not mean the market is fully open. In 2004, Dunlop made shortly after the registration certificate, Warburg Pincus that the PE of 10 times the market price of shares was 10 billion Dunlop, this time the risk is still huge. 10 times PE for early projects, although not low, but the initial stage in the development of business profits base is limited, simple does not necessarily mean high PE multiple of the extraordinarily high cost of investment. Just think, if China equal to Dunlop 2009 shares listed on the eve of another assault, Leaving aside can not enter the same 20% of the price of the shares at this time what should be? Warburg Pincus to greater risk Bo back to the high return on investment, with, of course, not Pifuzhiyong.
Wei Xing said: \"To vote early or mid-project, must be very aware of this industry, including the industry\\ s growth potential, but this ability often do not have a financial investor, a visionary investment company, be sure to close There is a team of professionals within the industry for support, if a PE or investment bank with such talent, I think even in the initial stages of a business can also vote, so the success rate is relatively low, but the payoff is huge. \"
Not short of money companies have investment opportunities
In the pharmaceutical industry, good business no shortage of funds is a very common situation, this means that it did not finance motive, investors no chance? Not. The development of enterprises often need outside funding in addition to a wide range of support, such support is sometimes the money can not buy, such as networks, channels and resources.
Investment real: a manufacturer of surgical instruments of domestic manufacturers in the Chinese market, it is one of the largest market share, and in Europe, Africa and Asia, some countries also have good sales, the daily cash flow from operations is sufficient . But the company still hopes to introduce institutional investors to become shareholders. The reason is that in this area, the United States is the largest market, therefore, he hopes to enter the U.S. market, but U.S. sales channels, brand building, the idea of ??local doctors, how to recruit staff and other specific issues that are very strange ; Second, the company has the intention of overseas listing; Third, business leaders themselves are not industry experts, to this point is not easy, deep down will be more professional, more and more high-tech, more and more difficult, therefore, he hoped to find such an investor – are familiar with the U.S. market and market channels, and can provide him with experience in professional and technical support.
In addition, \"no shortage of state funds only for a certain stage, but there may be the next stage of development in the next step in the implementation of the plan, will surge in the demand for capital and some future prospects of business financing is not necessarily clear understanding, therefore, investment institutions have appropriate guidance and advice. \"Wang Jian said.
Investment risk medical devices
Corporate risk team
Wang Jian said: \"The team is often the biggest investment risk lies.\" Good management team in any company and any industry which plays an important role. Perfect plan, advanced technology, the markets have decent, but not if the team, eventually will fail. And, often determines the quality of personnel is not only the level of qualifications, working experience, not even professional background, but the direction of enterprise development teams can have a clear understanding, as well as strong and durable execution.
Market risk
Investment in medical devices, under normal circumstances, it is best to cast a lot of operational projects, many patients are needed, will have a very bright future. And in considering the size of the market, we must refine the project directly to seize the market. In the end what was the size of investment value? Wang Jian said: \"If a company\\ s products in the worldwide market size may not exceed $ 500 million or 40 billion yuan, in normal circumstances would not consider investing in this company in a small pond is no way to support a dragon. \"
Technical risk
Medical product development cycle is longer, money demand, inevitably there is a big technical risk. \"But for investors, does not need to blindly search for sophisticated technology, is important for today\\ s market is looking for technical.\" Wang Jian said.
Out of risk
Investment in other sectors, like the ability to achieve safe exit? What price to exit? Investment project are to determine whether an important indicator of success. Wang Jian said: \"The medical field of venture capital, usually two to seven years, most of them in between three to five years you have to determine in a few years ago the company\\ s future ability to exit through listing or acquisition is difficult, many factors not under our control. \"
For the market, the basic risks: business turnover, profit after a certain period of time, can achieve the minimum listing requirements; or there may be some special reasons, the market channel is closed, such as the 2008 to 2009 financial crisis.
