Demand of the private hospital

Demand of the private hospital
Demand of the private hospital
Cub reporter of staff reporter Liu Ping'an Liu good new the intersection of medical reform and policy reaffirm, want, encourage and lead social capital to develop health care industry too. Especially in the implementing scheme of the medical reform, propose clearly private hospital and public hospital enjoy the equal treatment in fixed point of the medical insurance, evaluation of professional titles, put on an equal footing in serving entry, supervision. Serial favourable policies indicate the private hospital will welcome another spring of development. Recently, the representatives of the private hospitals of some areas of the whole country will come and were held by the private hospital development alliance in the country in the newspaper office of the health " The medical reform seminar that the private medical organization tells that looks for novelty " ,Have launched the fierce discussion on the relevant questions with development of private hospital of new medical reform, expect to link up the platform through developing what the alliance construct, the idea, suggestion, propose putting forward of the private hospital, make the reference designed as the government policy, thus the private hospital seeks larger, better development space. China cures SCTE's president, private hospital in the middle country and develops the meeting present of Yin Dakui, President of alliance, the private hospital of country of China develops alliance a executive vice-president, market condition of Beijing and banks up the director a Xuan with earth and is in charge of the meeting in the whole journey. Whether duty-free time limit could lengthen some more long-standing problems that tax revenues have been development of private hospital all the time, especially for medium and small hospital, the tax policy may concern its final and decisive juncture directly. For many years, the country, in order to relieve the difficulty and high cost of getting medical treatment of ordinary people, has put out a series of tax policy of encouraging development of private hospital, but in actual operation, people find, these policies often face " turn out contrary to one's wishes " Awkward situation. "Input of three years, break even, manage three year, can make profits while being annual repeatedly, but private three hospital of national regulation the duty-free policy can't really lighten our tax revenue burden year " ,Director Liu WenHua of Chinese medicine of Andingmen in Beijing says, ", a lot of private hospitals are after the tax allowance of three years finish in this way, face the financial crisis because the burden of taxation is heavy, even is eliminated by the market directly. " Stipulate in the relevant document of our country: "The private hospital is from the day of making the registration certificate of the operation, the following favours that offer in three years: Exempt from the business tax in obtaining medical care; Exempt from the value-added tax in producing personal preparation by oneself; Exempt from house property tax, urban land royalties and type royalties to profit-generating personal in medical organization house property, land, type. Duty-free in three years to resume levying taxs after expiring. " But Liu gentle China thinks, a lot of private hospitals can not begin to manage at once after making the operation to register, often need to take one year to prepare, add management and accumulation of some time, will create income after it requires at least from 3 to 5 yearsing. Duty-free after expiring in three years, various tax revenues come one after another, the private hospital is often difficult to form and accumulate with further sustainable development, so the duty-free preferential policy has not arisen to in year of country three " The favour " Function. Liu WenHua thinks, has big problems to impose 33% of the corporate income tax too from the hospital: The income tax should be just paid duty on after earning money, but the private hospital is in the course of management, much expenses can not include in at all, for example propagate advertising expense,etc., say, reveal that makes profits on the invoice, but enterprises lose money from tax policy. Unless certainly, it is there a few too to make profits hospital,think Li Wenhua by their in that: The section hospital for ten years of some establishment, because its president or legal representative is the pace-setter in scientific research, do not need colored high salary to engage the expert; Because accumulate for a long time, some hospitals have one's own houses, do not need to afford the high rent; Because the cause of disease is steady, some hospitals do not need to afford the advertising propaganda expense. But as a whole, the management of the private hospital is comparatively difficult. The more serious one is, some small-scale private hospitals, in order to survive, the repayment in order to be received well within short time and burden that the reduction tax revenue brings, regard breaking the law as the cost, neglect and contain consciousness by oneself, encroach on patient's interests, and this will damage the overall image of the private hospital directly, lead to the fact the development of the private hospital presents the vicious circle, transform into a negative effect for medicine. Liu WenHua says: "The preferential policy of the tax revenue should be a transaction of government and taxpayer. " Medical care is a special community service, the characteristic with welfare and public service to a certain extent, it is closely related with that one that is with the people is healthy and happy. In order to make the people masses obtain medical care of convenient, high efficiency and high quality, the government should develop the private medical organization to supplement the weak point on attitude, medical quality of public hospital, use the policy guidance, slope and support completion of the medical care of trade. So, he proposes, according to national conditions of our country and state policies at the present stage, exempt the time limit in three years of the business tax is obviously too shorts, should promote until more than five years, business tax rate can consult non-governmental education, relatively turn down, Ministry of Public Health the intersection of hygiene and the intersection