8 types of conventional surgery are restricted, and a large number of hospital consumables and equipment are affected

At the end of July, the Anhui Provincial Health and Health Commission issued a notice that eight clinical surgery will be restricted.

These 8 types of surgery include the transplantation of the same type of leather skin, the rigidity of the cranium facial deformity of the craniofraded facial facial facial surgery and the oral maxillofacial tumor craniotomy combined treatment technology, the intervention of cardiovascular disease intervention, cerebrovascular disease intervention diagnosis and treatment technology, and artificial cochlea implantation technology 2. Endoscopic diagnosis and treatment technology and tumor ablation technology (part) managed according to level 4 surgery.

In 2018, the State Health and Health Commission issued the "Administrative Measures for Clinical Application of Medical Technology", and localities began to set up a negative list system for clinical application of medical technology to restrict applications. According to the incomplete statistics of the Jianzhi Bureau, Fujian, Henan, Shanghai, Guangdong and other places have successively released provincial -level clinical application medical technology catalogs.

According to the requirements of Anhui, if the hospital cannot pass the evaluation, related surgery cannot be performed. The use and procurement of related medical equipment and medical consumables will inevitably decrease.

8 types of surgery are restricted, and the standards are listed

In this updated directory of Anhui Province, the three technologies of the same type of album skin transplanted skull and maxillofacial facial facial facial scholarship and oral maxillofacial tumor craniotomy combined treatment technology have previously been adjusted to the national restricted technology catalog Essence

Although the national level is no longer restricted, the experts in Anhui Province have studied and demonstrated that these are still provincial -level restricted technologies in Anhui.

In 2019, Anhui was listed as restricted cardiovascular intervention, cerebrovascular intervention, cochlear implantation, and endoscopy managed by level 4 surgery. At the same time, one item was added, that is, tumor discharge.

According to the requirements of the State Health and Health Commission, medical institutions must be filled in order to carry out restricted medical technologies. Anhui also provided various clear requirements for hospitals, departments, and doctors on each restricted operation this time.

Taking cardiovascular intervention as an example, there are no less than 40 hospitals in hospitals that carry out the operation of the operation, and beds in cardiovascular surgery should not be less than 20. At the same time, the intervention room, intensive care unit, and images and equipment were required.

Doctors engaged in intervention surgery have also clearly made it clear that the clinical practice time in this field must not be less than 5 years, and a total of not less than 200 cases of cardiovascular intervention diagnosis and treatment are independently completed. Among them 50 cases.

The requirements of cochlear implantation are relatively simple, but the "Notice" also requires that the hospital must have the ability to check the equipment such as CT and MRI. Clinicians need to engage in earlobe microcology for 5 years and above. At least 50 cases of surgery were undergoing the requirements of the clinical application of cochlear implantation technology and the diagnosis and treatment capacity of related complications.

The above 8 restrictions have detailed clinical requirements and restrictions, and also put forward clear requirements for the new doctors of management training.

Analysts pointed out that eligible medical institutions or doctors are mainly concentrated in the three hospitals. If the relevant medical equipment is to be expanded in the grass -roots market, the regular education education of doctors will be a big obstacle in the future.

Public hospitals began to lose money, restricting surgery leading to "flying knife"?

Restricting the development of medical technology, the ultimate guidance is to restrict the use of related equipment, consumables and medicines.

Taking cardiovascular intervention as an example, in addition to the coronary stent, doctors also need a variety of high -value consumables such as catheter, guide wire, embolism, and puncture needle. Tumor ablation surgery should be used for various equipment and equipment such as radio frequency, microwave, freezing, laser.

If the surgery is limited, it will directly affect the hospital's willingness to procure related products.

Up to now, there have been many regions across the country have implemented a system of restrictions on medical technology clinical application filing systems. A large number of major triple hospitals have been restricted, which has affected the hospital's income to a certain extent.

The latest "National Performance Evaluation Results of the National Second and Three Public Hospitals" in July this year shows that 43.5%of more than 25,000 three hospitals nationwide in 2020 faced losses. Compared with 2019, it increased by 25%. The restriction of surgery makes the days of the Three Hospitals more and more sad.

However, many experts have told the Jianzhi Bureau that public hospitals must put the health of the people's lives first. Between economic and social benefits, public hospitals should prefer social benefits. In the future, the overall growth rate of the medical device industry will tend to be rational.

The result of restrictions is the life and death of the hundreds of billions of medical device industries.

Many traditional medical equipment leading companies have started to transform. In March 2022, the "Lepu Biology" of Lepu Medical Pharmaceuticals landed on the Hong Kong Stock Exchange to focus on popular targets such as PD-1 and ADC. Lanfan Medical has always been looking for the next growth point through the company's business from brackets, gloves, and emergency packages.

After restricting medical technology, the industry is worried that there will be more risks.

Some opinions believe that this policy restricts the hospitals that have not met the standard, but can carry out related surgery through the "flying knife", and should be supported in this regard. There are also voices that are opposed to restrictions that restricting the use of medical technology is equivalent to restricting medical development.

The public account of the Jianzhi Bureau replies "Restricted Surgery" to get the full version list

Writing ｜ Xiaomi

Edit ｜ Jiang Yun Jia Ting

Operation ｜ Valley

Photo Source ｜ Visual China

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