领域，因其临床用量大、价格高成为国家集中采购耗材首选的第一批产品，涉及8家中外厂商、10个品种，中位价格仅700元左右。领域，因其临床用量大、价格高成为国家集中采购耗材首选的第一批产品，涉及8家中外厂商、10个品种，中位价格仅700元左右。预计中国患者将在明年1月使用所选产品。
11月5日，全国冠状动脉支架集中采购组织在天津开标，产生10个待选产品。
支架价格从均价13000元左右降至700元左右。预计2021年1月降价后，全国患者都会使用所选产品。本集中卷购买的冠状动脉支架为钴铬合金或铂铬合金，载药类型为雷帕霉素及其衍生物。采购周期为两年。
医疗机构临床常用的主流产品基本都是精选出来的，覆盖了医疗机构预期采购量的70%以上。与2019年相比，同一企业同类产品平均价格为
93%，国内产品平均价格为92%，进口产品平均价格为95%，根据拟购量估计可节约109亿元。需求在增长，价格却还高？趴下。
心脏支架又称冠状动脉支架，是经皮冠状动脉介入治疗(PCI)的耗材，是减少患者死亡最有效的手段。
“全标”条件已经成熟
《中国心血管健康与疾病报告2019》显示我国心血管疾病人数目前为3.3亿；2009-2019年，我国冠心病(PCI)手术数量从23万例增加到100多万例，年增长率为10%-20%。
1990-2017年我国城乡居民心血管死亡率变化
在使用约1.5个外科支架的基础上，我国每年将使用150万个心脏支架。据国家医保局统计，我国医用耗材市场规模为3200亿元，其中1500亿元为高价值医用耗材。
冠状动脉支架总成本约150亿元，占我国高价值医用耗材总成本的十分之一。由于临床使用量大，竞争充分，“全招标”的条件已经成熟，心脏支架成为国内首款高价值医用耗材更为合适。
耗材价格太高，降价势在必行
在集中采购之前，国内产品价格在国际上偏高。通过对比国际冠状动脉支架价格，发现本次收藏前，国内心脏支架价格在国际上偏高。
国产品牌售价7500-元，中位数为元，进口品牌售价-元；巴西同代支架最低价2183元；美国患者支付6403元；法国零售价6881元；日本医保支付7693元(均相当于2020年人民币汇率)；2020年3月，印度政府规定药物洗脱支架最高限价调整为756元。
高价值医用耗材价格高、使用过度是群众反映“看病贵”问题的主要原因。要解决看病贵的问题，医疗设备不容忽视。2019年5月，中央深化改革委员会第八次会议审议通过《治理高值医用耗材改革方案》，要求按照数量采购、量价挂钩、促进市场竞争的原则，探索高价值医用耗材分类集中采购。
江苏省“一流”试点价格大幅下调
为稳步推进高值耗材改革，2019年，在国家统一部署下，江苏省率先招领省级冠状动脉支架，“实量”换成“实价”，入选品种平均下降51%。
江苏省招聘后，支架价格在2850元至8666元之间下调。所选品种与目前临床使用的主流品种一致，能更好地满足临床需求。
如何确定所选产品？
按价格排名，给出 在价格相同的情况下，按照两大规则进行排名：
2019年销量较大的产品优先(基于各省提交的历史采购数据)
获得国家药品监督管理局首次注册证书的企业优先(以国家药品监督管理局首次批准日期为准)
产品入围条件
入围产品符合下列条件之一的，有资格进行拟选：
申报价格最低产品申报价格的1.8倍；
申报价格是该产品最低申报价格的1.8倍，但不到2850元。建议排名和产品排名一样。
降价不降级！低价心脏支架“放心”使用
心脏支架降价消息发出后，不少网友表示：“惠民！”“病人的福音。”
也有网友有疑问：患者敢因为价格这么低而使用吗？限制支架的材料会限制医生的临床选择吗？
相关部门回应称，在集中招聘前，天津市相关部门对医疗器械质量监督检验中心进行了集中调查，并对检测能力进行了深入探索，以确保所选产品的可追溯性。
确保每种产品在用于患者时都是安全有效的。
不同厂家不同品牌的心脏支架在临床使用中70%到80%可以相互替代，不可替代的情况也只有少数，主要是因为支架直径和长度的特殊规格。目前主流品牌的规格比较齐全，能满足80%左右的常见临床情况。
全国征集心脏支架不仅仅是为了“掉价”，更是为了建立创新机制和制度，共同优化医药市场的经营环境。全国心脏支架收藏在医疗消费者和患者之间架起了一座“桥梁”，这将成为深化医疗改革道路上又一个耀眼的标志。我们来看看
妇联姐妹们最近都做了些什么~
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城市新闻
【2020年第七届广州工业人员职业技能大赛暨第一届“南粤家政学”羊城行动大赛正式拉开帷幕】
11月7日，第七届广州工业人员职业技能大赛暨第一届“南粤家政学”羊城行动大赛由市人社局主办， 市总工会、市妇联2020年副理事长、党组成员、广州市妇联副主席傅迪、广州市人力资源和社会保障局研究员、广州市总工会研究员邢黎明、广州市妇联主任宋等领导出席了比赛开幕式。
家庭清洁和病人护理考场设在市妇联“华城仁佳”家庭服务培训基地，老年护理和护工考场设在广州轻工技师学院，两个考场同时启动。其中，家庭清洁和病人护理首次作为专业工作出现在该市的行业竞争中，吸引了该市37家企业111名家政从业人员组队参赛。
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