Explore the international medical tourism Boao Lecheng "first try first" effect gradually

Our reporter Yang Yuexi Boao reports

Guide

On March 31, with the arrival of Boao Super Hospital, the “National Jiuji” policy has a new carrier. Through the previous practice, the pioneering area gradually improved the process and supervision in the process of exploring the policy, and steadily promoted the implementation of the “National Nine Articles” and was in the process of “gradual release”.

In the past period of time, the staff of the Boao Lecheng International Medical Tourism Advance Zone (referred to as the “first zone”) experienced a round of “day and night battle” preparations in the planning hall because they are preparing for a special “guest”. ".

On the afternoon of April 11, after the end of the 2018 annual meeting of the Boao Forum for Asia, President Xi Jinping inspected the Pioneer District Planning Museum. During the visit, Xi Jinping pointed out that it is necessary to vigorously develop a healthy cause and be a healthy nation.

As the first international medical tourism pioneering area in China and the “experimental field” for the development of international medical tourism in Hainan Province, after several years of development, the pioneering area has successively attracted a group of high-end medical and health enterprises. On the front panel planning pavilion, it also shows the current project landing situation:

Up to now, a total of 101 projects in the first zone have reached investment intentions, and 71 projects have been formally accepted, with a total investment amount of 60 billion yuan. Among them, 36 projects have passed medical technology assessment, 27 projects started construction, and 7 projects including Haimei Cancer Hospital Chengmei International Medical Center have been completed and put into operation. At present, the proportion of international capital in the leading area is 25%.

In 2013, the State Council officially approved Hainan to set up Boao Lecheng International Medical Tourism Pioneer Zone. In the approval document, Hainan has given nine special policies, including Chartered Medical, Chartered Research, Franchising and Chartered International Medical Exchange. "National nine articles."

On March 31, with the arrival of Boao Super Hospital, the “National Jiuji” policy has a new carrier. Through the previous practice, the pioneering area gradually improved the process and supervision in the process of exploring the policy, and steadily promoted the implementation of the “National Nine Articles” and was in the process of “gradual release”.

Gradually let go

Looking back at the "National Nine Articles", the special policy that has the most practical significance for medical treatment lies in the liberalization of the import policy on drugs and medical devices: "Applications for the registration of drugs imported for approval by the foreign countries and not approved by China. In accordance with the requirements of the special approval management regulations for new drug registration, apply for special examination and approval; for medical institutions that urgently need to import a small amount of drugs, they may apply to the drug regulatory authority under the State Council in accordance with relevant laws and regulations. After import, the imported drugs shall be imported. Used for specific medical purposes within a designated medical facility."

The staff of the pioneering area told reporters that the most difficult problem in the early stage of the first-time zone was the issue of policy landing, not only a certain link. From the perspective of the entire policy, the first zone is positioned in the international market.

In China, the development of medical tourism is not difficult, because the demand for high-end medical care, medical care, and physical examination outside the basic medical and public health is increasing. In the context of supply-side reform, many medical tourism projects have emerged in China.

“But Hainan is in a place that is not close to the domestic market, and there are still shortcomings in talents.” The aforementioned staff pointed out that “the difficulty of the first zone is to locate the international, to have an international level, and to have an international policy. In short, It is the limitations of all aspects that must be broken one by one. The same competitive conditions cover the use of drugs, equipment, tax relief and other aspects."

The aforementioned staff said that the international market in the leading area actually relies on the foundation of the international tourist island. The island-free tax exemption and landing visa-free policy on the International Tourism Island are all factors in the development of the international medical tourism pioneer zone. “If there is no international tourist island, it may not consider building a leading area for international medical tourism here. It can be said that medical tourism is a part of the international tourist island and it is a direction for its breakthrough.”

It is worth noting that the expression of "National Nine Articles" indicates nine measures of "first-in-first-trial", requiring the National Development and Reform Commission to steadily advance with the Hainan provincial government, explore intermediate experiences and problems, and report to the State Council in a timely manner.