M & A risks, such as: can not find a suitable buyer. In particular there are a number of industry turnover of enterprises and products are similar. But if your product is just a big company\\ s product line in the relatively short piece, or with a large company is a direct competition, it was a great likelihood of mergers and acquisitions.
Corporate re-financing risk
Some of the industry requires a lot of financial support, including research and development. The company\\ s future financing capacity is not strong, the channel is not smooth, investors will enter the pre-pose a great risk. Example, only 500 million investment to support R & D progress to a certain stage, the subsequent demand for funds may be 50 million, if the corporate finance 50 million less than this, it means that 500 million early investment will completely fail.
Ministry of Health, New data: 1 quarter of 2011, over 1.3 billion people of China s treatment
First, clinic visits
First quarter of 2011, the national health care institution s total clinic visits 13.8 million passengers, an increase of 9.6%. Of which: total hospital clinic visits was 4.8 million passengers, up 9.6%; primary health care institutions Visits 8.7 million passengers, an increase of 9.7%; other institutions 040 million people. Primary care health facilities: Community Health Center 090 million passengers, up 38.4%; township 200 million passengers, down 6.4%; village health 410 million people.
Second, the number of discharged patients
Quarter of 2011 the number of national medical institutions discharged 3320.7 million, an increase of 3.9%. Of which: number of hospital discharge 2319.3 million, an increase of 11.5%; primary health care institutions hospital discharges for the 834.6 million, down 13.0%; others 166.8 million. Primary care health facilities: Community Health Center 49.3 million, an increase of 17.1%; township 768.2 million, down 13.6%.
Japan has developed an upgraded version of the new lungs points measured instrument C 8800D
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Japan s latest market CHEST upgraded version of C-8800D pulmonary function testing system, using non-invasive means to resolve the need to know how to do preoperative lung surgery patients their lung function in this problem both lungs, as required to provide patients with lung resection reliable basis for preoperative, greatly reducing the blindness of the past thoracic surgery decisions.
C-8800D pulmonary function testing system uses sensor technology automatically scaled to capacity, and this technology is the American Thoracic Society ATS recommended measurement of lung function for the industry "gold standard." It is based on this method, the test lung conventional ventilation, functional residual air (FRC), diffusing capacity (DLCO), basal metabolism (BMR), on the basis of lung function measurements can be upgraded to the sub-module.
Beijing Best Solar Co., Ltd. Vice President Xiao-Gang Wang said that this device is not only advanced technical support, and built a large database containing the standard is expected to Asian values (and no longer needs the value of the evidence base for European and American people s standards is too large ), for the doctor s diagnosis as a reference.
CHEST is the Japanese company, Japan s largest manufacturer of spirometers. This instrument is lying subjects with silicone mouth after mouth, nose clip clip, normal breathing, breathing steady and press the start button. Measured three supine position, two lateral position. After about the process of lung function can calculate the ratio.
Injection penetration patented technology to develop cosmetic medical field
A physician by China independently developed patented injection technology penetration, so that those who contend with aging beauty, a natural young state. This proprietary technology since the advent of effective quite good, now the beauty industry in the domestic medical attention.
With the continuous improvement of living standards, people increasingly urgent pursuit of beauty. Although a variety of beauty products on the market and the beauty means of confusing people, but most people still care about the efficacy and safety.
Beijing s Wu Min physician after ten years of painstaking research and clinical practice, a variety of independent innovation, co-injection of drug infiltration therapy in the medical cosmetic industry to emerge.
Last November, the Beijing Great Hall of the "National Plastic Medical Conference", Miss Wu Min To this end, gave a special academic lectures. This proprietary technology has not only been a branch of the Chinese Medical Association, spoke highly of beauty, but also to prepare the general promotion of the medical industry in the country, some foreign experts predict that the technology will be the next milestone in medical cosmetic development.
