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<p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">在国内口腔医疗市场，进口种植牙价格高昂，国产种植牙却不见踪影，这种咄咄怪事已屡见不鲜。一颗进口种植牙，医院的购入成本价仅为3000元至4000元，最后患者却要花费1万多元。“洋品牌”垄断口腔市场，一些有植牙需求的患者只能“望牙兴叹”。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">成本仅4000元，1万多元卖给病人？</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">在长沙工作的陈英想补牙，到湖南一家三甲医院牙科就诊后被告知需植入一颗牙。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">“医生称从没做过国产植入牙，最便宜的是韩国的，8000元一颗，贵的是瑞士ITI的进口牙，需花费1万多元。”陈英说，“这相当于花掉几个月工资，我还在犹豫。”</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">目前种植牙齿不属于医保报销范畴，有需求的患者只能“自掏腰包”，一分钱都报销不了。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">长沙一家口腔医院负责人谢院长告诉记者，在公立医院种植牙齿，均价在1万元，好一点的2万元至3万元一颗，价格稍低一点的是韩国的进口牙，价格在8000元左右。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">湖南岳阳市一家口腔医院院长姚先生告诉记者，目前种植牙收费较贵、医院引进的口腔材料基本是洋品牌，价格在每颗8000元到几万元不等。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">“价格高的有瑞士ITI、瑞典诺贝尔、德国费亚丹等，便宜点的有韩国的奥齿泰、DIO等。医院购入韩国种植牙要花3000元；购进瑞士ITI种植牙，需要花费4000多元。加上手术费、麻醉费等，医院的成本为5500元左右。最后，患者需要花1.1万元，完成整个种牙过程。”姚院长说。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">“洋品牌”垄断市场，价格层层“叠罗汉”</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">“整个口腔市场都没有国货，进口牙系统价格贵的原因是进口材料成本高。”长沙市口腔医院一位负责人告诉记者。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">业内人士指出，国产口腔耗材产业起步晚，后来由于质量良莠不齐，逐渐被市场淘汰，如今口腔市场“洋品牌”早已形成垄断地位，其中瑞士、德国、韩国占据“三甲”。由于市场对种植牙存在刚性需求，不仅患者缺乏话语权，医院在采购时也难有议价能力。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">业内人士指出，口腔行业的暴利只是医疗器械领域价格乱象的“冰山一角”，暴露出我国医疗器械、耗材定价机制的不完善和价格管理的欠缺。目前，我国政府对垄断医疗市场的“洋耗材”没有定价权，也没有实行政府指导价政策，进口医疗器械的定价权在商家及其</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">代理</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">商手里。不管进口</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">医疗器械</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">价格卖得多高，只要是医院通过正规招投标手段引进的就“合法”。如此，患者往往面临“被宰”后却投诉无门的窘境。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">记者调查发现，和药品一样，医疗器械、耗材价格过高，与其销售模式密不可分。比如，进口种植牙生产</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">企业</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">只生产产品，然后在国内寻找代理商向</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">医院</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">销售，竞标、销售等环节都是代理商操作，利润中的大部分留给了中间环节。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">医疗器械市场有“病”，患者岂能埋单？</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">“一个进口心脏支架出厂价2000元左右，用到患者身上却要2万元；一个进口种植牙出厂价不到3000元，用到患者身上要1万多元；一个骨科用的钉子出厂价几十元，用在患者身上动辄成百上千元；一根产科使用的无痕手术线出厂价不足百元，用在产妇身上变成3000元……这些医疗耗材披着“洋外衣”，通过各种方式涌向医院，加剧了患者看病贵，也让医患关系日益紧张。”湖南省卫生系统相关负责人告诉记者。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">北京一家经营德国牙移植系统的医疗器械公司负责人黄铭（化名）告诉记者，代理商、经销商是进口耗材生产商和医院之间的“桥梁”，桥梁越多，所产生的费用越高。另有业内人士透露，种植牙系统从出厂到医院，要经过厂家、全国总代理、地级市代理再到医院、招投标代理公司等多个环节。每个环节都产生成本，几千元的产品到患者就手中变成了上万元。</span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"><br /></span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);"> </span></p><p><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">专家认为，虚高部分的进口医疗器材、耗材价格，不能都由消费者埋单，而要挤掉“洋耗材”价格虚高的“水分”，则必须鼓励民族产业发展，生产出质优价廉的产品，与进口产品竞争，打破“洋耗材”的垄断现状。同时，要规范市场，让</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">药品</span><span style="padding: 0px; margin: 0px; list-style: none; color: rgb(0, 0, 0);">和医疗器械在研发、销售、流通的所有环节公开、透明。</span></p><p style=""><img src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0" data-ratio="0.14784394250513347" data-w="487" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0?tp=webp" style="margin: 0px; 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padding: 0px; max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong></span></legend></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; overflow: hidden; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">平台的理念：分享维修经验，为工程师提供技术配件支持，为临床使用者提供医疗器械使用保养维护信息，关注我们传递正能量。</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; overflow: hidden; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="margin: 0px; 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max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">联系我哟</span></span></legend><blockquote style="padding: 0px; border: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; overflow: hidden; border: 0px; box-sizing: border-box !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; border: 0px; color: rgb(255, 192, 0); font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 192, 0); border: 0px; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">? </span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">定期推送</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 192, 0); border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">医械资讯</span><span style="margin: 0px; padding: 0px; max-width: 100%; border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important; word-wrap: break-word !important;">，</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 176, 80); box-sizing: border-box !important; word-wrap: break-word !important;">厂家推介</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important; word-wrap: break-word !important;">，</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; 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发表于 2020-10-21 13:38:18