of institute for economic research and Li defend flat researcher, to private general hospital should think appropriate the intersection of reduction of income and corporate income tax. Many the intersection of place and operation need, pursue the intersection of people and the intersection of group and the intersection of health control and the intersection of research institute and the intersection of person and chief Zong Yuan, think as soon as possible, the present private hospital faces a great deal of bottlenecks too from talent such as the technological recruitment of medical treatment is difficult, young and middle-aged growth and stability of technical backbone influence, doctor some suitable, etc operation more. Private medical worker of hospital on the job to claim, promote, enjoy the treatment the same as medical worker in the public hospital at social welfare, scientific research set up, this makes the private hospital difficult to attract talents, retain staff. It is too frequent that the private hospital doctor flows at present, some piece of employee turnover in one year of hospital with over one hundred people even up to more than 50 persons. "This is because they have no sense of ownership, the hospital should put up the steady undertaking platform, regard the doctor as the cooperative partner, make them change from secretary's feeling into doing the undertaking " ,Three rich brain department's director Zhang Yangs in Beijing say quiting thoughts and feelings. He thinks, the doctor that a knowledge is with very high with very good professional technique level is secretary's feeling in the public hospital, and once come out, it is no longer for such elementary goal of fame and gain, mostly in order to create some undertakings. So, the private hospital should put up the undertaking platform, establish position of their owner in the hospital in the form of pooling for it. What three rich brain department's hospitals established and is adopted initially is this kind of idea, in consideration of various at that time, having hidden the doctor's shareholder's identity, these doctors have already totally orientated as the cooperative partner now, and is developed by a few years, their personal value was promoted. Zhang Yang thinks, put up this platform mainly there is two respect work: On one hand, the private hospital should keep stability. The hospital is as a special trade, if you want to retain staff for a long time, must remain stable, inside should have administrative staff, there are technical and strong specialized personnel too, particularly It train it criticize one by core force? Wu Go straight towards Pen Pian yellow and ferocious and offer the sole �� to take Cong and guide � in the sincere sand along �� The intersection of flat stone with ropes attached at the sides and ring, A of low bank, rectify Ti of Gui �êҪ� of box Ping the intersection of discord and the intersection of Quan and ��, H of Ma, the intersection of sweat and Wu 2 bluff �� dash for ward ��, leech of Mei, teach pa wink still all all Throw evenly and change Ba to shake �����'s plinth in pool one group of wink for Xi �� s? "What we lacked most is not the technician yet, but the managerial talent. " Yang Zhang think key competitiveness of hospital manage, and core of management in people, having communicated, management is smooth, could keep the medical technical staff here, otherwise the hospital can only disintegrate finally. So the private hospital must engage the specialized medical administrative staff, they must find out about the procedure of medical management, and this is very difficult at present. In a great deal of policies during the new medical reform, doctors are some operation pilot project more being considered as the opportunity that the private hospital relieves talent's famine. At the seminar, China it cures the intersection of SCTE and president, middle country to be private to develop Yin Dakui, president of alliance, think, it is still unripe to be some operation more opportunities fully under way, the country confirms that launches a pilot project this year. After the pilot project, it is clear some situations of operation more, will unlock at this point. Meanwhile, he thinks, the private hospital should utilize some opportunities of operation more, utilize and " return in the sea " at present The difficult situation that personnel, undergraduate, graduate student obtain employment, train the long-term, steady technological team independently, on the basis of basing on future, train doctor's identification with image of the hospital, culture, thus retain staff. However, a lot of private hospital administrators say worriedly all without exception, there is " sneak the rule " when some operation pilot practical operation more ,That is that the public hospital does not set people free. This because brain drain less important, the most important thing is doctor these might it takes away to be relatively fixed the intersection of patient and group, this damages interests of large hospital, public hospital seriously. How break public hospital to the intersection of doctor and monopoly of team really, to realize public hospital and private the intersection of hospital and fair prerequisite. The competitive environment is not enough for the fair new medical reform to require that wants treating to public hospital and private hospital equally without discrimination, equal treatment, but the representatives of the hospital participating in the conference think, though the medical reform policy is very clear, implementing could really make sure in the course fair play is still hard to tell. Financial Tax Discrimination. Liu WenHua thinks, the financial subsidy of government of the public hospital should probably account for 8%~10% of the gross income, and there is no burden of taxation. Not only there is no financial subsidy in the private hospital, but also bear about 8% of tax revenues, in this way, one only financial tax revenue, cost of the private hospital will be soon 16% higher more than that of the public hospital. So, in order to cooperate with the harmony of the system reform of the health care, the revenue department should issue the special medical care tax policy accordingly, in order to reflect the fair burden of taxation, should get rid of the disliking of Tax Discrimination of the private hospital, improve the existing medical care taxation