The monopoly problem has not been solved, and the industry of “care expenses†has once again swept the industry. On December 7, Medtronic was fined 118.5 million yuan for continued fermentation. The black industrial chain behind medical devices has gradually surfaced. The reporters learned that the price of medical devices represented by stents is high. Except for the reasons why manufacturers and distributors collude to promote price monopoly, the products such as stents must enter the hospital channel. It has become a hidden rule in the industry to pay the “care fee†in the hospital. The “care expenses†of some hospitals even account for 70%-80% of the price of the products purchased by patients. Million price difference When the stent has experienced several turnovers to save patients, the “worth†has often been raised several times. Among them, foreign products are particularly obvious, and the price is nearly 10,000 yuan higher than domestic products. Ms. Hebei Xia did a stent operation in a well-known top three hospital in Beijing in 2014. According to Ms. Xia, the stent is divided into two domestic and foreign system products. The price of foreign products is about 30,000 yuan, and the price of domestic products is only about 20,000 yuan. . “When the doctor uses the stent, the product will be recommended according to the patient's vascular occlusion. We believe that the high quality should be better, so we chose a higher-priced foreign product.†According to Ms. Xia, the doctor introduced domestic and foreign products. The difference is mainly in material and size. According to a survey conducted by the Beijing Business Daily, the prices of the stent products were not announced in major hospitals in Beijing. Some media reported in 2015 that the average price of domestic stents was about 11,000 yuan, and the average price of imported stents was about 17,000-20,000 yuan. A deputy chief physician at the top three hospitals explained that the higher prices of stents produced abroad are related to intellectual property and production materials. “The material required for the stent production is very high, and the workmanship is also relatively fine, so the price will be higher.†The coronary heart doctor of a central hospital in Liaoning Province wrote on the blog that from the source, the stent is divided into domestic and imported. The material is divided into 316 stainless steel and chrome alloy. In terms of price, the imported bracket is more expensive than the domestic bracket, but this does not mean that the imported bracket is better than the domestic one. From a practical point of view, the function of the bracket is not much different. The user who knows the previous label for the cardiac catheterization room also said that there are only minor differences between the domestic and imported stents, including the mesh size of the stent, the supporting force, whether the drug coating, whether it is degradable, etc., all of which are caused by the patient's own blood vessels. And the interventional doctor to decide, patients can choose to import or domestic products considering their own economic situation, there is no exact data to study the advantages and disadvantages of imported stents and domestic stents. An expert who did not want to be named told the Beijing Business Daily that ordinary consumers and even some doctors are not sure where the price of domestic and imported stents is. "General doctors will use the performance and materials as an explanation of the price difference. If the patient wants to know more clearly, he will explain the patient's postoperative reaction as a difference." some'." Grey interest chain The reason for the price gap between imported brackets and domestic brackets is still a puzzle, but from the Beijing Business Daily reporter's survey, the price gap of the brackets may mostly come from the default “care costsâ€. A senior industry person who did not want to be named told the Beijing Business Daily that although the materials of foreign stent products are relatively high quality, the prices are not much different. The ex-factory price of foreign brackets is about 1,000 yuan, and the ex-factory price of domestic brackets is between 600-700 yuan. If the product wants to enter the hospital, it needs to pay the so-called "care expenses" of different prices to the hospital dean, vice president, department head, head nurse and even nurses. The “care expenses†of some hospitals even account for 70%-80% of the price of the products purchased by patients. The person said that the manufacturer's price monopoly can protect its own interests, even if it is necessary to pay a high amount of "dollar fees" to enter the hospital, manufacturers can also guarantee higher profits through price monopoly. Ms. Xia said that when she was inspected in a hospital in Hebei Province, the doctor told me that she needed to do five stents. She only had two stents in a hospital in Beijing. Shi Lichen, head of the Beijing Dingchen Medical Management Consulting Center, said that the number of stents given to patients is controlled by doctors, and some doctors are driven by interests to provide more stents for patients. "Foreign doctors are not allowed to provide more than three stents for patients. There is no such regulation in the country. In order to make more money, doctors usually give patients more stents. A stent doctor can get about 5,000 yuan, and 5 stent doctors only I can get 25,000 yuan for the achievement."
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