Boao Lecheng, the only "special medical zone" in China

In early November, the weather in Qionghai City, Hainan Province was cool Starting from the Boao Forum for Asia International Conference Center, there are dense forests all the way After about 13 kilometers, a large area of open space appears Around it, there are nine hospitals in operation, including Boao super hospital, Boao Evergrande International Hospital, Hainan Qiyan stem cell anti-aging hospital This is the core boundary of Boao Lecheng International Medical Tourism Pioneer Area, the first and only "medical special zone" in China Large floor area and luxurious decoration are the first feeling of entering Lecheng Compared with quiet hospitals and rare patients, the whole park is full of construction noise, and there are 18 projects under construction scattered around: medisell international hospital is not yet open, workers are rumbling to dig underground water pipes; changshengyuan International Hospital, which covers more than one stadium, is also under construction △ the whole park is full of sound waves Photographed by Tan zhuoju In addition to the bustling construction noise, the "hub" leading the Boao Lecheng pilot area has quietly completed the restructuring: in August this year, the Lecheng Management Committee, which originally belonged to Qionghai City, carried out a thorough institutional reform, and established the legal institution led directly by the Hainan Provincial Government Lecheng Administration Bureau, which directly manages the pilot area Provincial officials were transferred to the administration and a group of cadres were airborne from Beijing Then in September, the implementation plan for supporting the construction of Boao Lecheng International Medical Tourism pilot area was announced Boao Lecheng started in February 2013 with the instruction of "nine national regulations" Although it has developed in the past six years, in the eyes of the outside world, it is still the existence of concept greater than substance, and though it is expected to exist, its body shape is vague Now, six years have passed since the promulgation of the "nine articles of the state", which is enough to prove that the development of new policies is far from enough This time, Hainan Province has pushed forward the mechanism reform and the newly established Lecheng Administration Bureau has made all circles eagerly look forward to the real turning point of Boao Lecheng The full name of "nine articles of the state" is "Reply of the State Council on Approving the establishment of Boao Lecheng International Medical Tourism pilot area in Hainan" The core of "Shangfang sword" is to allow the import and use of new drugs, medical devices and equipment that have not been registered and approved in China By 2018, the 30th anniversary of the establishment of Hainan Special Economic Zone, the central government issued a document to support Hainan to comprehensively deepen reform and opening up, and then proposed to fully implement the policy of the pilot area, "encourage the research and development and application of new medical technology, new equipment and new drugs, and formulate facilitation policies to support overseas patients to visit the pilot area for diagnosis and treatment" In the same year, the State Council issued documents twice before and after, delegating the examination and approval authority of imported medical devices and drugs to Hainan The new policy has been issued for a long time, but the progress is still slow, which makes Hainan provincial leaders very anxious Finally, in August this year, we carried out a thorough institutional reform of Lecheng Management Committee, and established the first district administration bureau Gu Gang, the former deputy mayor of Haikou, served as the director He is the most important actual operator of Lecheng and the youngest department level cadre of Hainan Province Gu Gang has many years of experience in enterprise management, and concurrently serves as the party secretary of Hainan development holding, the largest state-owned enterprise in Hainan Province Gu Gang, who once worked with him, is familiar with the ideas of the market and the enterprise and is extremely diligent He often appears on the project site at 12 p.m "he has strong learning ability and fast work pace." Institutional reform has greatly improved the administrative efficiency of the pilot area After three months in office, Gu Gang led the administration to fully cooperate with the provincial health and Health Commission and the drug administration, reducing the waiting time of patients from 27 days to 6 months to only 3-7 days △ Boao super hospital that has been operated Photographed by Tan zhuoju On October 1, 2019, the pilot area test launched the licensed drug traceability management platform When it is approved from January 1, 2020, only the provincial health and Health Commission and the drug administration need to "click on the Internet", and even the paper seal is omitted The application process for the first application of medical and mechanical products is also compressed within seven days, which was unimaginable before It is reported that 23 new medical devices have passed the first approval, such as medel cochlear implant in Austria, Boston artificial cornea, nine valent cervical cancer vaccine, dermatitis targeting biological agent dupixent, etc In addition, in order to reduce patients' waiting, drug application can be made before they go to the island Low-risk biological products, such as monoclonal antibodies, are allowed to enter the bonded warehouse first, then be inspected and quarantined, and patients can be taken out immediately after arrival Along with the accelerated progress of Boao Lecheng, there are also the full participation of China Merchants In the early stage of the development of the pilot area, a large number of real estate developers were attracted to invest in the construction of the medical park For example, Wanda Group, in cooperation with IHG, announced that it would invest 15 billion yuan to build three international hospitals; Evergrande group is not only the main developer of the park, but also the self built hospital In February 2018, Boao Evergrande International Hospital jointly built by Evergrande health group and Brigham and women's Hospital of the United States officially opened △ Boao Evergrande international hospital which has been operated Photographed by Tan zhuoju However, the business model of real estate "making fast money" is not consistent with the development logic of the medical park Boao Lecheng needs to find a more experienced partner in the park development In April 2018, the news of building a free trade zone across Hainan Island announced that Hainan's development has become a national strategy During this period, China Merchants signed a strategic agreement with Hainan provincial government to fully support Hainan construction, and established Hainan Company of China Merchants with a registered capital of 3.5 billion At 8:00, Jianwen learned that China Merchants Group has been working on industrial