Wu Min, director of clinical work in health care for 30 years, she was from the 1980s that people began to study the most of today s problems of global concern – the problem of human aging. Wu Min, director originally obstetrics and gynecology, early in the treatment of women, vaginal relaxation, urethral prolapse and stress urinary incontinence and so fruitful. After that, she again applied these techniques and clinical experience in a variety of local plastic repair, as in the treatment of facial aging caused by sagging skin and tightening waist and exposed parts of body fat accumulation or relaxation and other symptoms, but also made the introduction of noticeable progress.
Wutai Fu now named the treatment of patent penetration of cosmetic injection technique, injection of various drugs injected through the combination of a coordinating role, able to directly penetrate beyond the reach of all facial bone cell systems, uniform swelling of the eight hours was completely absorbed, 24 hours after an effect, repair, improve and tighten loose facial skin aging, pores shrink, skin tight, increase flexibility, from the inside to the outside of a natural young state. Cell function can improve after treatment, cells need to add nutrients to reverse the age up to 5 years, and sustainable over time in three years.
It is reported that the technology nearly 14 years no case of injection without effect, and no case of complications or sequelae after injection. Well-known experts, including psychological counseling star Miss Wang Yanqiu a large number of domestic and lawyers, judges, doctors and other professionals in the beauty industry have come counseling and treatment. Cypress area is located in Shanghai, Shanghai Han River in Korea white hospital medical institutions recently introduced this item.
U S researchers found that two new compounds contribute to the treatment of diabetes
Harvard School of Public Health United States, a research group found that two are called PBA (4-phenyl buryric acid) and TUDCA (Taurine-conjugeated derivative) compounds contribute to diabetes, obesity and diabetes that they can resume normal mice glucose levels and normal insulin activity, and reduce the risk of fatty liver disease. Currently, the U.S. FDA has approved the PBA for human clinical trials of urea cycle disorders. TUDCA has been used in human cholesterol stagnation of liver disease prophylaxis.
OUR QGD based preventive maintenance of whole body gamma knife experience
OUR-QGD-type body gamma knife stereotactic system uses 30 rotating gamma-ray beam focused on the tumor site, after
repeated high-dose fractionated irradiation, and kill tumor cells. Treatment requirements associated equipment must be
safe, reliable condition. Engineering and technical personnel is the guarantor of the quality of equipment, to provide
necessary technical support during use to change the traditional concept of the passive maintenance, preventive
maintenance necessary in due course. On how to maintain body gamma knife, in the "OUR-QGD gamma ray stereotactic body
type treatment system product manual" description in detail. We use the whole body gamma knife more than a year,
accumulated some experience in preventive maintenance, the report is as follows.
A timely focus position of the body measurement examination Gamma Knife
Whole body gamma knife should focus position is consistent with the irradiated lesions, in order to achieve the
purpose of medical treatment. Mechanical wear, deformation, loosening, or zero shift can cause the switch to change
the focus position. Best every 1 to 2 months of the focus position (X, Y plane and X, Z plane) were measured check,
using the simple method of making the film. Bed or three-dimensional mechanical components to adjust the zero position
switch should focus position detection.
Second, the periodic testing of safety devices
Emergency stop switch, y-axis limit switches, stop switches, safety switches, etc. PSD anti-extrusion protection
device is the treatment of abnormal situations of emergency tools, under normal use, these safety devices to be used
almost no, should there not reliable or damaged, the operator can not easily be found. We recommend at least 1 to 2
months of their repeat test 2 or 3 times, identify problems and real-time processing.
Third, regular lead-acid batteries for UPS discharge process \ r
Long-term non-stop electricity areas, UPS lead-acid batteries have been working in the floating state, the battery
status is equivalent to static storage, in excess of the storage time, the battery internal resistance may be larger
or damage, resulting in reduced or not with a load capacity with load , so every 3 to 4 months to be artificially cut
off the electricity, the UPS work, about 50% depth of discharge activation process. Discharge of lead-acid batteries
also detected the UPS inverter circuit work s sense.
