Monday, December 13, 2010

About the current situation of market of independent medical laboratory and analysis


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About the current situation of market of independent medical laboratory and analysis


The generation setting of independent medicine lab

Go up century 559 time, the development progress of developed country medicine brought good news to national health, but also brought heavy economic burden to the society. The United States is highlighted particularly, to reduce national burden, american government is rolled out " reasonable use resource to reduce medical treatment expenditure " strategy reachs reform of a series of medical treatment system to undertake intervention, introduce market mechanism at the same time, aggravate industry competes, bring about medicine finally to examine the generation of the with competition ability of core of intensive melt into medical independence lab in the industry.

The United States appeared at that time lab of independence of medicine of a few diminutive, offer medicine to examine for the hospital the technology serves, but did not form dimensions. Until go up century 90 time metaphase, the development of the computer and biology technology, examine equipment more and more automation, not only can detect at the same time much portion sample, and what need sample quantity and bad news material are less and less. Sample of a blood can do detect the project is increasing, for medicine the development of independent laboratory laid good technical foundation.

Independent laboratory implementation examines the concentration of sample detects, big political integrity saves cost, and detect in order to rise efficiency and quality, lower wrong occurence rate, it is one of important way of the development of current developed country. Introduce according to Hong Kong expert, only this Hong Kong city that has 600 much population only, have many 150 independent laboratory.

Lab of domestic and international independent medicine develops the current situation

The United States: Be in complete beauty, the medical science that has 40% at present examines to be finished by independent laboratory, this one scale still is in every year growth. American Quest has 1300 to examine service center, there are 155 labs in complete beauty, handle specimen quantity every year to exceed 100 million, carry out diagnostic experiment 250 million times, gross income exceeded 4.7 billion dollar 2003. According to data introduction, american medicine examined 2003 business market size is 37 billion dollar, and the share that medical independence lab held close 1/3.

Canada: Canadian MDS employee exceeds 10 thousand people, it is the person that Canada‘s biggest diagnostic test is offerred.

Japan: Japanese BML, its homeland employee amounts to 1160 much people, handle 100 thousand samples everyday, there is many 40 branch in complete Japan, detect the project exceeds 4000.

Our country: 20 centuries 80 time metaphase, yangzhou medicine examines the center begins sortie to examine the socialization of business serves, obtained better economic benefits. Have a few different forms in succession again later examine business serves, detect like Shanxi high-tech medicine center, of partial hospital open to the outside world lab, but all did not become dimensions.

Actually, the medical independence lab on our country real significance starts only 10 years. Medical of Guangzhou gold region examines Liang Yaoming of central general manager says, 10 years ago, in in those days of Zhong Nashan of dean of Guangzhou college of medicine and hall of Guangdong province sanitation support energetically below, mix by employee of limited company of science and technology of medicine of region of gold of city of Guangzhou college of medicine, Guangzhou tripartite of center of Guangzhou biology engineering invests jointly established this the omnibus medicine that the home opens to the outside world examines center, this center is the whole nation is obtained the earliest " medical establishment hold licence of course of study " , enter medicine the earliest to examine the independent laboratory of the market. Come 10 years, medicine of Guangzhou gold region examines the center already took the lead in approbating through IS017025 state laboratory in home with IS09001: Attestation of system of 2000 international quality, begin examine the project is close 700, specimen of day leveling check is close 2000, lived only last year check specimen exceeds 50 thousand, cytology specimen exceeds 120 thousand. After 2000, guangzhou gold region, amount to how, hangzhou Ai Di health, enlighten how, shanghai beauty is numerous hold water in succession.

Market of laboratory of domestic independent medicine still is in at present start level, the new to independent medicine lab market requirement of home‘s actual to independent medicine lab market demand and by the reform of medical treatment system that will undertake generation, will drive lab of domestic independent medicine to continue to develop. Because Da Anji is begin domain of intervening medicine independent laboratory from 2003, established Da Anlin bed of Guangzhou of university of the first Zhongshan to examine center. Should company head home is clinical examine central business is in rapid growth at present period, examine central sales revenue is in grow with exceeding the rate of 100 % compared to the same period. Install president He Yunshao to say according to amounting to, the Da Anlin bed of Guangzhou examines the center basically achieved profit and loss to balance namely 2004, affirmation can realize gain 2005.

