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面对面:印度新生儿专家阿贾伊博士

文/乔菲


Dr. ajay gambhir(阿贾伊博士):

NNF(专业儿科协会)主席

德里医学委员会执行委员

印度质量委员会董事会成员

国家免疫技术咨询小组成员

今年上半年,印度新生儿专家Dr. ajay gambhir(阿贾伊博士)来到中国,参观考察科曼深圳总部,以下是《共享》与阿贾伊博士的对话。


QWhat is your plan to come to china ?

Dr. ajay gambhirBasically, I am working as a neonatologist, the newborn sector, and our plan is to see the new technologies developed for the neonates. What good and cost-effective instruments we can take to India and introduce them to the Indian market! Mainly through the government sector since the government is spending more money on neonates. Neonatal mortality has increased. More than 26 million babies are born every year in India and out of them, around 2-4 million babies die due to lack of proper facilities. So, our government is taking efforts and funding in this sector. There are no neo-technologies which we can use, such as, CPAP, warmers, especially in the village or district level. As we know, in a big country like India, the technology is advanced in big cities but not in small places such as villages and other districts, and so the technology is required for small places too.

本刊编辑:您此行中国的目的是什么?

阿贾伊博士:我是一名新生儿专家,来中国主要是想学习新生儿方面最新的科学技术,看能否给印度市场寻找到一些优质的性价比高的新生儿产品。(印度)现在新生儿的产品获取主要还是通过政府部门。由于新生儿死亡率的增加,政府部门在这一块的支出也水涨船高。印度每年有超过2600万新生儿出生,但是他们中有两百万到四百万会因为缺少优质的医疗器械而死亡。所以政府正在花大力气资助这一块工作。在很多地方,尤其是偏远的地方根本没有新生儿的产品,比如CPAP,暖箱等等。众所周知,印度是一个大国,大城市的科技虽比较发达,但是小城市如乡镇和街区的科技还十分落后,他们需要更多技术的引进。

QHow do you come to know about COMEN the first time?

Dr. ajay gambhirSince I am the president of National Neonatology Forum (NNF), your company invited me for a meeting and so I came across COMEN. NNF is a professional association that specializes for neonates.


本刊编辑:您是怎么知道科曼公司的?

阿贾伊博士:当我担任NNF(国家新生儿论坛)主席的时候,科曼公司邀请我参加一个会议,所以我从那里知道科曼公司的。

QWhat would you like to suggest to COMEN so that they can meet your requirements ?

Dr. ajay gambhirI have visited the factory and they are manufacturing good products, most of which meet our requirements.

本刊编辑:您对科曼有什么建议吗?

阿贾伊博士:我参观过科曼的工厂,他们生产的产品大部分都能满足我们的需求。

QWhat medical equipments are provided in India? Which brand is famous?

Dr. ajay gambhirIn India, we have Philips, BPL, GE, etc. BPL is an Indian manufacturing company for medical equipment. It is based in Bangalore but Philips is the major one. Now many international companies are coming to India. Some are manufacturing whereas some are reassembling. Basically a large porportion of them are engaged in ventilators and monitores,etc. Since the urbanization is increasing, more and more people are migrating to cities and hence more hospitals are being built. Therefore, they require more equipments. India is therefore a good market.


本刊编辑:在印度有哪些医疗器械品牌,哪些比较知名?

阿贾伊博士:在印度,我们有飞利浦,BPLBPL是一家印度医疗器械公司,坐落在班加罗尔,是印度主要的医疗器械公司。现在很多国际化公司来到印度建厂,一些是工厂而一些是办事处。从事制造呼吸机和监护仪的公司也很多。随着印度城市化进程的加快,更多的人迁移到了城市,更多的医院建立起来了,因此他们需要更多的医疗器械,所以印度是一个很大的市场。

Q In India, there are not much government hospitals. So, what are your views on that?

Dr. ajay gambhirThe government hospitals are free of cost for the public but since they are less in number, they are quite crowded and so, people have to visit the private hospitals. The government hospitals place the orders in bulk. The government basically stresses on equipments for mother and child and not for heart related issues. Equipments for heart are mainly required in the private sector.

本刊编辑:印度并没有很多公立医院,您对此有什么观点?

阿贾伊博士:虽然政府医院是免费的但是由于数量非常少,所以常常十分拥挤,人们不得不去私人医院看病。医院的订单通常打包下发。政府十分重视母婴产品,对于和心脏相关的产品却不是很重视,所以私人医院会需求更多与心脏相关的产品。

QWhich has more requirements for equipments- government or private?

Dr. ajay gambhirThe Chinese brand was not much but now they are emerging in both government as well as private. Mainly they are interested in private because the government sector involves a lot of procedures such as; we are supposed to file for tenders, then registration process and so on.

本刊编辑:公立医院和私人医院哪一个对医疗产品的要求更高?

