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                國內醫療設備企業維護市場拓展比較慢?
                來源: | 作者: | 發布時間:2015-8-18 10:00:05

                國內醫療設備企業維護市場拓展沒有那么快?


                國內醫療器械與設備企業不乏有好產品,有些和國外同類產品相比甚至更好。但是,這些產品卻很難推廣開來,在市場上占有一席之地。除了企業的營銷能力短板之外,最重要的原因就是大環境的制約:招標政策、采購方式、交易內幕等無一不是國產醫療器械發展的攔路虎。悲觀的人會痛斥所有的不公平,明智的人才會審時度勢,在諸多限制中爭取主動權。

                  據中國醫藥保健品進出口商會統計,2012年,我國醫療器械進口額為124.72億美元,同比增長14.56%。其中31個品種進口額達到億美元規模,以通用診療設備、彩色超聲波診斷儀、彌補生理缺陷的康復用具、X線斷層檢查儀、內鏡、醫用導管、核磁共振成像裝置等高附加值產品為主。

                  而從2014年,各種醫療利好政策的實施,促進了我國醫械市場的拓展,行業專業人士也認為2015年也會是醫械發展之年,但由于曾是進口醫械占據的市場,國內醫械拓展仍亟待一些政策的實施。

                  招標政策不嚴跨國公司回扣高

                  “根據排量不同,一臺進口CT的價格從200萬元至數千萬元不等。而國產的100多萬元就可以買到。”山西一家醫院院長說,國產設備盡管具有很大的價格優勢,卻未進入醫院的采購視野。

                  原因很簡單,院長簡析說,大家盲目的認為貴的東西就是好的,認為價格實惠的國產醫療器械的不如昂貴的進口醫械,可是大部分人士或許并不清楚,進口醫械的價格的之所以昂貴,并不只限于產品本身,中間還有許多流程占據的費用。

                  國內一些醫療器械生產企業認為,同檔次的設備,國內設備和進口設備并沒有多少實質的差別,國內設備完全能夠滿足臨床需求,而且更多的更能符合國人的要求。先以美諾瓦醫療科技為例,美諾瓦醫療掌握DR研發的核心技術,致力于研發質量優異、性能良好、價格優勢明顯的數字化X光機產品,并取得中小型醫院等基層醫療機構的信賴與贊許。同時美諾瓦醫療不斷加快高端醫療設備的研發,向高端醫療領域挺進,與進口設備一爭高下。如美諾瓦微劑量數字乳腺機、全景數字牙科機、寵物DR等產品,具有放射劑量低、成像清晰、成像速度快、操作便捷等優勢。

                  而且本土醫療器械具有更大的優勢,首先,提高基層醫療水平,推薦新醫改。價格適中,很好的滿足了一些中小型醫療機構的需求,切實服務于百姓,提高疾病篩查率,幫助基層地區做到早發現、早治療,減少因病致貧的發生。

                  更重要的是降低售后服務費用。進口設備的售后維修均由原公司專門人員實施,價格昂貴,一旦出現維修不及時、耗材供應中斷的情況,設備的使用將會面臨癱瘓,影響診療進程。美諾瓦自主研發的CCD探測器獨家推出“終身質保”的政策,大大減少了醫療機構的維修成本,且更方便、快捷。

                  國內很多的大型醫療設備技術水平完全與進口產品抗衡,而且降低患者醫療花費。購買費用和維修價格的降低,均能在一定程度上減輕醫院的經濟負擔,從而可以減少過度檢查、過度醫療等不良醫療行為的發生,有助于減少患者就醫時的經濟負擔。

                  而且國內醫械更能保護我國患者健康隱私,進口醫用設備的核心技術掌握在外國企業內部,因此醫療診斷、治療數據和患者的醫療檔案等信息安全都面臨著巨大風險。使用美諾瓦等國產醫療器械,在一定程度上可以保護我國患者的健康隱私。重慶山外山科技有限公司是我國血液凈化產業聯盟理事長單位,該公司董事長高光勇說:“一些中醫院根本不需要如此昂貴先進的設備,造成資源閑置和浪費。”

                  業內人士認為,國產醫療器械難以拓展國內市場的主要原因有:

                  一是我國現行的醫療器械行業的標準、政策是在大量應用進口醫療器械的環境下產生的。重慶市江北區中醫院檢驗科主任陳坤介紹,醫院定期要將檢查結果報送重慶市臨床檢驗中心以評估檢查是否準確“中心使用的全部是進口產品,技術參數也參照進口產品,所以我們也得用進口的,否則檢查結果相差太大醫院就會被整頓”。

                  二是采購招標政策執行不嚴,在實際招標采購中,不少單位明文規定只采購進口產品。高光勇告訴記者,北京某大型醫院只采購進口產品,企業投訴他們。但該院稱如不立即撤訴,他們將利用自己在業界的影響力,讓全國醫院都不用我公司的產品。

                  三是許多醫療器械采購花費的是公共財政,一些醫院根本不考慮性價比,只購買價格最高的進口產品。業內人士透露,進口產品回扣高已成為行業公開的秘密,不少跨國公司還以出國考察、參加學術會議為名讓醫院負責人免費旅游,以便于在采購價格上獲得利益,這也擠占了國產產品的市場空間。

                  醫療機構應分類使用醫療器械

                  近年來,國家加大對醫療器械的扶持力度,但優質國產產品卻難以進入醫療機構,形成“研發上加油、市場上剎車”的怪圈,打擊了企業的自主創新積極性。而進口醫療器械已然形成壟斷,對我國醫療市場造成巨大沖擊,也給國內打破技術壟斷、疾病信息等管理帶來艱巨挑戰。

                  業內人士呼吁,國家亟須從三方面調整政策才能改變這一局面。

                  一是對各級醫療機構使用醫療器械加以分類使用。“有些縣級醫院的C T配備甚至超過了省級醫院,買多少錢的設備,醫院自己說了就算,實際利用率并不高。”業內人士稱,衛生主管部門應按醫療機構級別,推薦使用適宜的高、中、低不同檔別醫療器械:最高端的醫療器械可以達到嚴格控制安全性、有效性,以及維持生命的目的;中端醫療器械次之,低端產品則屬于常規使用,具備安全性、有效性。

                  二是提高國產醫療器械檢查和醫保報銷比例。在醫保報銷范圍內,國產和進口醫療器械的檢查報銷比例一樣,影響了醫院使用國產產品的積極性。李小平建議,可在醫保報銷比例方面,適當提高國產醫療器械檢查報銷比例,對臨床上并不迫切需要的進口產品降低檢查報銷比例。

                  三是投入科研經費,扶持國產優勢產品。由于不能夠保證帶來實際效益,很多企業不再設立研發部門,只從事仿制、基本生產。解決這一問題需要從國家層面加以規劃、引導:對我國醫療器械的優劣態勢加以梳理,對既有的優勢產品采取減稅、補貼等措施,加大扶持力度

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