The top three issued equipment procurement announcements: as long as domestically produced

Based on the influence of traditional ideas, many top-tier tertiary hospitals still rely on imports in their propaganda and concepts, and their thinking has not yet completely changed

However, with the increasing investment in research and development of domestic medical devices and the experience of the epidemic, especially the support and guidance of the country's policy to encourage the purchase of domestic devices, the strength of domestic medical devices has been significantly improved

The top three bidding, banning the import of equipment

On December 8, a third-class hospital in Fujian issued a medical equipment bidding announcement on the official website of the Ministry of Finance.

The name of the purchased items relates to medical equipment repair and maintenance services and medical X-ray ancillary equipment and parts

Among them, in terms of procurement requirements, the announcement clearly requires that the procurement of imported equipment is not allowed

Not only in Fujian, many hospitals have recently issued notices that domestically produced medical equipment should be preferred for purchasing medical equipment

In May of this year, the Sichuan Government Procurement Network issued two procurement announcements.

The procurement requirements clearly require that the equipment and the reagents and chips to be configured later must all be domestically produced

A few days ago, the public resource trading platform of Xuchang City, Henan Province issued a tender announcement with a budget of 35 million yuan to purchase a batch of medical equipment for 10 township hospitals

Products include 16-slice CT, DR, color Doppler ultrasound equipment, five-category CRP integrated machine, automatic biochemical analyzer 800 speed, ECG monitor, 18-lead ECG, postpartum rehabilitation therapy instrument and other 25 kinds of medical equipment, and named As long as domestic medical equipment

From the top three to the primary medical institutions, all are encouraging the purchase of domestic medical equipment, and domestic equipment with the same performance and quality is now having more opportunities for fair competition

Strictly approve imported equipment in many places and establish a list

In the past five years, the growth rate of China's medical device market scale has been much higher than the international level, and the growth rate has always been maintained at more than 15%, which is 10 percentage points higher than the global medical device market

According to the observation of Cyber ​​Blue, many places have issued regulations on the priority purchase of domestic medical equipment and strict examination and approval of imported medical equipment

For example, this year's Guangdong Provincial Government Procurement Network clearly defined 12 special requirements for purchasing imported products

Guangdong Province proposes that if the products that the purchaser needs to purchase are not available in China or cannot be obtained on reasonable commercial terms, and the laws and regulations require the purchase of imported products as otherwise required by the law, the government shall carry out government purchases in accordance with the law after obtaining the approval of the financial department.

When the financial department reviews and agrees to purchase imported products, it should clearly stipulate in the procurement documents that the imported products can be purchased.

Not long ago, the Shaanxi Provincial Health Commission issued the "Administrative Measures on Government Procurement of Imported Products by Budget Units", and the procurement of imported medical products will undergo more stringent examination and approval
.
Each unit's government procurement of imported products must undergo five stages of examination and approval, namely, unit declaration, expert demonstration, online publicity, departmental centralized demonstration, and financial examination and approval
.

In June of this year, the State Administration of Taxation issued the "Announcement on the Amendment and Issuance of the "Administrative Measures for the Value-Added Tax Rebate for the Purchase of Domestic Equipment by R&D Institutions"
.
"

The announcement proposes that qualified R&D institutions purchasing domestically-made equipment shall refund the value-added tax in full in accordance with these Measures
.
R&D institutions that are applicable to the tax refund policy for purchasing domestic equipment should go through the tax refund filing procedures when they first declare the VAT refund for purchasing domestic equipment
.

In terms of purchasing import lists, many provinces have reduced the amount
.

Among them, the Zhejiang Provincial Department of Finance announced the "2021-2022 Provincial Government Procurement of Imported Products Unified Demonstration List (Medical Equipment)" notice.
Dozens of medical equipment will be removed from the import list, and domestic products are preferred
.
There are 195 types of medical equipment included in the unified demonstration list of imported products purchased by the Zhejiang Provincial Government
.

The Guangdong Provincial Health Commission issued the "Announcement on the List of Imported Products of Provincial Health Institutions in 2021".
Compared with the "List of Imported Products from Provincial Health Institutions in 2019" issued by the Guangdong Provincial Health Commission, purchases can be made.
The number of medical equipment in China has plummeted, from 132 types to 46 types
.

On May 27th, the Hengyang Medical Insurance Bureau's "centralized procurement of consumables (drugs) related to the treatment of end-stage renal disease" triggered heated discussions in the industry
.
The document pointed out that among the agreed procurement volume, selected domestic products accounted for more than 90%, and selected imported products accounted for less than 10%
.
The selected products are equally allocated the corresponding agreed purchase quantity
.

In August of this year, the Anhui Provincial Medical Insurance Bureau published an article "Anhui has achieved initial results in the development of centralized procurement of large-scale medical equipment
.
" The article stated that in 2020, public medical institutions in Anhui Province signed up for the centralized procurement of 70 sets of equipment for Class B medical equipment
.
Comprises a 1.
5T MRI, 3.
0T MRI, 64 row CT, linear accelerators, and other orthopedic surgical navigation system
.

Among them, the proportion of domestically-made equipment winning bids has increased significantly
.
Domestic brands won the bid for 8 units, accounting for 17.
8% of the bids; domestic equipment (domestic brands and foreign brands produced in China) won the bids for 15 units, accounting for 33.
3% of the bids
.
The proportion of domestically-made equipment winning bids is on the rise compared with previous years, basically forming a situation where domestically-made equipment is fully competitive with imported equipment
.

According to the observation of Cyblan Instruments, the current domestic substitutes for imports are mainly some conventional equipment, as well as some commonly used large-scale equipment, which are concentrated in the low-end equipment field, including nuclear magnetic field below 1.
5T and 64 row CT below
.
Conventional equipment such as ultrasound monitoring and IVD equipment has a relatively high degree of substitution
.
Including ventilators, ultrasound, digital imaging and other fields, domestic products are constantly improving
.

Under the permeation of policy tilt and conceptual changes, domestic substitution is accelerating
.