park projects for 10 to 20 years or even longer "What we do is Boao's future, not Boao's present Industry has its internal logic It's impossible to cultivate without more than ten years It's playing real estate " As a national strategy, Hainan Province has also implemented the action plan of "one million talents entering Hainan" It is reported that Beijing has dispatched more than 100 cadres to Hainan to join the post This can not help but recall the first round of talent entering Hainan in 90s The development of Hainan finally ended in the real estate bubble and became the shadow of Hainan's economic development According to the memory of a cadre who once worked as a deputy from Beijing to Haikou, the barbecue ashes left by the peak tourist season in Haikou at that time were black and continuous on the beach, which had a great impact on the environment For a while, the soaring property price makes Hainan people more comfortable, and the folk lottery is popular If the economic development can not improve the employment capacity of the local population, the asset feast will be a flash in the pan After careful consideration, this round of reform in Hainan has chosen a medical and health industry with a high professional threshold Although it is difficult, it is also the most matching direction with the characteristics of Hainan tourism health In September 2019, just one month after the establishment of Lecheng Administration Bureau, the national development and Reform Commission, the health and Health Commission, the drug administration and other departments jointly issued the implementation plan to support the construction of the pilot area, adding another fire to the accelerated development of Boao Lecheng On September 16, at the press conference of the implementation plan held by the Information Office of the State Council, Shen Xiaoming, the governor of Hainan Province and a doctor, pointed out that the implementation plan is the upgraded version of the Ninth National article, and the accelerated development of the pilot area is on the way One of the highlights of the upgraded version is to allow Boao Lecheng to try out the application research of real world clinical data Real world study (RWS), in short, is to mine information from a number of data other than traditional evidence-based clinical research, and take non random, open, placebo free research This new franchise policy echoes the "Ninth National Rule" of 2013 and the decentralization of drug and drug device approval authority to Hainan in 2018: Hainan can not only approve the import and use of the latest drugs and drug devices in Boao Lecheng by itself, but also its actual use data can be used as the official clinical data of these new drugs and devices for the basis of their future registration and approval in the country This is the key to attract medical and medical equipment enterprises and then doctors and patients through enterprises The implementation plan also proposed that the State Food and drug administration should establish a "national evaluation sub center for imported drugs and medical devices" in the pilot area This means that a new window of examination and approval for drugs and equipment to enter the Chinese market has been opened in Hainan Han Yingwei, director of the health and Health Commission of Hainan Province, said that the policy was unimaginable in the past and "opened a big gap" △ the latest vaccines can be vaccinated in Boao super hospital Photographed by Tan zhuoju With the latest policy of "the only use of real world data in mainland China", Boao Lecheng administration and many pharmaceutical and mechanical enterprises, such as Medtronic, Roche, Johnson & Johnson, Pfizer, etc., decided to cooperate at the Shanghai International Fair in early November, and then rushed to many provinces and cities for intensive promotion On November 3, Jia Ning, director of Hainan Food and drug administration, revealed at the procurement Symposium during the Expo that at present, the real world research of Boao Lecheng has entered the practical stage: four varieties of four enterprises have been identified as the first batch of pilot, including eljian's drainage tube for glaucoma treatment, Johnson's femtosecond product for cataract treatment, etc Hainan Food and drug administration plans to complete at least one of the above pilot products in the first half of next year Many foreign pharmaceutical giants have signed strategic cooperation agreements with Boao Lecheng in the fair Lecheng hopes that "real world research" will attract doctors and patients, and that enterprises will also put after-sales services and training centers in the park "Extraordinary" policy breakthrough depends on excellent medical team, "there must be a corresponding level of team, quality is the bottom line." Han said The matching policy is that public hospitals in other provinces and cities can provide special services in Lecheng At present, the special service of public hospitals is strictly limited, and there is room for release in Lecheng Lecheng administration is now negotiating with 3-5 public hospitals directly under the national health and Health Commission and the State Administration of traditional Chinese medicine about the possibility of implementation China Merchants Group is also trying to attract public hospitals in Guangdong It is reported that the First Affiliated Hospital of Guangzhou Sun Yat sen University International Hospital has been under construction in Boao Lecheng In addition, southern hospital and Guangdong Provincial People's hospital are also negotiating with Lecheng to establish branch cooperation "Boao can't just provide anti-aging services Only when there is a breakthrough in serious medical treatment can Boao get real respect from others," said an insider who is considering cooperation with Lecheng China Merchants has made a detailed plan for Lecheng, and proposed that the key disciplines to be developed include orthopedics, oncology, cardiovascular, neurology, Medicare anti-aging, assisted reproduction and vaccines What's more, what we want to develop is cost-effective medical care, rather than high-end medical care aimed at serving the rich China Merchants has calculated an account: in the orthopedic surgery of public hospitals, the proportion of consumables is about 40-60% Boao Lecheng can reduce the cost of consumables by 45% in many links, such as dealer profit, tax, hospital price increase, etc., by taking advantage of the advantages of the pioneer area Finally, in the case of increasing the doctor's service fee, it can ensure that the cost of orthopedics is about 80% of the average cost of public hospitals Eye surgery can be even lower Gu Gang mentioned at the Forum on November 3 that the artificial cornea surgery in the United States needs 100000 US dollars and that in Hong Kong it needs 230000 Hong Kong dollars, but in Lecheng it only needs 90000 yuan China Merchants Group believes that if Lecheng has both price advantage and priority to use the latest imported drugs and equipment, it will have a demand for domestic and overseas medical treatment