Reduce the "cost-consuming ratio" of the grassroots or the potential blue ocean of medical supplies

"Reducing the cost of health materials for the consumption of 100 yuan medical expenses (referred to as the consumption ratio), many companies feel pressured, in fact, people who are flustered should be the gang to do drugs, reducing the proportion of drugs to their impact is really big."

Currently, there is such a view spread in the industry. People who hold this view believe that the state reduces the consumption ratio. At present, for medical device companies, the impact is not great. You don’t have to be shocked. Only a lot of people still don't understand the "mystery" of this, so they will panic.

They also cited good examples, such as the proportion of consumables in the 14 hospitals in the province of Hubei Province in 2016:

Look, of the 14 hospitals, only two hospitals accounted for more than 20%, the highest was only 23.03%, and the lowest was only 2.47%. The average is 15.13%, which is significantly lower than the 20% target.

降低“耗占比” 基层医疗或成耗材潜在蓝海

The big hospital is still the case, not to mention the small hospital. Because large hospitals with the full range of medical equipment, sanitation materials was more than available, the proportion of consumption of natural higher; and small hospitals due to limited medical spare parts, sanitary materials less available, the proportion of natural and even less, a lot of grass-roots Hospital consumption ratio is estimated to be less than 1%.

Is this the truth?

We know that the cost of sanitary materials mainly includes sanitary consumables, chemical reagents, blood, oxygen, and others. The expenditure on sanitary materials includes not only consumables that can be charged, but also consumables that cannot be charged.

In May 2015, the State Council issued the “Guiding Opinions on the Pilot Reform of Urban Public Hospitals”. The opinions clearly stated that we will strive to control the proportion of medicines below 30% in 2017, and the consumption ratio of 100 yuan in medical income will be controlled at 20%. %the following.

This is the historical source of reducing the consumption ratio. Under this document, some hospitals began to reduce the consumption ratio.

Especially in February of this year, CCTV's "News Network" reported that Tianchang City, a county-level city in Anhui Province, reduced the consumption ratio to 9%, and the first time of Saibailan equipment was "Medical Reform New Star!" The analysis of the problem of the consumption ratio is reversed. It can be said that this is a major event in the process of reducing the consumption ratio. This incident has also put tremendous pressure on medical device colleagues and even "panic" about the future.

Let's take a look at the 14 hospitals in Hubei mentioned above. In the 2015 data, 8 of them accounted for more than 20%. Because Wuhan is a pilot city for medical reform, after the reform, the consumption in 2016 exceeded 2% to 2%. It can be seen that the consumption of most hospitals is more than 20%.

According to the article "Analysis and control measures for the consumption of health materials in the income of 100 yuan medical income" written by Chenzhou City Cancer Hospital, Wenling City Second People's Hospital, Chen Lingfu, Wang Yufeng, Wang Enyu, etc., the hospitals in the region consume under:

The city's first private hospital was 27.4%, the city's second people's hospital was 25.75%, the city's third people's hospital was 24%, the city hospital was 24%, the city maternal and child health hospital was 21.6%; neighboring a city The First People's Hospital was 27.56% and the Second People's Hospital was 24.36%.

"Modern Hospital Management" in the fourth issue of "Practical Application of Economic Operation Analysis of Public Hospitals" in 2016, has analyzed the operating data of a hospital, which mentions that the hospital's consumption ratio from 2012 to 2014 is from 35 % dropped to 34.03%. It can be seen that the data is still a lot higher than 20%.

It can also be seen that most large hospitals accounted for more than 20% of the consumption before reforms were carried out.

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