[Turn] profit margin of medical devices 300% hospitals lose money in business is true crammer

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Profit margin of medical devices 300% hospitals lose money in business is true crammer.The trade that takes oneself says a thing, accepting " daily of the first finance and economics " before interviewing, tian Feng (alias) for a time some are inimical. Although reporter acceptance does not involve its full name and company, but " speak out to speak out with me from the mouth of others, it is two different matters " , he emphasizes so all the time.

In excessive of this industry dip 6 years, he did not feel with experience get victory proud.

Relative to character, the buyer Zhang Guohua of division of medical devices of some tumour hospital (alias) straight-out much: "Which industry doesn‘t have the phenomenon of the sale that bring gold? Just saw rate size stop. Just saw rate size stop..

The crammer that cost cannot reclaim

The hospital that national China is in has two 32 CT opportunity, value of a complete set of of the software that belt of a machine provides, workstation 10 million yuan. And large last year facility purchases this hospital capital returns remnant many yuan 900 go up in Zhang.

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"We this still does not calculate much, I hear some university is accessary hospital 2003 remnant 1 100 million do not have a flower to go out. " he says.

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Equipment purchases financing source to basically have 3 kinds of kind: One kind is finance allocates funds, one kind is the hospital prepares oneself, one kind is application bank loan.

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"Hospital of city class above 100% it is finance allocates funds, 1 million ~200 10 thousand yuan such in cheap facilities just can prepare one section oneself by the hospital. " Zhang Guohua says.
"The health bureau of this city is very rich, wanting a dean only is not all the day the nest is in the home not intercourse, apply for to ask the problem is not big generally speaking. " he says.
According to equipment of large medical treatment purchase flow, it is the equipment that writes below one year one year ahead of schedule by hospital administrative or technical offices purchases application, hand in again by division of medical devices, cure instrument division gives again the courtyard does, do by the courtyard hand in sanitation to be in charge of a branch, application finance allocates funds, allocate funds after coming down, reentry purchases invite public bidding all right.
The view that according to division of instrument of doctor of hospital of Guangzhou Red Cross Yu Ke grows, finance allocates funds the approval basis that provides large medical devices experienced 3 kinds of kind: One kind is to press poll, have booth of how many worker to calculate by the hospital; One kind is to press an item, by project of medical treatment of hospital mount a horse need undertakes dividing dialing; The 3rd kind is to press circumstance of number of hospital year patient, bed, diagnosis and treatment to undertake repartition.
Although country for a time of will large facility purchase permissive authority to close put in Ministry of Public Health ‘s charge, but in be being operated actually, remain configure by each district freedom. Concerned branch ever also had rolled out the standard mode that large appliance configures area, "The equipment that includes 300 thousand yuan of above centers invite public bidding to purchase, it is very difficult to be carried out in each district. " Zhang Guohua says.
After equipment is bought, mean cost to reclaim, according to general the practice of 3 armour hospital, resemble CT, nuclear magnetic resonance the ten million on such value yuan equipment, pay back period is 10~15 year.
But, "10 years period go up to calculating at all for large hospital problem " , to " the machine such as the person " for 3 class hospital, full load movement calls in cost is very easy. Personage of Nanjing some hospital discloses to the reporter, do a CT commonly " smooth sweep " collect fees it is 300 yuan, calculate on machine, personnel, water and electricity, cost is less than 150 yuan, press a day of 20 the individual‘s rate, can call in 3 or so years cost. This view gets the self-identity of analogy section chief.
So, after is pay back period full? "The net income that calculates a hospital of course. " analogy section chief is laughing to say.
And cure of the sabre that use gal collects fees every time nearly 20 thousand yuan, and real cost does not exceed 10 thousand yuan. "Everybody says the hospital relies on medicines and chemical reagents to make money, but in fact of medicines and chemical reagents add valence to have 15% only, and the profit that gets from inside project of examination of large medical devices exceeds medicines and chemical reagents far.
The key depends on, "Finance need not be handed in of course after cost reclaims, our hospital said the net income of 8% wants to hand in finance originally last year, but did not hand in later, some hospitals even if give in, lie between year also meet sum is returned still come back. " Zhang Guohua says.
Call bad luck to cannot call in in each large hospital keep on saying cost when, a most simple fact however by oversight: It is national finance originally allocate funds, had a deficit to calculate a country, gain calculate a hospital.
Exterior trade
This company that Tian Feng is in, it is Germany the sole agent that some appliance company is in Guangdong area, advocate making a product is endoscope, market price case differs 10 thousand yuan in 100 thousand ~30, enclothed all large hospitals almost.
Accept a reporter to interview this day, he just does to invite public bidding hand over mark book. This, they still continued as one used to do practice: "Surround bid " .
Because set according to invite public bidding, bid the enterprise is not gotten little at 3. But a secret is, the 5 companies bidder that go is the clerk of their company completely actually. "It is OK that the other company that goes should looking for acting product to differ only builds a company order. "It is OK that the other company that goes should looking for acting product to differ only builds a company order..
Of course, the premise of the success that surround bid is to want first get through invite public bidding square, i.e. hospital. Crucial point depends on " money and feeling " , get ready the object is division of dean, equipment, doctor in charge of a case. It is among this, doctor in charge of a case is big head, "Put forward to apply for by him, go up in his hand with the right of what product. Go up in his hand with the right of what product..

