Law School, Hainan University, Haikou, China.
Danzhou City Construction Investment Co., Ltd., Danzhou, China.
Front Public Health. 2021 Nov 15;9:764977. doi: 10.3389/fpubh.2021.764977. eCollection 2021.
In 2018, the government of China decided to develop Hainan Province as the country's first free trade port operating within the country's socialist system. Based on this strategy, Hainan reformed its medical laws and policies to make it freer and more open. For example, Hainan formulated policies for more rapid and convenient access of foreign medicine and sanitary equipment (MSE), allowed manufacturers to register MSE in China with real-world data (RWD), and provided legal and visa conveniences for international medical teams to carry out various activities, including: diagnosis, treatment and scientific research. Hainan's reforms are not only conducive to the improvement of local medical and public health levels, but also provide opportunities for international MSE manufacturers and medical research institutions swiftly to enter China's huge medical market. However, with opportunity comes risk: Hainan should be on guard against public health risks associated with medical tourism, and decide how to strike a reasonable balance between protecting local MSE enterprises and improving the accessibility of imported MSE through policies and legislation. Finally, the paper recommends that Hainan should improve the regulatory system as soon as possible to ensure the quality of diagnosis and treatment in its new hospitals, and deal with data and information security risks in the RWD research.
2018 年,中国政府决定将海南省建设成为中国首个在社会主义制度下运行的自由贸易港。基于这一战略,海南对其医疗法律法规进行了改革,以实现更大程度的自由和开放。例如,海南制定了更快速、更便捷的政策,以促进外国药品和医疗器械(MSE)进入中国,允许制造商使用真实世界数据(RWD)在中国注册 MSE,并为国际医疗团队开展各种活动提供法律和签证便利,包括诊断、治疗和科研。海南的改革不仅有利于提高当地的医疗和公共卫生水平,也为国际 MSE 制造商和医疗机构迅速进入中国庞大的医疗市场提供了机会。然而,机遇伴随着风险:海南应该警惕与医疗旅游相关的公共卫生风险,并通过政策和立法,在保护本地 MSE 企业和提高进口 MSE 的可及性之间做出合理的权衡。最后,本文建议海南应尽快完善监管体系,确保新医院的诊断和治疗质量,并应对 RWD 研究中的数据和信息安全风险。