After the price of consumables was bargained, the machinery companies began to reduce the cost...

Medical Network, February 25, news of
this type of consumables have been bargained many times.

On February 23, the Shandong Provincial Public Resources Trading Center issued a notice, announcing the results of the selection of 5 types of consumables with the volume of purchases, and 14 of the 14 companies that replaced artificial hip joints for the first time The average price of products was reduced by 86.
26%
.
A certain type of primary replacement artificial hip joint was reduced from RMB 92,418 to RMB 4133.
33, and the price of a single product was reduced by RMB 88,284.
67
.
A person in charge of a well-known domestic junior Oracle orthopedics department told Cyblan Instruments that 4,100 yuan is indeed a relatively low price, but the original 92,000 yuan is significantly higher than the normal level
.
"The best ceramic-to-ceramic artificial joints used in ordinary times, the price does not exceed 50,000 yuan
.
" Many artificial joints have been purchased in China.
On September 29, 2019, Jiangsu Province completed the second round of consumables alliance negotiations.
Orthopedic artificial hip joints have an average decrease of 47.
20%, and the largest decrease is 76.
70%
.
On August 25, 2020, Jiangsu Province completed the third round of belt volume procurement.
The average drop of initial replacement artificial knee joints was 67.
3%, and the largest drop was 81.
9%
.
In December 2020, the red-head document of the "Notice on Carrying out the Second Batch of Centralized Procurement Data Quick Collection and Price Monitoring of High-Value Medical Consumables" showed that it was decided to carry out the rapid collection and price monitoring of the second batch of centralized procurement data of medical consumables, including manual labor.
Six categories of consumables such as hip joints and artificial knee joints
.
The above-mentioned person in charge further pointed out to Cyberlan Equipment that mass purchase can bring great benefits to patients and medical insurance, but there are also some problems that need to be paid attention to in the implementation process
.
For example, the needs of some patients cannot be met
.
Some patients with higher income tend to use drugs and consumables of higher quality and price , but doctors cannot satisfy these patients after purchasing in quantity, because the hospital requires the task of purchasing in quantity before developing other products.
The indicators of using and purchasing with quantity are directly pressed on the doctor
.
In addition, the service quality of some of the bid-winning equipment companies has declined after mass purchase, which has also increased the pressure on doctors' daily work
.

　　Mechanical Specifications reduce prices
after the above person in charge, at present the price reduction industry, the use of clinical problems, such as artificial joints, gaskets originally had five or six models to choose from, but probably after purchase with the amount Only one model remains
.
It is understood that artificial knee replacement surgery is relatively mature.
The main method is to replace the worn bones on both sides of the knee joint with alloys and replace the cartilage with polyethylene gaskets, but the gaskets will wear out after a long time
.
The above-mentioned person in charge told Cyblan Instruments that the manufacturer actually has multiple models of gaskets, but in order to reduce the cost of disinfection, only one model is provided
.
Gaskets are all set products and can only be used in artificial joints from the same manufacturer
.
This situation has an adverse effect on patients.
According to reports, if the patient uses 10mm gaskets, the 9mm will be looser.
However, the manufacturer only provides 9mm gaskets, and the doctor needs to add 1mm bone cement
.
The consequence is that when the patient needs to be refurbished in a few years, the operation will become more difficult, the operation time will be longer, and the risk and expense that the patient needs to bear will also increase
.
According to China Industry Information Network, the life span of artificial joints generally ranges from 10-25 years, which is related to factors such as the materials used, the weight of the patient, and the wear and tear of the patient's products
.
Bone and joint products are generally divided into initial implantation and re-revision.
Because the bones and tissue structure of patients undergoing revision surgery have been reduced after the initial surgery, there are fewer guidelines for positioning and support, and they are compatible with the bones of the raw materials of bone and joint instruments.
Performance, durability, bone interface fixation technology, etc.
have all put forward higher requirements
.
It is estimated that the total number of revision surgery for hip and knee joint replacement implants in China will increase from 5.
6% in 2016 to 11.
2% in 2021
.

　　The quality of supporting services may decline.

In addition, the above-mentioned person in charge further pointed out to Cyberlane that after the price of the product is reduced, it is necessary to focus on the supporting medical services of the equipment companies
.
"For example, in a province in northwestern China, after the purchase price of artificial hip joint belts was reduced, the quality of service declined
.
" According to reports, the manufacturer had related staff to follow the table to sterilize the medical equipment needed for the operation and send it to the operating room.
Later, the manufacturer took it back
.
This surgical instrument is not a consumable that is implanted in the patient's body, but a medical instrument and tool needed for surgery, a set of value or hundreds of thousands
.
However, after the price of the product is reduced, the manufacturer controls the cost and is only responsible for sending surgical instruments to the hospital.
There is no staff to follow the stage.
The entire process requires the doctor to follow, including disinfection, docking with the supply room, and handover of nurses in the operating room.
The amount further increased
.
The relevant person in charge of a well-known domestic machinery company told Cybernet that this contradiction currently exists in the industry
.
Theoretically speaking, with so many hospitals across the country, unless it is a key hospital, the production company may send people to follow-up service and technical support, but if it was originally the dealer’s follow-up service, and now there is no motivation to participate, then follow the bed.
The service may be reduced accordingly, or the quality of service cannot be guaranteed
.
For orthopedics, manufacturers generally need to provide surgical kits and disinfect them for free.
After purchasing in quantity, the finalist prices have dropped significantly.
If the hospital is relatively strong and is unwilling to bear the costs of tool kits and disinfection, then this part of the pressure is still passed on to the production enterprises; If the manufacturer is relatively strong, then you only need to provide the hospital with a toolbox, and the hospital may be responsible for other management processes
.
Prior to this, the relevant person in charge of the Medical Engineering Department of the First Affiliated Hospital of the Army Military Medical University also published an article analyzing that imported machinery companies have a higher profitability and can support the establishment of a complete production, sales, after-sales and scientific research consulting service system to provide comparisons.
Complete service guarantee
.
However, domestic medical companies are in the entrepreneurial period, with limited profitability and indispensable investment in R&D, resulting in insufficient after-sales service guarantees in some companies.
This is reflected in the phenomenon of fewer after-sales personnel and after-sales work entrusted to agency companies, losing their innate policies.
, Price and geographical advantages
.