¿Cómo pueden los pacientes en Boao Lecheng usar medicamentos y dispositivos aprobados en el extranjero pero aún no aprobados en China?

Según decisiones del Consejo de Estado de 2018, el gobierno provincial de Hainan puede aprobar la importación de medicamentos y dispositivos de urgencia clínica para hospitales designados en la zona piloto de Boao Lecheng. Un medicamento debe estar ya aprobado fuera de China, no registrado en China y no tener sustituto nacional (se excluyen las vacunas). Se usa solo en el hospital solicitante, para un fin específico, previo consentimiento informado. Algunos medicamentos orales pueden sacarse de la zona en cantidades limitadas.

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**Legal basis.** In April 2018 the State Council suspended part of the Medical Device Supervision Regulations in the zone so Hainan can approve urgently needed devices with no registered equivalent in China (Guo Fa [2018] No. 10). In December 2018 it allowed Hainan to approve small imports of urgently needed drugs, excluding vaccines, for designated institutions. **Current rules (in force since May 1, 2023, Qiong Fu [2023] No. 16).** - Drug: approved abroad, not registered in China, and no Chinese-approved product can replace it. Device: approved abroad with no same-type product registered in China. - Only designated hospitals with Grade III Class A level capability and adverse event monitoring may apply. - The provincial health commission gives an opinion within 5 working days; the provincial drug regulator decides within 7 working days. - The hospital must tell the patient the product was imported under this pathway and get signed informed consent. - Patients may take home a reasonable, self-use quantity when the hospital judges it safe. - Once a product is registered in China, it is no longer imported this way. - Real-world data from these uses can support a Chinese registration application. **Scale.** The Hainan government reports over 470 such products imported by April 2025. Eligible imports are exempt from import tariffs and VAT under a 2024 central government circular. **What this means for you.** Access depends on a designated hospital applying for a specific product and judging you clinically eligible. Prices are set by hospitals and are not covered by Chinese basic insurance. Ask the hospital for the product's approval status and full cost in writing before travel.

Fuentes

  1. 国务院关于在海南博鳌乐城国际医疗旅游先行区暂停实施《医疗器械监督管理条例》有关规定的决定 (Guo Fa [2018] No. 10)
    State Council of the PRC · official · accessed 2026-10-26
  2. Drug import management changed in Hainan medical tourism pilot zone
    english.gov.cn (State Council) · official · accessed 2026-10-26
    “Such imported drugs should be used in the designated medical institutions for a specified purpose, the circular stated.”
  3. 海南自由贸易港博鳌乐城国际医疗旅游先行区临床急需进口药品医疗器械管理规定 (Qiong Fu [2023] No. 16)
    Hainan Provincial People's Government (via Hainan Free Trade Port portal) · official · accessed 2026-10-26
    “本规定中的临床急需进口药品,是指先行区医疗机构因临床急需,进口已在境外批准上市,未获我国批准注册、国内已上市品种无法替代的药品(不包括疫苗)。”
  4. Boao Lecheng International Medical Tourism Pilot Zone
    Hainan Provincial Government (en.hainan.gov.cn) · official · accessed 2026-10-26
    “As of April 2025, Lecheng has imported over 470 innovative medicines and devices not yet approved on the mainland, benefiting more than 110,000 patient visits, an annual increase of 134.2 percent over the past five years.”
  5. China to exempt import tariffs on drugs, medical devices in Boao Lecheng pilot zone
    english.gov.cn (Xinhua) · official · accessed 2026-10-26
  6. Hainan's special health zone pulls in more patients
    China Daily · news · accessed 2026-10-26
    “The first public hospital in the pilot zone, the Ruijin-Hainan Hospital affiliated to Shanghai Jiao Tong University School of Medicine opened for trial operations in December, 2021.”
  7. 博鳌乐城:打造国际创新药械进入中国的“关键窗口”
    China Pharmaceutical News (cnpharm.com) · news · accessed 2026-10-26

Solo informacion. No es consejo medico, diagnostico ni recomendacion de tratamiento. Consulte a su medico. En una emergencia, llame a su numero local de emergencias.