Medical network - on March 24 in the recently held in chengdu in sichuan province on the development of social do medical BBS in sichuan in 2017, about the personage inside course of study says, under the national policy of "spring breeze" blowing, social do medical usher in rapid development opportunities. But at the same time should also see, the current development of private medical institutions also face the reality of "more small scattered". To ensure social do medical orderly development, perfect form a diversified pattern of medical treatment, still needs a long way to go.
The momentum of rapid development of private hospital
In recent years, countries have been introduced more promote the social forces to do the medical documents, from the sponsorship to the service scope, and then to taxation, price, payment and made further in such aspects as regulatory rules. At the same time, encourage social forces to run medical and dislocation of the existing public hospital development, and better public hospital form the interactive and complementary synergy relationship; Encourage social forces to run medical development towards the direction of the brand, collectivization; Encourage social forces to do medicine to rehabilitation, pension and a shortage of nursing, pediatrics and other areas of development have a clear demand.
Since 2016, the break with medicine to raise the medical system and encourage social capital to run medical policy using backdrop, drug companies, medical equipment, industrial and financial industry practitioners have acquired hospital, first to the downstream industry chain layout.
In a large number of acquisitions of civilian battalion hospital at the same time, capital reach out to the public hospitals also. People medicine drug firms such as pharmaceutical, hainan sea have stepped in to the hospital. According to the research institutions, in the past 2016 years, more than 30 public hospitals were sold, the enterprise take over more than half of Chinese medicine, such as yi hundred pharmaceutical bought a 53% stake in huainan chaoyang hospital, people bought a 80% stake in ezhou, the second hospital pharmaceutical.
The Chinese academy of social sciences, director of the center for public policy research Zhu Hengpeng analysis, tertiary hospitals in the local hospital belongs to the good assets, less likely to be sold, but as a result of local government debt problem unable to support the development of secondary and below hospital, once weaned, the secondary hospital sell also is only a matter of time. Zhu Hengpeng predicted that 40% of all public hospitals will be acquired in the future.
"The number of private hospitals in sichuan province ranked the first, civilian battalion hospital beds ranked the sixth, the rapid development of private hospitals." Xu Xu deputy director of the sichuan province health and family planning commission said.
, according to data by the end of 2016, a total of private hospitals in sichuan, 1362, 65.89% of the provincial hospital. Year-on-year growth of 13.11%; Beds of 111600, accounting for 21.49% of the total number of hospital beds; Civilian battalion hospital diagnosis and treatment of 28.79 million person-time, very rapid development momentum.
According to Xu Xu deputy director of the health and family planning commission of sichuan province, sichuan province in recent years a series of stimulating social do medical policy, the industry access, equipment configuration, health care support, land transfer, encouraging measures, finance taxation under the dividend policy, the rapid development of private medical institutions in sichuan. Especially for some new and restructuring of private hospital management standard, characteristic, is becoming the main force of private hospitals.
"Doctors more the advancement of practice, such as grading diagnosis and treatment policy for private hospitals to see the hope." Sichuan and f d h group deputy general manager Zhao Wenle said that since 2009, a series of civilian battalion hospital policies introduced gradually, to stimulate the rapid growth and development of the number of private hospitals.
Dividend policy under the reality of the industry
The reporter understands, encourage social do medical, control the blind expansion of public hospitals, the introduction of market mechanism, attract social capital held a medical institution, to meet the diversified medical needs of the masses, to promote the relieve the contradictions of the lack of medical resources. However, at present our country social do medical still exist some obstacles.
"Glass door" still remains, there are quite a few small approval under the examination and approval. Observatory in chengdu hospital Zhang He said, the state encourages more practice, but in the concrete implementation process is embarrassed, for example, "some large public hospital managers have the fear, not against on the surface, but specific operation but is reluctant to".
Zhang He said, such as health, health care, and price is great for examination and approval, everything is not simple, small approval is health for examination and approval of business under the licensed technology, etc. Range of aspects, for example, he said, in the diagnosis and treatment for examination and approval of the administrative department of public health and treatment of department of gynaecology, but 30% of the business of department of gynaecology to 50% of the family planning business also need further examination and approval; Disinfection supply also needs special approval, hemodialysis and other technology to special approval, is very time-consuming.
The current quantity, small scale, insufficient services is do cure the practical problems facing the society. The reporter understands, in sichuan province as an example, from the perspective of the composition of civilian battalion hospital and general hospital there are 950, 343 (68), a specialized subject hospital, nursing home, a mostly secondary hospital and tertiary hospital are rare, and there are many is no grade hospital. And as a result of private hospitals in construction scale, the number of beds set, the discipline advantage will not be on a par with public hospitals, so the service capacity and services obviously inadequate.
"Civilian battalion hospital has focused on the department of gynaecology, male, anorectal specialist, eye, mouth, more homogeneous mechanism, also buried the hidden trouble of the vicious competition." Xu Xu said.
Talent reserve in hospital, hospital association of sichuan province relevant controller introduces, civilian battalion hospital talent presents the situation of a small "" one old, basically is given priority to with retired experts and low degree in young people, lack of career planning, not to mention the talent team construction.
National health development planning commission, according to the latest statistical bulletin released in 2015 amounted to more than 14000 civilian battalion hospital, but beds accounted for 19.4%; Health technical staff accounted for 15.6%; The total outpatient visits, private hospitals accounted for only 12%.
Social do medical
Relevant experts and the personage inside course of study points out, for the present problems of the social do medical must cause enough attention, in the government supervision, social supervision and industry self-discipline "do something", promote social do medical orderly and healthy development.
One is active as a bold management, adhere to "put, tube, simultaneously," break "a put is random, a pipe die" dilemma. Xu Xu advice, from the results of the existing management to process management, establishing standardized regulation mechanism, set up supervision is the consciousness of service, at the same time should adhere to the public hospitals and private hospitals alike, civilian battalion hospital wrong regulators accountability is the same need.
The second is to encourage civilian battalion hospital and public hospital cooperation development, promote each other. Sichuan province hospital association officials believe that the government can guide the private hospital development assistance in public hospitals, complementary, benign competition, so as to speed up the development of civilian battalion hospital, also reduce the cost of administrative management. Around at the same time, forming a couplet of medical, also want to break the status line, there will be a location advantage and the professional characteristics of couplet of civilian battalion hospital into the medical category, let technology run, run rather than patients.
Three is to further guide social capital to the shortage of services. The reporter understands, at present society less for medicine in the medical field of scarce, such as the nature of the hospital, the children's hospital of obstetrics and gynecology, medical institutions, social medical treatment, the family doctor service, "Internet + hospital", etc., also need to be fully open to the social capital, guide the formation of differentiated development situation, and the public hospitals become the beneficial supplement.
Four is to develop and cultivate the commercial medical insurance. To participate in BBS some Suggestions for private hospital, at present, China's basic medical insurance is a kind of low level wide coverage of system design, already can't satisfy people's increasing demand of medical services. High-end medical consumption makes social do medical to find the value return on capital and a new growth point, but if you don't fully commercial insurance development, high-end medical treatment is still a "bricks without straw", even lose the basic medical insurance fund, bring the basic medical risks.
Five is to foster a sound environment for social do medical environment. Zhang He the personage inside course of study thinks, such as the development of private hospitals, differentiating road is based on the book. Private hospitals currently is still in the early stage of development, but also need to strengthen internal self-discipline, but also establish blacklist system of the industry, and the introduction of a third party evaluation institutions, to review construction, build a batch of excellent technology and service quality, management norms industry representatives.
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