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面對面:印度新生兒專家阿賈伊博士

文/喬菲


Dr. ajay gambhir(阿賈伊博士):

NNF(專業兒科協會)主席

德里醫學委員會執行委員

印度質量委員會董事會成員

國家免疫技術咨詢小組成員

今年上半年,印度新生兒專家Dr. ajay gambhir(阿賈伊博士)來到中國,參觀考察科曼深圳總部,以下是《共享》與阿賈伊博士的對話。


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.

本刊編輯:您此行中國的目的是什么?

阿賈伊博士:我是一名新生兒專家,來中國主要是想學習新生兒方面最新的科學技術,看能否給印度市場尋找到一些優質的性價比高的新生兒產品。(印度)現在新生兒的產品獲取主要還是通過政府部門。由于新生兒死亡率的增加,政府部門在這一塊的支出也水漲船高。印度每年有超過2600萬新生兒出生,但是他們中有兩百萬到四百萬會因為缺少優質的醫療器械而死亡。所以政府正在花大力氣資助這一塊工作。在很多地方,尤其是偏遠的地方根本沒有新生兒的產品,比如CPAP,暖箱等等。眾所周知,印度是一個大國,大城市的科技雖比較發達,但是小城市如鄉鎮和街區的科技還十分落后,他們需要更多技術的引進。

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.


本刊編輯:您是怎么知道科曼公司的?

阿賈伊博士:當我擔任NNF(國家新生兒論壇)主席的時候,科曼公司邀請我參加一個會議,所以我從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.

本刊編輯:您對科曼有什么建議嗎?

阿賈伊博士:我參觀過科曼的工廠,他們生產的產品大部分都能滿足我們的需求。

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.


本刊編輯:在印度有哪些醫療器械品牌,哪些比較知名?

阿賈伊博士:在印度,我們有飛利浦,BPL。BPL是一家印度醫療器械公司,坐落在班加羅爾,是印度主要的醫療器械公司?,F在很多國際化公司來到印度建廠,一些是工廠而一些是辦事處。從事制造呼吸機和監護儀的公司也很多。隨著印度城市化進程的加快,更多的人遷移到了城市,更多的醫院建立起來了,因此他們需要更多的醫療器械,所以印度是一個很大的市場。

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.

本刊編輯:印度并沒有很多公立醫院,您對此有什么觀點?

阿賈伊博士:雖然政府醫院是免費的但是由于數量非常少,所以常常十分擁擠,人們不得不去私人醫院看病。醫院的訂單通常打包下發。政府十分重視母嬰產品,對于和心臟相關的產品卻不是很重視,所以私人醫院會需求更多與心臟相關的產品。

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.

本刊編輯:公立醫院和私人醫院哪一個對醫療產品的要求更高?

阿賈伊博士:以前公立醫院很少有中國品牌的產品,但是現在越來越多的公立醫院和私人醫院都有中國品牌產品了。中國企業更青睞私人醫院,因為公里醫院有太多的流程,需要進行招標、注冊等等。

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.

本刊編輯:在印度,客戶對于中國產品有沒有特殊的要求?

阿賈伊博士:十年之前,當中國產品剛剛進入印度的時候,它們的質量并不好,但是現在質量進步了 很多,很多對它們的評價都很好。之前中國的產品不是那么出名,現在很多已經有了自己的品牌。當然現在又有很多的新公司涌入了醫療行業。在醫療器械的歷史中,最早是飛利浦和馬西莫,科曼就像一個嬰兒。如果我給客戶介紹飛利浦的產品,他們都會購買,但是如果是科曼的產品,那么銷售起來還是比較困難。

Q Why would the Indian buy Chinese products?

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

本刊編輯:印度人為什么會購買中國產品?

阿賈伊博士:因為中國產品好并且經濟實惠。

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.

本刊編輯:您第一次使用中國產品是什么時候的事情?

阿賈伊博士:五年之前我們使用注射泵,噴霧器和一些監護儀。最近這4-5年,我們對中國品牌的產品有了更深的印象。之前購買的產品一定需要認證的,現在一樣需要美國FDA認證。這些產品需要通過各種各樣的法規和質量檢查。開始的時候,企業只需要生產和銷售,所以質量參差不齊,銷售的產品數量多但是質量卻不能滿足市場需求。

我有自己的醫院和私人診所,我們不是公立的,因為私立的更容易成立。

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.

本刊編輯:作為新生科專家,您對印度新生兒科的未來有什么預測?

阿賈伊博士:在印度,總共有600個區,但是在2005年的時候沒有地方有NICU科室。2007年,印度政府采取了一個行動,叫做NRHM(新生兒農村健康計劃),在這個號召下,政府在全國范圍內建立了600個新生兒科。

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.


本刊編輯:所以你的意思是2005年之前,印度沒有新生兒科?

阿賈伊博士:在私人醫院有,但是在偏遠地區和小鎮上就沒有。

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.

本刊編輯:您認為如何提高新生兒科的狀況?

阿賈伊博士:印度有28個州,600個區,300個醫療學校,我們主要的區如德里、孟買、加爾各答等都有新生兒護理中心,但是其他的偏遠地方沒有這些醫療機構。2005年,NRHM計劃創辦600SNCU(嬰兒護理中心),其中的400所已經成立了,200所還在建設中。所以政府也在花力氣投入這方面的工作?,F在嬰兒在這些護理中心照看比在家里安全的多,因為家里缺少很多的設備,如暖箱, 光療機等。政府提供各種各樣的設施設備幫助孕婦順利分娩,例如急救車等等。

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