Domestic and imported medical equipment price difference is large National Health Insurance Bureau voice.

Medicine Network September 27 - September 23, the State Health Insurance Administration issued the "National Health Insurance Administration's response to the Third Session of the 13th National People's Congress No. 9931" (hereinafter referred to as "Reply") shows that there are deputies to the National People's Congress on the creation of domestic, imported products of the same quality fair competition environment, speed up the import substitution proposal.
The National Health Insurance Administration said that for a long time, the government has managed the price of medical services by emphasizing that medical supplies should be packaged as far as possible to be charged within the service items, in order to guide medical institutions to control the cost of medical supplies, indirectly playing a role in controlling the inflated prices of medical supplies.
is necessary under the historical conditions of the time, especially for the alternative strong, fully competitive medical supplies have played a positive role.
But this way does not adapt to the change of their respective costs, especially in the case of different brands with large price differences, the demand for consumables is more rigid, but it is easy to see the service homogeneity of different prices or cost inverted situation.
It is understood that on May 10, 2012, the official website of the National Development and Reform Commission issued the National Medical Service Price Project Code (2012 edition), which requires strict control of the variety and quantity of individual charge supplies, clearly for consumables that can be charged separately, and at the same time to clarify the corresponding specific medical service price items.
the "Reply", the National Health Insurance Administration said that the proposal to create a level playing field for domestic and imported products of homogeneity and price, and to speed up import substitution, is of great significance to the National Health Insurance Administration in promoting the reform of the price of medical services.
next step, the State Health Insurance Administration will explore the feasibility of separation of technical consumption, and strive to fundamentally solve the problem of homogeneity and different prices, and speed up the improvement of price project policies and price formation mechanism.
The same project: import 55 yuan, domestic 7 yuan former National Health and Family Planning Commission medical management service guidance center has issued "thinking about the difference between imported medical equipment and domestic medical device charges" shows that from the Beijing Municipal Development and Reform Commission has published the Beijing medical service price inquiry table can be seen that a variety of medical service charges exist in the use of imported medical devices than the use of domestic medical devices charge higher phenomenon.
From the absolute value of the difference, the difference from one to three digits, individual items of the fee difference of as much as 200 yuan, for example, with imported instruments to do 24h dynamic electro-encephalogram monitoring, can charge 600 yuan / person, and with domestic instruments to do the same inspection, but can only receive 400 yuan / person.
From the relative proportion of the difference, the use of imported equipment charges at least twice the cost of using domestic equipment, individual items of fees or even nearly 8 times, for example, with imported reagents for hepatitis B 1gM core antibody determination, can be charged 55 yuan / item, and with domestic reagents to do the same inspection, but can only charge 7 yuan / item.
of different charges related to radiology, otolaryngology, clinical examination department and other departments of multiple projects, clinical examination department is a difference in the charging standards of the hard-hit areas.
Imported equipment and domestic equipment charge difference part of the project specifically as follows: the use of imported medical equipment and the use of domestic medical equipment charges have differences in the part of the project table above analysis, imported medical equipment charges should not be higher than domestic medical devices for the following reasons: First, according to economic law, the factory price of imported medical equipment is high, its production enterprises should bear the cost of sales caused by high prices, but the charging standards should be borne by the hospital acquisition costs indirectly transferred to the patient's head, the result is that the import of medical devices.
second, because of information asymmetry, patients do not know their own condition as doctors, so that the health care provider has the ability to induce demand, create demand and determine demand.
third, which would result in the use of the purchasing power of patients to determine the level of medical services, not conducive to achieving the goal of health for all.
right to health is the most basic civil right, and the right to health of the population should not be based entirely on their ability to pay.
Big Three: mainly occupied by imported equipment the above article also analyzed that the impact of the difference in imported domestic charges mainly has intensified the monopoly of imported medical devices in China's medical device market, patient medical costs are high, as well as domestic medical device enterprises production difficulties in three aspects.
domestic medical devices can not be used in the mid- to high-end medical device market, which further aggravates the situation of imported medical devices monopoly in China's medical device market.
It is understood that, in addition to some imported equipment charges higher than domestic equipment, the majority of domestic hospital radiology, inspection, etc. are occupied by the United States, the European Union, Japan, Israel and other countries medical equipment, domestic equipment accounted for very little.
Recently, the medical engineering department and material procurement center of the First Affiliated Hospital of the Army Military Medical University issued an article showing the proportion of domestic medical equipment in the radiology department and inspection department of the hospital, as well as data on the procurement of medical equipment in the last three years.
From the table above, it can be seen that the above-mentioned three hospital radiology department of domestic equipment accounted for less than 10%, more than 90% are imported equipment, including Siemens, GE, Philips and other multinational equipment enterprises;
the purchase amount of domestic equipment in the past three years has not exceeded 20%.
China Medical University Oncology Hospital, Liaoning Cancer Hospital and other relevant officials have also analyzed the purchase and use of medical equipment in Liaoning Cancer Alliance Hospital, a total of 2899 medical equipment, the proportion of various types of imported and domestic medical equipment and the average purchase cost of the table below.
According to the table above, from the overall procurement volume, domestic accounted for 56.7%, imports accounted for 43.3%, domestic more than imports, but from a specific type, medical imaging equipment domestic only 17.3%, optical medical equipment and endoscope domestic accounted for 29.5%.
from the average cost of purchase, there is also a clear gap between domestic and import.
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