​Ministry of Finance: There are new requirements for purchasing equipment, affecting CT, MRI, DSA...

CT, MRI, DSA, LA, SPECT.
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Priority procurement of domestically produced Finance Department issued a document to further restrict the procurement of imported products Recently, the Shanxi Provincial Department of Finance issued a notice on the "2022-2023 Centralized Procurement Catalog and Procurement Limit Standards" (hereinafter referred to as the Notice)
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According to the notice, the centralized procurement catalog and procurement quota standards in Shanxi Province from 2022 to 2023 have undergone considerable changes
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Especially for government procurement projects involving national security or public services, it is changed to be determined by the "provincial and municipal" competent budget departments, and the county-level competent budget departments are no longer confirmed
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Compared with previous years, the new version of the centralized procurement catalogue also includes "large-scale medical equipment projects of class B in public hospitals" into the scope of government procurement projects involving public services.
The specific products include: CT, MRI, DSA, LA, SPECT
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At the same time, the notice also emphasizes that government procurement should procure domestic goods, projects and services in accordance with the law
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If it is really necessary to purchase imported products, it must be centrally managed and demonstrated in batches by the provincial budget unit in charge, and the procurement will be implemented after approval by the provincial finance department, and the municipal budget unit will no longer conduct review
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That is to say, since then, all public hospitals in the province want to purchase imported medical equipment, especially imported large-scale medical equipment, they must first be approved and demonstrated by the provincial competent authority, otherwise they will give priority to domestic procurement, and further restrict public hospitals from purchasing imported products.

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Except for four cases, it has long been an industry consensus that government procurement should be prohibited from being imported, and government procurement should be given priority to domestic production
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In recent years, while encouraging the development of domestic medical equipment, the state has also "restricted" imported products to a certain extent.
For example, the procurement of imported products requires expert verification, provincial and municipal authorities review, and department leaders are responsible for the results, etc.
management system
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At the same time, in order to further strengthen the government's procurement of imported medical equipment, Zhejiang, Guangdong, Sichuan and other places have also released the "Imported Medical Equipment Purchase List", which clearly stipulates that only the medical equipment in the list can be directly purchased and imported, and the domestic products outside the list must be given priority.

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According to the "2021-2022 Provincial Government Procurement Unified Demonstration List for Imported Products (Medical Equipment)" issued by the Zhejiang Provincial Department of Finance, there are currently 195 types of imported medical equipment that can be directly purchased in Zhejiang Province
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The number of imported medical equipment that can be directly purchased in Guangdong and Sichuan provinces is less than 100, 46 and 59 respectively
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Earlier, the "Administrative Measures for Government Procurement of Imported Products by Budget Units" issued by the Shaanxi Provincial Health and Health Commission also clarified that if each unit needs to purchase imported equipment for medical treatment, teaching and scientific research, it should meet one of the following conditions: 1.
Within the territory of China 2.
It cannot be obtained in China under reasonable commercial conditions; 3.
It is necessary to purchase imported products as otherwise stipulated by laws and regulations; 4.
The technical performance indicators of domestic equipment cannot meet the demand
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That is to say, only those that are not available in China and cannot be replaced can choose to import, otherwise, domestic equipment must be purchased first
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The Health and Health Commission purchases medical equipment in a centralized manner.
In addition to direct support at the policy level, as long as it is made in China, during the "14th Five-Year Plan" period, under the in-depth promotion of high-quality development of public hospitals, the state will provide medical services and operation management of all public hospitals.
The ability also puts forward higher requirements, and these will further drive the configuration requirements of related medical devices
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In addition, according to the "2022 Departmental Budget of the National Health and Health Commission" issued this year, it can be seen that the total budget for health expenditure (category) public hospitals (subsections) in 2022 is 6,680,647,700 yuan, a decrease of 656,983,000 yuan compared with 2021.
It has dropped by 8.
95% again, and the total budget has been reduced.
For most medical institutions, the first thing to cut is the allocation of large medical equipment
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At present, under the important policy of the country "to live a tight life", the advantages of domestic equipment are becoming more and more obvious in the face of large-scale medical equipment that can easily cost tens of millions, especially in some primary medical institutions
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In recent years, provincial and municipal health and health commissions have begun to name only domestically produced medical equipment when purchasing medical equipment, refusing to import it.

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For example, the Health and Health Commission of Ye County, Pingdingshan City, Henan Province has a budget of 16 million to purchase 1,333 medical products for many health centers within its jurisdiction, and explicitly refuses to import products
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Xuchang City, Southern Province concentrated on purchasing a batch of medical equipment for 10 township health centers.
The budget of 35 million also only needs domestic medical equipment.
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Not only the grassroots, but domestic medical equipment is also constantly recognized by many top three hospitals To improve, the First Affiliated Hospital of Henan University of Science and Technology has also issued a number of procurement announcements recently, with a budget of 30 million to purchase a batch of domestic medical equipment, including many mid-to-high-end medical equipment, such as DR, color Doppler ultrasound, mid-to-high-end monitors,
etc.
Undoubtedly, with the support of various national policies, with the improvement of domestic medical device innovation capability and industrial level, the long-term monopoly of imported medical devices in the domestic market will be gradually broken, especially in the field of high-end medical devices
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