"That is to say, in fact, the State Council has already realized that when it approved the documents, this is only a measure of first-in-first-trial, and it is not enough to achieve the same conditions of competition. Therefore, the policy of the preceding zone must not be deducted from the 'National Nine Articles', 'National Articles 'It’s just a preliminary measure.” The aforementioned staff said, “It’s not a one-step process. If the test is successful, go ahead. If you try to succeed, adjust it in time.”

The current "Drug Administration Law" stipulates that "a small amount of drugs that are urgently needed by medical units or imported by individuals for personal use shall be subject to import procedures in accordance with relevant state regulations." On this basis, the special approval of "National Nine Articles" will allow the approval process for drug imports to be more Simplified and faster for clinical treatment.

In 2016, the first district approved the first “immediately needed small amount” of imported drugs, and there were other cases after that, but it was not smooth. "We have summed up some experiences. In fact, the state approval documents are very fast, but the time for reporting materials is long. After the documents are available, the channels for purchasing medicines overseas are not smooth, and the follow-up import quarantine time is long." The aforementioned staff said.

After discovering this problem, the pioneering area began planning to build a drug bonded warehouse. On February 28th, Boao Evergrande International Hospital, jointly established by Evergrande Health Group and Harvard University affiliated with Brigham and Women's Hospital (BWH), officially opened in Hainan. In addition, as the only international drug bonded drug warehouse approved in Hainan Province, the Hainan Public Bonded Drug Store located in Boao Evergrande International Hospital was also unveiled on the same day, providing international procurement, international transportation, customs clearance, inspection, bonded, warehousing, One-stop service such as distribution.

That is to say, as long as the first drug of the same drug is approved, from the second case, the drug can be purchased in advance in the bonded warehouse. As long as the approval of the second case is released, it can be used immediately in the hospital in the first district. . In specific operations, Hong Kong companies controlled by Sinopharm imported drugs into bonded warehouses, and the drugs were still under control.

This involves the regulatory issues of drugs in the lead zone. At the forefront area, a regulatory platform has been set up, and the “one thing, one yard” regulatory department supervises imported drugs, including requirements for medical institutions and adverse reactions.

The aforementioned staff revealed that after the relevant management was improved in the first half of last year, the policy of “immediately needed a small amount” was immediately released further in the first half of this year. Although it was still used according to the list for patients, the materials were greatly simplified. Become a positive list.

It may be that after two years of trials on the positive list, if there are no adverse reactions, clinical trials, and resource accumulation are relatively mature, it is believed that the drug will be imported in a negative list.

In terms of the import of medical devices, the State Council issued a document in early April to suspend the implementation of the provisions of the second paragraph of Article 11 of the Regulations on the Supervision and Administration of Medical Devices in the Pioneer Area, which is urgently needed for the medical institutions in the preceding areas and has no similar varieties in China. Medical devices that are approved for registration are approved by the Hainan Provincial People's Government for use in designated medical institutions.

This means that the approval authority is delegated from the State Food and Drug Administration to Hainan Province, which can make the approval process faster, and this is based on the maturity of the regulatory system and the maturity of the medical main body.

Sharing mode

On the basis of the gradual improvement of policy conditions, the number of medical subjects in the leading areas has gradually increased.

On March 31, Boao Super Hospital, the first platform-based for-profit hospital in China, was officially opened. Boao Super Hospital is a mixed-ownership medical institution jointly established by Hainan Boao Lecheng International Medical Tourism Investment Co., Ltd. and Chengmei Medical, which is set up by the Qionghai Municipal Government to establish state-owned medical assets. It also employs Shulan Medical to undertake the operation of the Super Hospital. jobs.