Fourth, the periodic removal of electrical equipment within the process
Dust gets on board the machine, piled up, the whole circuit board will be put on a very uniform layer of insulation to
prevent heat from inside the machine, when exposed to moisture will cause a short circuit could result in malfunction.
Dust on the machine regularly is necessary. Computers, workstations, internal dust may be one year, the display can be
semi-annual, cabinet can be 3 to 4 months once. Removal tool has been introduced in a random file. After the dust to
be carried off. Dust inside the machine to be recorded before the switch position and check the end of the dust;
remove the tubes of the dust, avoid using alcohol and other liquids smear, or it may undermine the graphite shell and
tube, causing failure. Can open the dust cover power supply box.
Fifth, the treatment room to keep the air fresh
Gamma-ray ionization of oxygen in the air can produce ozone. Ozone can cause harm to humans, ozone will accelerate the
aging plastic. Therefore, conditional units can be placed in the vacuum bags outside the room, exhaust fan inlet is
best to set foot in the wall (better than the top of the wall), and the long-term open fan.
How to end a good hospital medical information outline map
With the recent heat wave continues to set off information, medical information technology field of medicine increasingly become a topic of concern, and profoundly changed the management model inherent in medical institutions. For the purposes of the domestic pharmaceutical companies, followed by information and anticipate the development of the hospital management and application, the hospital will be of great benefit to the maintenance of the terminal.
On November 26 to 28 in Guangzhou, China Hospital at the Fifth Annual Conference, the three places several well-known hospital gathered to discuss information technology to bring about profound changes in hospital management and medical information technology to enhance efficiency and quality of medical significance role.
Hospitals can be very smart to do
In China Taiwan, there is a hotel of the hospital, its comfortable, friendly and efficient full service no less than the star. There, through the patient\\ s medical intelligent interface design, even in the ward, patients can also enjoy ordering, shopping and even play games and other services. This is at the Taiwan Chung Shan Medical University Hospital in Ko-Huang Lue is built in the \"wisdom of the hospital.\" The wisdom of the hospital due to medical information, one of the most noteworthy is the e-business.
E-business areas include outpatient electronic medical records paperless, computerized hospital doctor, computer-based test data, inspection reports computerized data computerized nursing, medical and digital imaging, digital linear reports, computerized appointment scheduling, plus computerized intensive care unit, computerized patient data, and medical information for all of the above operating system integration.
\"Health information technology to improve the physician-patient relationship, a great help to enhance patient satisfaction, medical staff have also benefited.\" Ko-Huang Lue that paperless electronic medical records, no piece of medical imaging, help-line data exchange and integration, improve data accuracy, saving manpower and resources. But to implement a wide range of electronic medical records, medical records need to establish a unified format, simple operation, in line with the health care work habits, human, and user-oriented. On this basis, with the continuing education of medical staff also benefit from the information. Even the hospital staff to establish an internal library website system, medical staff in his spare time, learning at any time charge.
Improve efficiency and quality of intelligence
\"Hospital information management core objective is to improve the treatment efficiency, improve service quality, control and management costs.\" Wang Xiao-Min Dean in the phrase, and that through the establishment of patient-centered information management system for the crack \"difficult\" problem have been helpful. His Zhongshan Hospital of Xiamen University, in the hospital information management made a useful exploration.
For example, in the implementation of hospital information management system, to achieve a multi-channel booking registered. Patients through the hospital site, hospital service centers, public health information systems, self-service system, TV set-top boxes, mobile phone text messages, 114 help desk and other means to make an appointment. In another example, community physicians can help patients make an appointment through the online system, workstation beds doctors for patients by doctors direct booking.
To ease the \"difficult\" to implement the hospital doctor \"card.\" With local banks, health care centers, set up self-service equipment, construction, set appointments, registration, voucher payment, settlement, dispensary, print invoices, medical insurance as one of the self-service terminal system. At the same time to carry out multi-channel self-service check, the patient may be through the website, mobile phones and other tools to query the use of beds, medical prices, inspection reports, medical reports and other information.