The analysis of prospect of market of lab of our country independent medicine

What reform as medical treatment system is thorough, be sure to partial hospital must face the market directly, additional, still will have more and more blame state-owned capital enters market of wholesome medical treatment, they will take cost seriously more - accrual business accounting. A hospital equips a project examines all readily the lab is very wasteful, because some examine,the project asks to equipment, personnel and technology tall, investment is large, and the hospital is annual can the patient that the need of bring into contact with examines this kind is not much, accordingly, these examining project specimen amount if the dimensions with certain short of, major hospital will not have investment to this category eye. That is to say, reform of medical treatment system, blame is state-owned of capital enter and the great demand that 1.3 billion population examines to medicine, force medicine to examine the trend is commercialized, trend intensive is changed. Will tell from this angle, the independent medicine of our country examines market potential is inestimable.

Hangzhou enlighten install medicine to examine central client basically is this province is medium small hospital, can do everyday 500 many examine. Its market radius is in be many 300 inside 400 kilometers limits of the center with Hangzhou small hospital. Shanghai has check of 400 much human body every year, production value many yuan 200, but the medical establishment as a result of Shanghai is public hospital mostly, independent medicine lab lives the market is very limited, accordingly, shanghai beauty is numerous clinical examine central client is locked up decide individual medical establishment.

But medical independence lab is the topic with a policy very strong sex that matters to the people‘s livelihood, pattern of the system of medical treatment insurance with inevitable existing to China meeting, hospital management and clinical examine bring very big impact. Theoretic market dimensions whether change is real market demand, depend on greatly the progress that wholesome system reforms. The author thinks, at present independent medicine lab is in our country live the market is very limited, large-scale entering this field still is not best opportunity.

The theory that lab of our country independent medicine lives is analysed

The tradition examines medical problem: According to statistic of center of information of statistic of Ministry of Public Health, to the end of 2004, our country shares various and of all kinds medical establishment 18396, almost the rummage lab that every hospital has him, but hardware level differs very big. The 3 armour hospital that divides central city installs stock and developed country to comparative horizontal medical treatment examines outside equipment, in great majority small hospital, especially the lab equipment of hospital of villages and towns is pallet, the difference of software and personnel quality is bigger.

Examine according to the country the data that standardizes committee shows, at present the result of hospital laboratory test of city of our country neither one can be in whole town each hospital is general, patient every want new laboratory test to a hospital. Be the same as a hospital to differ possibly because of reagent lot number even, quality is not stable wait for a circumstance to appear different assay outcome. Reinspect check again, or the make a diagnosis and give treatment that because of examining erroneous report brings about is wrong, the pecuniary loss that cause is more hard computation.

Resource of our country medical treatment is lacked very on one hand, distributing very not all, and on the other hand the waste of medical treatment resource very breathtaking. With Beijing east only area is exemple, circumference has 3 home‘s famous 3 armour hospital inside two 3 kilometers, only automatic biochemistry check meter has 20 a few. Check meter of an automatic biochemistry can detect hourly 800 example, equipment is couldn‘t get make full use of, the waste of this kind of resource is very big. Buy a car with respect to money resembling a flower unused like be in the home, . The result that repeats configuration is, more unused worse, more backward, also go against the quality control that has system, science, cannot assure to detect the accuracy of the result and dependability. Current, every hospital has his clinical laboratory, but equipment standard differs very far. On the other hand, because be opposite inside countrywide limits,examine of the result skimble-scamble, reinspect check again, or the make a diagnosis and give treatment that because of examining erroneous report brings about is wrong, the pecuniary loss that cause is quite high. This is the current situation that conventional medical treatment examines, the occurrence of medical independence lab is expected to achieve the goal of win-win of hospital, patient, society.

Long-term since, industry thinks generally to examine division a link that is hospital interior, but appear as independent medicine lab and commercialize can ease hospital government pressure, billabong part redundant personnel. In addition, regional examine the conformity that the center will be resource of medical treatment sanitation and configuration offer new thinking.

Examine efficiency, resource configures a problem: Social division of labor can improve efficiency is an argument that does not dispute, medical independence lab offers the medical establishment that medicine detects as major, the assemble examines the professional personage of medical domain, can assure to examine certainly to cure course grinds and develop investment, run mode professionally to be able to assure to offer an item all ready, result examines reliably service. Lab of development medicine independence is OK laboratory of existing to our country hospital has complement, not only can make truly patient of tarry of community hospital, clinic, alleviate patient of large now polyclinic‘s overmuch problem, and to patient of vast rural area, of level of whole check-up check rise, will absolve them long-distance rush about, enjoy 3 armour hospital examine level, receive seasonable diagnosis and treatment.

