"Thirteen Five" plan will be out: Large-scale medical equipment to guide the configuration of domestic

Whether it is for medical institutions, or large-scale medical equipment manufacturing enterprises, will bring about new changes.

Planning forthcoming

According to the "Proton China" public information, held yesterday, "Chinese Medical Association, the fourteenth national conference on radiation oncology therapy," Hou Yan made a speech entitled "to make its due contribution to the implementation of a healthy China strategy - large Radiation therapy equipment configuration management "keynote speech.

Content of the speech Around the "Decision on Amending the Regulation on the Supervision and Administration of Medical Devices" promulgated by the State Council in May 2017 (State Council Order No. 680), the "1 + 5" management framework for large-scale medical equipment was introduced to implement Implementation of large-scale medical equipment management. among them

1 Ordinance: State Council Order No. 680

1 directory: "large medical equipment configuration license management directory"

1 way: ("large-scale medical equipment configuration and use management approach"

1 rule: "A large medical equipment configuration permit management implementation details"

1 plan: the "13th Five-Year Plan"

1 platform: configuration approval and regulatory platform

EEG machine

During the "13th Five-Year Plan" period, the main idea of large-scale medical equipment disposition is to focus on optimizing the allocation of resources and controlling the unreasonable increase of medical expenses, make overall plans for the disposition of large-scale medical equipment and improve the efficiency of resource allocation. To guide the rational allocation of medical institutions with functional and appropriate technology, energy saving and environmental protection equipment, support the establishment of regional medical imaging centers and promote resource sharing.

Guided configuration of domestic

Whether it is yesterday's meeting, or last year's meeting, Hou Yan mentioned that in the "13th Five-Year Plan", large-scale medical equipment will be configured to guide domestic configuration.

She said that the basic principles of the 13th Five-year Plan are as follows: demand orientation, overall coordination and coordination; unified planning and grading; responsible for safety and efficiency; ensuring quality; ladder configuration and resource sharing.

She explained that all A and B categories should be included in the planning but will be categorized according to the classification (by the central government or the local government). All medical institutions, whether public or private, should be included in the planning. They should take overall consideration of the reduction of medical costs and medical expenses into consideration, and have a ladder-type configuration. The standard configuration first and foremost to ensure quality and safety, around reducing medical costs, support the community to do medical treatment and guide the allocation of domestic equipment.

A category will be greatly reduced

Hou Yan said that the forthcoming "Thirteen Five" category A directory range will be "Twelve Five" greatly reduced.

It is understood that in the "12th Five-Year" management projects, Class A equipment includes PET / CT, PET / MR, surgical robots, head gamma knife, MM50, proton heavy ion therapy system, high-end radiotherapy equipment and 306 brain magnetic Figure and so on.

As for what directory will be compressed, it is not clear.

This will mean that these compressed Category A medical catalogs will be assigned decentralization by the National Health Planning Commission to the local Health Planning Commission.

Proton heavy ion equipment demand hot

As a large-scale equipment for high-end radiotherapy of cancer, proton heavy ion is not only expensive for equipment, but also invests in a heavy ion hospital. It costs one billion to several billion dollars. From heavy ion hospital charges in Shandong and Shanghai, Cost 278,000 yuan (for the same lesion are a single course of treatment).

Although the equipment is expensive, the market demand continues unabated. Hou Yan said at yesterday's meeting:

"There are less than 100 proton heavy ion collocations in the world, but the demand in China is very big, and the list in our hands has been nearly 70 or 80. How to configure? Some experts say that if our country is using patients who belong to high-end radiotherapy indications Protonated heavy ion therapy may increase the cost of medical care by 6-7 billion, and how to better consider this issue from the perspective of cost-effectiveness of treatment, our society should make its due contribution. "

Private hospitals to leave the configuration space

In yesterday's meeting, Hou Yan also said that it will strictly manage the configuration of public medical institutions and reserve planning space for private medical institutions, leaving 20 to 25 percent of reserved space. Reduce the size of the bed, emergency attendance and other business volume indicators required, mainly around the quality and safety and technical capabilities to review.

Newly-built private medical institutions may conduct configuration review according to the departments, personnel and other conditions stipulated in the construction plan. Passed the assessment, agreed to its first purchase.

To explore the allocation of large-scale medical equipment of Class B to social medical institutions within the free trade pilot zone approved by the State Council and to inform the promised system.