阿贾伊博士:以前公立医院很少有中国品牌的产品,但是现在越来越多的公立医院和私人医院都有中国品牌产品了。中国企业更青睐私人医院,因为公里医院有太多的流程,需要进行招标、注册等等。

QIn India, any special requirements for Chinese products?

Dr. ajay gambhirTen years ago, when Chinese products were coming to India, they were not of good quality. But now, their quality has improved. People are using them and giving positive reviews. Previously, the Chinese products were not that famous, but now many of them become a brand. Also, many new companies are emerging in the medical equipment field. In the medical history, only Philips, Masimo were having the priority. Comen is just like a baby. If I sell a product with Philips name, then anyone will buy it easily, but if the same product is to be sold with Comen’s name, it is going to be difficult to sell it.

本刊编辑:在印度,客户对于中国产品有没有特殊的要求?

阿贾伊博士:十年之前,当中国产品刚刚进入印度的时候,它们的质量并不好,但是现在质量进步了 很多,很多对它们的评价都很好。之前中国的产品不是那么出名,现在很多已经有了自己的品牌。当然现在又有很多的新公司涌入了医疗行业。在医疗器械的历史中,最早是飞利浦和马西莫,科曼就像一个婴儿。如果我给客户介绍飞利浦的产品,他们都会购买,但是如果是科曼的产品,那么销售起来还是比较困难。

Q Why would the Indian buy Chinese products?

Dr. ajay gambhirThe Chinese products are good and they are cost-effective.

本刊编辑:印度人为什么会购买中国产品?

阿贾伊博士:因为中国产品好并且经济实惠。

QWhen did you use the Chinese product for the first time?

Dr. ajay gambhirWe used syringe pumps, nebulizer and a few monitors five years ago. From the last 4-5 years the impression for the Chinese products has changed. But even now before buying a product, it has to be proved. And also now, they are FDA approved. Also they are following various regulations and quality checks. Initially, they were just making and selling, so some were good but some were not. Quantity was more; quality was not up to the mark.

I have my own hospital and clinic. We are not into the government sector because it is easy to go into private in India.

本刊编辑:您第一次使用中国产品是什么时候的事情?

阿贾伊博士:五年之前我们使用注射泵,喷雾器和一些监护仪。最近这4-5年,我们对中国品牌的产品有了更深的印象。之前购买的产品一定需要认证的,现在一样需要美国FDA认证。这些产品需要通过各种各样的法规和质量检查。开始的时候,企业只需要生产和销售,所以质量参差不齐,销售的产品数量多但是质量却不能满足市场需求。

我有自己的医院和私人诊所,我们不是公立的,因为私立的更容易成立。

QSince you are an expert in neonates. What is the situation for future in India of neonates?

Dr. ajay gambhirIn India, there are 600 districts, and no district had NICU before 2005. In 2007, the government of India made an act called NRHM (National Rural Health Mission). Under this act, government decided to construct 600 NICUS all over the country.

本刊编辑:作为新生科专家,您对印度新生儿科的未来有什么预测?

阿贾伊博士:在印度,总共有600个区,但是在2005年的时候没有地方有NICU科室。2007年,印度政府采取了一个行动,叫做NRHM(新生儿农村健康计划),在这个号召下,政府在全国范围内建立了600个新生儿科。

Q So you mean before 2005, there were no NICU’s in India?

Dr. ajay gambhirIn private there were, but in the rural areas and other small districts they were missing.


本刊编辑:所以你的意思是2005年之前,印度没有新生儿科?

阿贾伊博士:在私人医院有,但是在偏远地区和小镇上就没有。

QHow to improve this NICU situation?

Dr. ajay gambhirIndia has 28 states, 600 districts, 300 medical schools in all cities. We have nursery in major states like Delhi, Mumbai, Kolkata, etc.But in the villages and other districts, we don’t have. So, in 2005, NRHM was introduced to make 600 SNCU (Special New born Care Unit). Out of these, 400 have already been set up whereas, 200 are processing. So in this way, the government of India is working on it. So now delivery of the baby which was at home before is now done at these centres ,making it safe for the mother as well as the child. Since at home, we had lack of umpteen facilities such as warmers, phototherapy machines, etc. Also now government provides all the facilities including the ambulance for emergency cases and so on.

本刊编辑:您认为如何提高新生儿科的状况?

阿贾伊博士:印度有28个州,600个区,300个医疗学校,我们主要的区如德里、孟买、加尔各答等都有新生儿护理中心,但是其他的偏远地方没有这些医疗机构。2005年,NRHM计划创办600SNCU(婴儿护理中心),其中的400所已经成立了,200所还在建设中。所以政府也在花力气投入这方面的工作。现在婴儿在这些护理中心照看比在家里安全的多,因为家里缺少很多的设备,如暖箱, 光疗机等。政府提供各种各样的设施设备帮助孕妇顺利分娩,例如急救车等等。

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