"In 2020, the FDA approved the world's first mobile MRI equipment for head MRI examinations of patients over two years old. Compared with large-scale MRI, its single examination cost is reduced by 20 times and power consumption is reduced. 35 times. In addition, it is much cheaper than the existing MRI, the unit price of the equipment is about 50,000 US dollars.

　　It is undeniable that in the next ten years, the miniaturization of medical imaging diagnostic equipment, the detection of early diseases and telemedicine will be the three major trends to improve the medical imaging industry. Of course, the miniaturized equipment cannot replace the traditional large-scale equipment, but it also has unique existence value and broad application space. "

　　Domestic replacement of equipment is one of the goals of the three-medicine linkage

　　The dependence of high-end medical equipment on imported supplies is stronger than that of high-value medical consumables. To alleviate this shortcoming, it will not take a day's work. We must also pay attention to planning and consider long-term considerations.

　　At present, due to the huge gap in scientific research and production capacity, advanced overseas medical device products and concepts are especially worthy of reference by domestic counterparts.

　　For specific examples, facing the world’s first mobile MRI equipment, the author believes that the country should take a positive view and strive to enjoy this important technological innovation advantage as soon as possible.

　　The suggestions in this regard are: on the one hand, it is necessary to quickly complete the domestic registration and listing of the original research product, and to play the role of the product in the applicable medical scenarios through the mass procurement pilot; on the other hand, it should encourage interested domestic imitators to make the first imitation, difficult to imitate, and fast. Imitation, the pursuit of alternative concepts and acceleration in action. The most obvious advantage of this is: try to get rid of the solid thinking of medical equipment production investment and purchase investment, do what you can, do your best, and make up for the shortcomings of the application of miniaturization.

　　 For domestic equipment counterparts, innovative practices represented by the world's first mobile MRI equipment are marginalized, cutting-edge, and simplistic changes, and are often more accessible, effective, and breakthroughs.

　　 From the perspective of procurement and use, the author believes that it is necessary to emphasize the distinction between hospital levels and increase policy support, so that public hospitals participating in the trial can implement it, so that private hospitals affected by the relevant issues can independently refer to and service pricing will be regulated.

　　Based on the introduction of the above-mentioned advanced, trend-oriented, and complementary equipment in the clinic, the country can use scientific research innovation, production competition, purchase support and pricing norms to form a competitive medical imaging inspection project service price, which will help Changes in the pricing and price comparison of inspection items in the entire medical industry have a traction effect, and have a profound impact on the investment, operation, and shared use of equipment in the medical industry. In a sense, it also proves that the three-medicine linkage needs new technology to empower.

　　 The three-medicine linkage must take care of clinical needs as the center

　　 When it comes to the three-medicine linkage, most people subconsciously think about who is at the center of medical care, medical insurance, and medicine. Judging from the current results, from a certain perspective, medical care and medicine are all summarized as providers of services and products, and medical insurance can play a role as a strategic buyer.

　　 However, from the perspective of the fundamental effects of the medical reform, the three-medicine linkage must focus on clinical needs, including rational drug use and salary changes.

　　 Back to the topic of equipment, with the breakthrough of product innovation and use innovation of medical imaging diagnostic equipment, the author believes that there is an urgent need to alleviate the imbalance and insufficiency of MRI equipment and service allocation among hospitals of different levels and different geographic regions.

　　 In today's fast and comprehensive action of Healthy China, early detection behavior with medical participation is a task with high efficiency. If early screening, key screening, necessary screening or even full screening are done, the patient benefit significance and social benefits are obvious.

　　"The price of an MRI equipment ranges from several million to tens of millions. The high price limits the global accessibility of MRI. 80% of the world's population cannot use MRI, and the average waiting time for MRI is as long as 15 hours. In China, resources for high-end image inspection are even more scarce.

　　According to statistics from the China Medical Equipment Association, as of 2018, the number of CT in China is about 22,000; the number of MRI in the market is 9,255, and the daily workload and scanning volume of a machine is only about 50 patients. The waiting time for outpatient MRI appointments Sometimes even as long as a month.

　　 A set of publicly reported data points out that Chongqing has the least number of CTs per million people, at 6.63 units; Tibet has the least number of MRIs per million people, with only 0.93 units. As of 2017, the United States and Germany have 37.56 and 34.49 MRIs per million population respectively. "

　　 Take the expected usage scenarios of mobile MRI equipment to illustrate the significance. The first is to emphasize the establishment of a global network and rebuild the level and weight balance of equipment service capabilities in different levels of hospitals and different geographic regions.

　　 This means that the power gap between lower-level hospitals and the central and western regions is rapidly reduced, so that they can be integrated into the global network and play a good gatekeeper role. This also means that the construction foundation of telemedicine will be greatly enriched, and it will also make it easy to solve the special equipment purchase funds.

　　 The second is to emphasize the combination of medicine and equipment, which is different from the profit combination of individual pharmaceutical companies. Clinical medical behavior, clinical diagnosis, and rational drug use all emphasize reliance on necessary and reasonable equipment inspections. In this work, the three-medicine linkage can further solve the difficult and expensive medical treatment for the masses.

　　 First, collect special equipment and standardize service prices; second, reduce random prescriptions and refrain from blind medication; third, timely scientific diagnosis to avoid delays in the condition. It is also helpful in first aid efficiency and graded referral.

　　Full use of equipment to escort the stability of medical reform

　　Taking the above-mentioned phenomenon of high-end medical equipment inspections requiring patients to queue up, with the full implementation of disease-based payment, DRG, and big data payment by disease group value, the breakthrough of medical imaging diagnostic equipment is more immediate.

　　On the one hand, by increasing service accessibility, reducing supply risks. On the one hand, by assisting lower-level hospitals, higher-level hospitals have a sense of crisis. How can it be done?

　　Combining the hard principles and hard effects of drug and consumable procurement, medical insurance payment method reform, etc., the author recommends: high-end medical equipment should be used extensively, firstly, sharing, and increasing the utilization rate of stock equipment and equipment; secondly, advocating more construction to be relatively backward Provide support for incremental purchases in regions.