Boao Super Hospital adopts “1+X” mode, which is a shared hospital platform, plus several specialized hospitals, and diversified investment to achieve market operation. The clinical discipline consists of the top three disciplines in China. It is led by academicians in the field of clinical medicine and leaders of top medical disciplines. By integrating domestic high-quality medical resources, they form a team and settle in the form of specialized clinical centers.

The Super Hospital has now introduced 12 specialist teams to settle in. Han Demin, a leader in the Otolaryngology Specialist and an academician of the Chinese Academy of Engineering, is one of the representatives of the expert team introduced.

On April 3, the Han Demin Academician workstation was officially unveiled. The academician team with the academician Han Demin as the core reached a consensus with the Qionghai Municipal Government to cooperate in the pioneering area of ​​Boao Lecheng International Medical Tourism to jointly explore the innovative model of medical health services. At the same time, it is planned to build a leading international digital medical health service center in the pioneering area of ​​Boao Lecheng International Medical Tourism.

As the first project to be landed, the Han Demin Academician workstation will use the existing platform of Boao Super Hospital as a transition to carry out the “Huawei Engineering Reconstruction Action”, and organize patients to carry out the latest international cochlear implant surgery in early March and early April. And carry out "Bright cataract surgery".

Han Demin said that in fact, at the end of last year, Li Xiaohong, the party secretary of the Chinese Academy of Engineering, led the team to the pre-existing district. At that time, 240-250 projects were introduced and 30 projects were actually launched. However, there is a gap between projects that are truly related to health care, projects involving advanced technologies, and core work objectives. Therefore, at that time, it was proposed whether the top experts in the country could be organized to introduce the top three technologies in each discipline in China to the leading areas. According to the opinion, Shen Xiaoming, the governor of Hainan Province, proposed the concept of a super hospital.

Since then, Boao Super Hospital has raised its own “Hainan Speed” which lasted only 130 days.

"With this platform, we can directly dock the latest equipment from abroad, starting from this cochlear implant surgery." Han Demin said.

It is understood that the operation uses the latest model of the cochlear implant approved by the latest application. On April 8, 4 patients who were cochlear implants by the team of the otolaryngologists of the Boao Super Hospital were discharged from the hospital and became discharged from the super hospital. The first patients.

Han Demin said that there may be some experts who are worried about the problem of “less suffering”. He suggested that after the model of the super hospital is built, the work platform can be expanded to all parts of the country, and national experts can be integrated to establish new medical health. service system.

In addition, in the construction of the subject team, he suggested that the crowdfunding mechanism of the specialist hospital can be formed, for example, in the otolaryngology department, social capital investment by the cochlear company, and the way of expert team crowdfunding, through the investment and brand value. The conversion, the use of equity mechanism, the effective integration of everyone's interests and platform construction.

During the National Conference of 2018, Shen Xiaoming, deputy of the National People's Congress and Governor of Hainan Province, revealed that one of the projects after the opening of Hainan Boao Super Hospital was to vaccinate, including the nine-valent HPV vaccine for cervical cancer prevention. However, the reporter learned that the vaccine has not been officially approved for introduction, and can only be reserved by telephone or on-site registration information.

However, it can be seen that the biggest role of Boao Super Hospital in the pioneering zone is to carry the “National Nine Articles” policy, with government resources taking the lead in taking the cost and cost of “first-come first-trial”.

To put it simply, when the super hospital is not established, the medical subjects in the first district will go to the country to make policies, but they have encountered bottlenecks. At this time, the super hospital appeared, and the first-class medical resources had more capital for applying for policies. Every policy that it strives for is oriented to the advance zone. For other medical institutions, they can learn how to promote the implementation of policies.

"Of course, while taking on the mission, super hospitals can also become bigger and stronger. Experts who come in can also realize their value, enhance synergy with international frontiers, use international cutting-edge scientific and technological achievements, and stand at the forefront of international medical exchanges. Own innovation." The aforementioned staff said.

(Editor: Zhang Weixian, if you have any suggestions, please contact:)