Wang Xiao-Min believes that such a move to simplify the process for medical treatment, management, cost reduction, medical treatment of patients experience improved quality of service improved. The patients and doctors SMS interactive platform to build, but also narrowed the distance between patients and doctors, the doctor can SMS platform to the patient follow-up.
The hospital also established a core of medical information security management system, through the improvement of electronic medical records system, multi-level quality control, improve medical quality.
Now completed the initial set of sharing patient information, medical alert, medical knowledge, support and quality control as one of the electronic medical record platform, and in the original HIS and EMR, based on the clinical path through the integration of form-based, electronic medical records as the core processing and quality control of intelligent integration.
\"Through these systems, the hospital can do quality control of medical records hospital-wide quality control for running, ready access to medical records hospital-wide each, department quality control staff can also be run on the general medical record real-time monitoring the system will automatically monitor, medical records and completed the project on time and automatic detection, prompt and automatic scoring. \"Wang Min also pointed out that, CPOE systems and rational use of electronic prescription systems for real-time early warning and medication guide, to further ensure drug safety.
Leveraging of things to achieve digital
At the meeting, Zhongshan Hospital of Dalian University, describes them in strengthening the internal construction of the digital results: Relying on complex networking technology, through the development and application of remote medical assistance system, community health services, management information systems, and to achieve \"the mobile hospital\" emergency liquidity function emergency rescue system, exploring the internal health care, regional medical and emergency medical digital remote management achieved initial success.
Dean Zhao Dewei said in early 2010, they gradually things technology applied to medical, nursing and hospital management, through the application of mobile computing, automatic identification technology, artificial intelligence technology, smart sensor technology, optimized processes on traditional medical recycling, build a drug safety management, remote medical consultations, electronic medical records sharing the management of 10 closed-loop data link and standardized business processes.
Through the application of these technologies can be effective patient identification, accurate access to electronic medical records mobile terminals, verify proper operation and location. Effective monitoring of vital signs in real-time collection, the whole process of a unified electronic medical records management, doctor\\ s orders to perform monitoring, management, records management, nursing assessment, nursing and other health care process specifications to guide the process. Hospital can also package the entire cycle of sterilization and disinfection processes, traceability, reduce the risk of nosocomial infections.
Zhao Dewei said, \"the application of networking technology, but also for the hospital to provide comprehensive asset management, reliable, and efficient decision-making based on dynamic data and to achieve the asset management information and standardized to raise the overall efficiency of the management of hospital assets and level. \"
In the Regional Medical digitization, the hospital\\ s community health services research and development management information system for the community center is equipped with GPS and remote medical assistance system. Community residents in the hospital\\ s treatment of information, will be transferred automatically to the community health service management information system. Community physicians can access the system platform to the patient in hospital diagnostic information to better accomplish the rehabilitation of patients and health care management.
In addition, remote medical assistance system to help the hospital achieve a remote rural remote areas, emergency, remote rounds, remote testing, remote appointment registration, remote training, remote management, six medical services. Township hospitals in remote areas of acute disease, ill treatment of the patient\\ s condition and ability to save far failed to meet the needs of the domestic pre-hospital emergency system can only be simple to achieve on-site processing and transport, there is no ability to conduct timely and effective rescue therapy.
The corresponding situation in early 2011, Zhongshan Hospital of Dalian University in cooperation with Spain, set out to create the world\\ s first set of operating room, intensive care unit and the flow of telemedicine as one of the first aid emergency rescue system. \"The system of things and 3G technology application, the rescue vehicle equipped with advanced monitoring facilities and digital systems, the equivalent of a mobile emergency room. \\ Mobile hospital\\ due to the completion of the development of information technology, network, and it will continue to present and future of hospital management and development has brought more unexpected progress. \"Zhao Dewei further said.