system. Only sound development of promotion health care reform that fair play could be strong on the same starting line. The rewards and punishments on social activities are discriminated against. Yuan ShiZong thinks, the holding a post of public organization, academic mechanism, technical magazine editorial board, the outstanding personage who absorbs the private hospital that should be more, reward in the advanced personage's assessment, trade, on the evaluation of the subject achievement, the country should back the private hospital to participate in actively. He thinks, the government department should really bring private medical treatment within the regional hygiene to plan at the same time, especially allow the private hospital to bear public health and basic medical care that some governments check, allow it to participate in the public health event dealing with, calamity to happen suddenly medical service activity of rescuing etc., make the private hospital really become the important component of health care industry. The medical insurance and new agricultural entry closed are discriminated against. The weather in Xi'an helps director Li Hong to declare and think, though in the new medical reform scheme, participate in the medical insurance, participate in shutting newly and agriculturally and having a clear regulation as to the private hospital, also without discriminatory restriction, but in the practices of all parts, it is an irrefutable fact that the restriction to the private hospital is entered. He gives an example in the way: "Three hospitals under us, through numerous applications, only one family's hospital gets new agricultural fit one now, other two have never been got, as for why, the opinion of the responsible institution talks ambiguously. " Hong Li declare, analyze, think outside private hospital squeeze in medical insurance, equal to while being agricultural while being new, because one's own condition insufficient and relevant policies make lag behind in place. "We need the relevant responsible institution badly to carry on the professional guidance effectively, help us to carry on internal completion, need management to improve and improve, need talent introduction to introduce, need price adjustment to adjust, need to establish the department to establish etc., in order to meet and shut the need of the policy newly and agriculturally, enter and shut the ranks of fixed hospital newly and agriculturally as soon as possible, offer the high-quality service for the fact that it is joined gregariously and allly that vast " ,Li Hong declares saying anxiously. The medical insurance policy still needs to adjust appropriately at present, our country is advancing the implementation in policies such as the medical insurance, shutting newly and agriculturally,etc. in an all-round way, but the private hospital development path under the whole people's medical insurance faces a lot of challenges. Li Hong declares thinking, urban worker's medical insurance, new rural cooperative medical service, urban residents medical insurance and the intersection of university student and the intersection of medical insurance and the intersection of system,etc. and the intersection of the whole people and the intersection of medical insurance and measure that implement soon have, pinch private effective development space of hospital progressively, dislike, several years ago, these market demand that existed extensively was once the basic market which the private hospital depended on for existence. It is but private hospital await one's doom,in the face of by medical insurances urban, it is new that it is agricultural that if you can't combine by the whole people the market demands of the medical insuranceses central into, rise by a wide margin, many private hospitals hope urgently the real policy is unfreezed, enjoy the new agricultural market share shut as soon as possible. Because of the structure of patient of the private hospital, 80% are all all peasants and urban low-income group masses of counties and cities, this colony is just the new agricultural effective guarantee target who shuts policy too, and the specialized department technology of quite a few of private hospitals has certain advantages, it is much lower in the price charges than the general public hospital, if can bring it within the new agricultural range shut, a patient says for effecting an insurance that can yet be regarded as a kind of good news, can promote the development of private hospital at the same time. But is it plain sailing to enter medical insurance? Li Hong declares thinking, of course not. The medical insurance expenses are on the low side. Hong Li declare in practice finding single number although new to shut to make a diagnosis effective means that expense control while being agricultural in quota, but some project quota standards are less than reality seriously, for example children's pneumonia is 450 yuan by norm, and so far as clinical treatment at present, it is very difficult for such forced quotation standard to finish treating, nearly all go beyond the forced quotation standard. "This kind of reversal of the natural order of things causes the medical care of the medical insurance to become the burden of the private hospital instead, we have, encourage doctor try hard to close to at one's own expense, only medical insurance Can turn into a brand. Simple number depends on the medical insurance, if totally we can only close the door by medical insurance. " A president says without mincing words. Shut the policy to propagate newly and agriculturally uncompletely. Li Hong declares thinking, the new agricultural cover that shuts is extensive day by day, the implementing regulation is complicated, want, let, join gregarious to grasp very difficult in detail while being all, some place that add propagate, explain, work uncompletely, cause and join gregariously and allly to the new agricultural misunderstanding of shutting the policy. Some masses think briefly that so long as can submit an expense account when seeing the doctor, when in the face of the situation that can not submit an expense account, they will think it is the hospital that embarrass oneself on purpose, so it is constant to complain. Hong Li declare, propose country should raise, wipe out threshold and wipe out proportion. He thinks, really enables the masses " the difficulty and high cost of getting medical