Some people have difficulty walking for more than 20 years, and the pain is unbearable, but in order to save tens of thousands of yuan in surgery costs, they endure it again and again .
Starting from April 20, the price of a batch of medical consumables in Henan has been greatly reduced. After the implementation of centralized procurement of artificial joints, the average price has been reduced by 82%, and patients only need to spend a few thousand yuan. Artificial joint replacement surgery can be completed, which will undoubtedly bring real benefits to the majority of patients.
However, can the quality be guaranteed after the “big dive” in price? What are the implications for hospitals and doctors? Where is the profit squeezed out?
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Before 40,000 to 50,000 yuan, now a few thousand yuan< /strong>
April 20th is the official implementation of artificial joints in Henan. On the first day of the price collection, in the Zhengzhou branch of the Henan Orthopaedic Hospital, four patients underwent artificial joint replacement surgery.
“I used to think that surgery was expensive, and I was dragged to death. This time, we will come as soon as the price is reduced!” said Mr. Xie, the family member of the patient. The replacement surgery cost 40,000 to 50,000 yuan, and now it’s down to several thousand dollars. And there are medical insurance reimbursements, “it’s relieved us a lot of financial burden.”
After our province implemented the centralized procurement and use of five types of medical consumables such as artificial joints, the average price of hip joints dropped from 35,000 yuan to about 7,000 yuan, and the average price of knee joints dropped from 32,000 yuan to about 5,000 yuan. 82%.
At about 9 am, Sun Yongqiang, a joint specialist from Luoyang Orthopaedic Hospital of Henan Province (Zhengzhou Branch), completed the first artificial joint replacement operation today after being included in the centralized collection. The implementation of the joint collection policy, will usher in the outbreak of surgery, “because many people are looking forward to this day.”
After learning about the policy, Ms. Xu rushed to Zhengzhou from Zhumadian to prepare for surgery in the near future. Her symptoms of inconvenience in walking have lasted for more than 20 years, and she was reluctant to spend tens of thousands of yuan due to the cost of surgery. Treating a disease…
Because of leg pain, Ms. Xu usually does not dare to walk far and cannot do housework. After that, I can live like a normal person.”
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large patient population
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Taking Luoyang Orthopaedic Hospital (Zhengzhou Branch) in Henan Province as an example, there are about 3,000 visits per year. In the case of artificial joint replacement surgery, it can be seen that there are many patients with femoral head necrosis, osteoarthritis and rheumatoid arthritis, and they all need artificial joint replacement.
Previously, the high price of artificial joints discouraged a large number of patients in need of joint replacement. After the centralized procurement of artificial joints is implemented, the burden on patients will be greatly reduced.
However, with such a big price drop, some patients have doubts: Can this guarantee the quality?
“Patients don’t need to worry about quality issues, all artificial joints have strict factory qualifications.”Henan Provincial Third People’s Hospital Director of Orthopedics Sha Sha Yu explained that this time the state organizes the procurement of artificial joints with quantity, including primary replacement artificial total hip joint, primary replacement artificial total knee joint, and non-selected artificial joint products include hemi-hip prosthesis and unicondylar prosthesis products according to performance and price. The principle of matching is to set a high price line for hanging on the Internet, and certain restrictions are imposed on products that exceed the high price line.
In addition, at the same time as the results of the artificial joint centralized collection, there are also a batch of centralized collection medical equipment such as intraocular lens, pacemaker, ultrasonic cutter head and coronary drug balloon. consumables.
Intraocular lens and coronary drug balloons have been added to the selected products at reasonable prices from other provinces on the basis of the previous centralized collection in our province, which can be used for clinical applications in our province. And the majority of patients have more choices.
The average price of selected products for pacemakers dropped from 48,000 yuan to 24,000 yuan, an average price reduction of 50%. The average price of the selected products of the ultrasonic cutter head has been reduced from 3,600 yuan to 1,100 yuan, an average price reduction of 70%, which will greatly reduce the medical burden on related patients.
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Artificial joints enter the era of thousand yuan
< p>As soon as the news that the artificial joint was included in the collection came out, many netizens left messages expressing their joy: “I will do it for my mother in February, and the doctor told me that the collection will be collected in April. It’s great to wait!”
Sun Yongqiang introduced that after so many years of hard work, artificial joint replacement surgery has gradually matured in terms of precision and accuracy, and with the arrival of an aging society and the increase of patient sources, surgery The increase is also very obvious, “About25 years ago, the number of people who came to our hospital for surgery every year was only single digits. Now, there may be tens of thousands of cases in Henan every year.”
Doctor: Conducive to building a brand
In his view, the number of patients The demand for artificial joints is large, and the implementation of centralized procurement is just at the right time.
At the same time, in addition to directly benefiting patients and reducing the economic burden, it is also beneficial to hospitals. , the brand development of doctors brings opportunities, especially doctors with superb medical skills, it will be easier to gain market recognition and establish a brand.”
The price of artificial joints “has plunged” “After that, will there be any adverse effects on hospitals and doctors?
Industry insiders believe that there will be no impact in other aspects except that it will affect the hospital’s cash flow and require the hospital to adjust and respond.
Enterprise: Conducive to market reshuffle
After the artificial joint collection, from the original tens of thousands of yuan, entering the “thousand-yuan era”. In which link is the high profit squeezed out?
Zhang Shilei, Commercial Sales Director of China Resources Pharma, explained that The essence of national procurement with volume is to compress the intermediate circulation links, which will not only reduce the market and sales for manufacturers At the same time, it will also promote the further growth of leading enterprises.
“For our commercial company, after centralized procurement, many product orders have increased, because centralized procurement will make sales more centralized, while the original scattered, For private agency companies, the order volume will gradually decrease.” Zhang Shilei said that centralized procurement can be regarded as a market reshuffle, which compresses unnecessary profit margins and is conducive to the centralized and standardized development of the market.