People's Daily health client reporter Kong Tianjiao
"Before the collection, the high-end artificial joint price of ceramics-ceramics is about 60,000 yuan, and after the collection, the same ceramic-ceramic imported artificial joints are about 8,000 yuan." On March 31, Tang Hai, chief physician of the Department of Orthopedics of Beijing Friendship Hospital, told the People's Daily health client reporter. The opinions regulate the procurement and use behavior of medical institutions, that is, the entire surgical process cannot be affected by price reductions, and the very good surgical process specifications that have been established before cannot be simplified because of price reductions.
On March 31, the National Medical Insurance Bureau issued the seventh item of the "Opinions of the Office of the State Medical Insurance Bureau and the General Office of the National Health Commission on the Centralized Procurement and Use of High-value Medical Consumables (Artificial Joints) organized by the State", which proposed to standardize the procurement and use behavior of medical institutions and strengthen the guidance for the standardization of joint replacement surgery operations in the covered areas.
At the booth of the 4th China International Import Expo in 2021, a company showed off its joint surgical robots approved for listing in China.
The People's Daily health client reporter found that on June 21, 2021, the Joint Procurement Office of High-value Medical Consumables organized by the State organization issued the "Announcement on the Centralized Procurement of Artificial Joints of the National Organization (No. 1)" pointed out that the centralized procurement products were the first replacement of artificial total hip joints and the first replacement of artificial full knee joints. On September 14, 2021, the state organized the procurement of artificial joints and officially began, and bids were opened in Tianjin. The price of the artificial joint products to be selected has dropped from an average of 30,000 yuan to less than 10,000 pieces, a decline of more than 80%.
Artificial hip joints and knee joints have different kinds of materials, and the components are more complex, with different models. Tang Hai explained, "In the doctor's aspect of standardizing the entire process of surgery, preoperative preparation, intraoperative operation, postoperative treatment of the entire process can not be weakened in the slightest, if the surgical process is simplified, there will be a variety of problems; in the enterprise manufacturers to standardize the quality of the joint, joint instruments can not have flaws, can not cut corners, if the quality is not strictly required, used in the patient, will no longer treat the patient, but the patient's secondary injury." ”
Tang Hai said that medical specifications should be checked by doctors at all levels, and for manufacturers, they should be produced in strict accordance with quality requirements. The purpose of the collection is to reduce the price significantly, to benefit patients, the introduction of this opinion, will smoothly implement the national organization of artificial joints centralized procurement results, to ensure the timely supply of selected products, to promote medical institutions to standardize the use of collection varieties, standardize the provision of related medical services, for some patients with joint problems is a good news.
The opinions pointed out that the National Medical Center and the national and provincial regional medical centers should strengthen the guidance on the standardization of joint replacement surgery operations in the coverage areas, and improve the medical capacity of medical institutions at all levels for joint replacement surgery. All localities should focus on the clinical use of collected consumables, incorporate them into the medical service management system to strengthen supervision, strengthen medical institutions to strictly implement relevant diagnosis and treatment guidelines, technical operation specifications, etc., adhere to the principles of safety, effectiveness, economy and appropriateness, reasonably select treatment methods, and reasonably determine the variety and quantity of consumables.