treatment " For some serious disease, complicated for disease,for some diseases regular, first, not need not looking for by hospitals, experts big large, make a diagnosis expenses can't bearing high, medical insurance, equal to while being agricultural while being new, whether submit an expense account and have a limited effect on the patient's actual life, and with the improvement of the per capita income, see the doctor expense as to hundreds of, the intersection of 1,000 and a about one, general masses do not pay the difficulty. So shut should improvement wipe out threshold, reject in wiping out the registers in hundreds of, yuan of numbers some basic expenses by a wide margin while being agricultural while being new, because these are not guarantee targets that need most at present, and a large number of simple diseases will consume a large amount of management manpower while submitting an expense account. At the same time, the current one shuts the policy newly and agriculturally, limit the proportion submitting an expense account, can not improve because serious disease, difficulty are illly, high to make a diagnosis expense disease causes the masses to " cause and return to poorly and due to illness poorly due to illness " Current situation,it is so new should raise to shut by some expenses getting higher and not bearing by a wide margin by not lasting proportioning of numbers larger at masses, relieve the patient's economic pressure, could reflect better in this way " cooperation is mutually helped " in the cooperative medical service Purpose. The private hospital is not that it is reported, there is the whole country now in 6500 private hospitals in public service, the profit-generating and non-profit-making proportion is probably 3:2, because our country has different support policy to the commercial, non-commercial hospital, so the private hospital faces the contradiction all the time on how to choose to make a reservation. "Some investors hear that needn't pay duty on to transfer to a non-profit-making hospital, submitting the application becomes non-profit-making, but heard later investment repayment could not be got back after making the transition, beat a retreat midway, a hospital of Yunnan has altered for twice in one month, the result is become again profit-generatingly, "Liu WenHua says, " it is non-commercial to make into, can really be duty-free, but if understanding operation, unable to derive a profit at all, so some non-profit-making hospitals begin to play the edge ball, manage by internal control and operation. " On this forum, relevant staff members of Ministry of Public Health say: "Country allow private medical the intersection of structure and free choice when being profit-generating and non-profit-making and change, it still has a lot of disputes but must do a commercial or non-commercial localization to the private hospital. " Yin Dakui thinks: "Mean public service is private to equal to public service, think every a public one non-commercial while being public, it is not scientific that every private one is commercial. It all should be public service to be public and private, like non-governmental education. " Whether the policy support of need of work of scientific research, for hospital, the direct relation professional technique of scientific research could be improved rapidly, Li Ning of the Sino-America hospitals of the east in Beijing thinks, it is difficult for the private hospital to launch the teaching of scientific research. First of all, the private hospital lacks the equal treatment of the state-run hospital, there is congenital weak tendency in setting up, declaring, fund, professional title etc.. For example, too clear to divide the system during the new medical reform, central, grade can set up and bear medical scientific research on a small quantity in the province, medical center of the teaching function or medical centre in the area, bearing the medical organization of section hospital,etc. making a diagnosis and giving treatment in the whole country or regional difficult disease. But medical scientific research is small quantity during the new medical reform, and concentrate on the national teaching hospital, medical college affiliated hospital or national-level laboratory mostly; Secondly, because the scientific manpower's flowability is not enough, the private hospital is difficult to look for the pace-setter in scientific research, this pair of scientific research of private hospital is limited very big; Then, the private hospital is especially unknown problem that the state policies always exist to more difficult assurance of the expectancy that invests and produces; Finally, it is more difficult for the private hospital to obtain medical cooperation and sharing in apparatus and talent of scientific research institution. Yin Dakui thinks: "The strength of a hospital is limited, should launch research work, discipline is close or the speciality is close can be jointed together and striven for the subject in the private hospital, can also unite the public hospital. At the beginning, can obtain the scientific findings of the prefecture-level city first, then reach the province, the country. " 2004 the intersection of Beijing and three rich hospital is establish, establish " whether rich medicine, rich to teach, not rich to grind" Goal,energetical develop scientific research teaching. In 2006, three was rich and becoming the appointed national neurosurgical doctor's training base of Ministry of Public Health, "as requested, this kind of base must be the tertiary first rate hospital, the policy of Ministry of Public Health was relatively opened at that time, so this can be regarded as the sign that approve to the private hospital " ,Zhang Yang says, " this helps us to lay a solid foundation, play a very good role for our development for the future. We are applying to become the affiliated hospital of Capital University of Medical Sciences now. The first medicine innovates from system, regard private hospital as the formal affiliated hospital of the university too this time. We hope, enter such a regular medical educational institution, rich medicine, rich to teach, not rich to grind, finish of us. Meanwhile, the standardization, institutionalized and normalizing that we can hope for the relevant policy too, let more better private hospitals break out. "


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