Examine quality problem: Medical independence lab still can promote regional medicine to examine the reasonable configuration of resource. The development that modern medicine examines makes division of labor finer and finer, all sorts of new technologies, new detect equipment comes out ceaselessly, the hospital with alone any wants to configure all the most advanced equipment, application all the most advanced detect the technology is not actual. The specimen that all need inside certain limits large instrument equipment determines sends medicine independent laboratory go detecting analysis, will tell from whole society, realized medicine to examine of the wholesome resource such as technology, equipment and personnel optimize configuration. Medical independence lab examines perfectly project, professional detect the technology serves, of medical establishment of community of OK and contented majority detect requirement, fast service deserves to send the laboratory management of network and high level, it is the build and expands base of system of service of community medical treatment.

Analyse domestic and internationally about the problem of independent medicine lab

Independent lab produces medicine the earliest at the United States, at the same time problem also most rise to surface first. Because need and medical lab of the United States applies extensively for the doctor for the society, already became at present annual the industry of 12 billion dollar. Estimation of charge of every time health care has 9 minutes of money the flower is examining on. The disease below American Ministry of Public Health controls a center (CDC) estimation has 14, half of 354 Clinical Laboratory is in a hospital, other in part is a government, the private orgnaization with the enterprise, still have 30 here, 000 to 80, the small laboratory of 000 doctors clinic. Altogether adds up, these labs make those who exceed 5 billion one year examine, that is to say average dweller of each United States makes 24 every year examine.

Natural, most lab work is very good, fast and accurate. But also many connecting examine simply to be not had. For example the lab result of lab of different to 852 type undertakes Bureau of Standards of the closest country investigation. The specimen result that has 28 % on average only is " can accept on medicine " . From 1964 - the research that health bureau of 1973 new jersey had 10 years, to 35 of 225 labs, 000 medicine examine undertake checking. Only the result of 20 % lab is in the time of more than 90 % is acceptability, only half lab is in its result of 75 % time is acceptability.

A reliable research is brought from senatorial 1975 hearing, gave out an estimation that makes industry amazed: The 1/4 that in the United States all medicine lab checks is under the standard wrong perhaps. This is meant may accept the be in hospital that does not need into 1 million American, the surgery that does not need is impertinent perhaps it is deadly cure even sometimes. Bring about such result, a main reason is the control mechanism with effective lack of wholesome management department.

Medical independence lab is in the United States the national even with a such very sound legal system can appear problem, whether to meet those who encounter more problems in our country. Current, the main problem that independent lab faces in our country includes medicine:

Administrative standard does not deserve to cover: So far, the lab still becomes independent without medicine in our country medical establishment this one type, because this also lacks corresponding administrative system; Clinical Laboratory lacks mandatory managing regulation and admittance requirement, a few do not have major to detect the lab of ability also is offerring medicine to examine service, the market mechanism of orderly competition has not been built; Already the service that some medical independence labs provide fails to bring into system of system of medical treatment insurance, restrict the development of medical independence lab greatly; Differ with most industry, medicine examines the industry that the service is a high investment, long redound, the profit below the circumstance that controlling cost adequately is not favourable, once begin malign low competition, bring about extremely likely examine the fall of quality, final victim will be a patient.

Examine the structure of personnel and quality are not neat: As clinical examining limits and deepness expand ceaselessly, clinical a indispensable main component in examining to had made clinical medicine and precautionary medicine. Medical independence lab is to plant not simply new clinical examine mode, return those who want standard of whole of the member that beg identifier to rise, examine the doctor should speak with the doctor, provide data not just, and should provide relevant disease information. Chinese medicine examines personnel is faced with structure and quality adjust, the post responsibility talent that should assign a disparate arrangement of ideas gets used to the demand that this kind of concentration examines.

Economic progress has oneself law, examine division in cure how do quality and efficiency improve further in changing, how conforming with international as soon as possible is the problem that cure bound pays close attention to very. Be in our country, although the development of medical independence lab is restricted by a variety of elements, experience is scant, but in managing and wholesome resource, raised level of make a diagnosis and give treatment and respect of quick, accurate service to offer very good mode. Independent laboratory regards medicine as a newly emerging things, also accord with our country to build managing model social requirement, do not need doubt, this direction does not have a problem, but true implementation, still very long way wants.

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