Such kongfu is not accomplished in one move, according to the sale policy of the company, the outstanding achievement deduct a percentage from a sum of money that gives a clerk is every sheet 1.5 percent, and 10% of embellish of every simple interest regard day-to-day public relations as charge, among this, do not include direct red package rake-off purchases deduct a percentage with what give a hospital the side.

Should square only these, doctor in charge of a case can set in invite public bidding " technical parameter " go up diligent husband, wash out those homebred manufacturer with patent, model first, in particular such as function, into go up like scale ensure their company wins the bid.
"Surround bid " successful the biggest gain depends on, the enterprise slaughtered the influence of quote independently alone, sign up for how many price to sell how many fund. A fact is, same a city, congener CT product, the price differs however hundred thousands of yuan, in different city, differ even millions of yuan.
And such endoscope, factory price is all and top do not clinch a deal more than 50% of valence. "Generally speaking, profit is in at least 50% above. Profit is in at least 50% above..
Again for instance vein bracket such intervening kind of product, the price of homebred manufacturer is 5000~6000 commonly yuan, factory price is average under 1000 yuan. "Intervene the profit of kind of appliance 100%~300% still is some. " Zhang Guohua says.
Of large facility buy a key to be in decanal respect, additional the condition still has such as " go abroad to a few make an on-the-spot investigation, the index of study " .
Interior trades
According to hospital interior 2 class finance affairs assesses a mechanism, cost reclaims the mechanism is annual namely or every quarter deducts facility depreciation cost from inside the income that checks section office, odd person regard section office as bonus.
For instance, a value 10 million yuan equipment, pay back period 10 years, become this answering every year to collect fee (depreciation cost) it is 1 million yuan, it is 83 thousand yuan every months. If every months of income is this section office 100 thousand yuan, hand in courtyard finance affairs 83 thousand yuan later, 17 thousand yuan of doctor bonus that can regard this as section office extend.
"Come so, the enthusiasm of section office came up of course, who does not think much hair orders stake. " Zhang Guohua says.
And another kind of practice is, hospital of 3 class, 2 class and community hospital are done " jointly " . Because the establishment condition of community hospital is opposite poorer, without large diagnostic instrument, and once after fish symptom, the doctor of community hospital can be recommended to the patient go " jointly " 2 class or the relevant section office of 3 class hospitals undertake checking.
Once recommend a success, the doctor of community hospital can take sales commission from which, the rake-off that every introduce a patient is 20~40 about yuan differ. And the hospital that helps a patient is to seize the opportunity more sheet makes an inspection for the patient.
In hospital interior, to the deduct a percentage from a sum of money of doctor opening sheet average number is the 15%~20% that examines cost. "And come so, no matter be large hospital or small hospital, want as direct as income couple only, the doctor is willing to let a patient make various examination items ceaselessly of course. " the personage of Nanjing some hospital says.
"Besides these doctors and doctor between trade, more unusual still a few section office undertake operating with the name of section office, this kind of influence is worse. " Zhang Guohua says.