The domestic trouble and foreign invasion of private hospital: Complain the medical market of the hygiene is still unfair

The domestic trouble and foreign invasion of private hospital: Complain the medical market of the hygiene is still unfair
The domestic trouble and foreign invasion of private hospital: Complain the medical market of the hygiene is still unfair
Near 50 -year-old Dai Ming could not attend to the dissuasion of relatives and friends, insisted on letting one's own life turn round in 2003 - -He gives up the position of one Vice President of hospital of county-level city, turns round to prepare to establish the first private hospital in the locality. Nowadays, this " gets the government and support of Ministry of Health" " the east bank hospital " Already small and famous, Dai Ming but some feel dejected: " Can reselect, I will certainly not step into private the intersection of hospital and this line. " East the intersection of bank and hospital, one private non-profit-making hospital, have 60 of berth now, the intersection of quantity and about 200 person, clinic of Japan, equal to local public scale of first class hospital. " It is better that there is development in the private hospital, but most states like our hospital, neither big nor small, not good not bad " ,Wear, sign tomorrow, have, ask wondering: " Talk about the private hospital, the officers all say that welcome the large-scale and high-quality private hospital to enter, these thousands of ordinary private hospitals of ours what is to be done then? Who comes to manage? " Just before wearing two more than month not interviewing by our publication tomorrow, May 13, the State Council announce " about encourage and lead non-governmental to invest in several opinions of sound development " . This another name " New 36 " File write: " support the folk capital to set up all kinds of hospital, community hygiene service organization, sanatorium, clinic, clinic, health station (room) Wait for the medical organization, participate in the transformation of public hospital and reorganize. " Dai Ming says, he, to " new 36 " Dare optimistic, one's own " the non-public the intersection of economy and 36 " that mind issue 2005 (namely " old 36 " )It is difficult to abolish non-governmental investment to repeatly meet with" The glass door " Shade: " The officers at all levels seem to have a kind of deep-root ed discrimination to the enterprise run by the local people, such wordings as there are hygiene fields on public, country are almost worshipped blindly even more. " Dai Ming is puzzled, in a lot of trades, though the restriction on enterprise run by the local people is likewise omnipresent, but the enterprise run by the local people still can be with the fair play of state-owned enterprise at least, but in hygiene trade, " even country's set policy will not be implemented naturally either, should ask, work, is this a fair starting line? " " the government can not pay attention to giving play to the strength of the private hospital " Dai Ming is very familiar with the relatively superior, steady working flavour of public hospital. Before establishing the private hospital, he has become too many annual chiefs of the office of department of the People's Hospital of city. " In second hospital, I have a chance promoted for five or six times, but is all defeated at the last moment. " In a fury, Dai Ming chooses to leave, has contracted some local worker's hospitals. " Before contracting, the factory paid salary of half without keeping the hospital running to the hospital worker, after contracting, we ask nothing from the factory, make the hospital run well, the factory's appraisal to me is, for reforming system of establishing the foundation smoothly of this hospital. " " break away from " these 4 years The work of the system, prove that bright ability is worn, let his flexible mechanism to the private hospital,etc. become interested too. When related departments appoint Dai Ming as some local Vice President of second hospitals, he was only in the previous week class of the hospital, determined to resign, because " very hollow, there is no excited feeling at all " . Dai Ming says, does to a Vice President with this age, means retiring on this position, " I have fallen into the thinking in questions such as value and realistic interests,etc. in life, come out, I think of for a chance of oneself. " After revealing and running the idea of the hospital to classmate, good friend, Dai Ming has been expected the opposition that is hit. " They even convene to stand up and have a meeting to try to persuade me, say my plan is too crazy. " At that time, Dai Ming is more willing to judge setting up the private hospital as a kind of " opportunity " ," I have studied the policy of the country, think the health care field needs system reform too, need to break the monopoly of the public hospital in order to the medical treatment and health care d emand for meeting ordinary people, this creates conditions for development of the private hospital. " Dai Ming lifts a piece of data for classmate's good friend constantly: Local more than 1 million people, there are 3 public hospitals such as city the People's Hospital, is this kind rationally distributed? Digest the seeking medical advice and needing of common people, OK? Obviously can't, can not that government pay attention to giving play to the strength of the private hospital? At this under logic when piece is natural, last money, buy Ming Dai, apply for by hospital, invest five or six million successively, let " the east the intersection of bank and hospital " at last Signboard stand in city center. It is " not the national treatment " Dai Ming says, the hospital runs so far, he has already realized " treat coldly " from related departments that a lot of people having a common goal of private hospital described to h im personally . The invoice that for example it is essential to open in the hospital, Dai Ming says, the public hospital belongs to the public institution, undoubtedly its invoice is public institution type, but is used and has not unified the regulation the invoice of the private hospital, regional invoices are just very different, there is public institution, have the tax, have civil administration, even have printing. " I have asked printing the president of the invoice, this is illegal, the president says, apply for the invoice and does not give everywhere, have to pr int by oneself. " The grade of the for another example private hospital evaluates, Dai Ming says, according to relevant regulations, declares it above the first class first rate hospital, one of the conditions needing possessing is to establish " Love babies for babies' hospital " ," But there is an unwritten regulation in some places, namely does not allow the private hospital to open the obstetrical department, the reason is that a medical risk of the obstetrical department is greater, worry causing the abominable social influence, this has forfeited the private hospital and entered possibility that the country appraises the system in fact. " Questions such as the apparatus entry, setting up, land used for clinic of scientific research,etc. are worn perplexing bright too. " Although we are the first class hospital, we have one's own development goal, hope to provide the better apparatus for patient, also encourage the medical worker to study intensively the business, but reality is, the private hospital also has certain obstacles to buy medical apparatuses such as CT,etc.. " Dai Ming says, he fortunately feels, " east bank hospital " Because of it " The non-profit-making hospital " Property, is it private hospital to last quite a lot tax revenue issue and medical insurance questions fixed th at is worried. " The reason why I orientate the hospital as non-profit-makingly, because though the profit-generating hospital of the national regulation enjoys independent pricing, but the private hospital of overwhelming majority, in order to survive, its price does not dare not to be higher than the public hospital in fact, then, once it is profit-generating to choose, not only should pay taxes but also it is very difficult to enter all kinds of medical insurance by fi xed position, this is tantamount to pinioning one's own trick. However, can not share out bonus in biggest problem of non-profit-making hospital, then some hospitals will practise fraud in this respect, our hospital is fortunately individual proprietorsh ip, the so-called meat is rotten in the pan, the demand is not urgent yet in this respect. " The reporter knew, issued in 2000 according to Ministry of Public Health <>,One of the principles of dividing the properties of medical organization is " to choose authorizing with the government to combine together voluntarily? Protect ���� Ti �� to all tame with ��� Ju slowly and largely Does �� timid ���� all break the bones of the body? Dai Ming says: " It is actually the idling of the policy to authorize to the hospital profit-generatingly and non-prof it-makingly, because this policy is scarce and thinning and lacking and forming a complete set. For example, the public hospital is all checked and ratified as the non-profit-making hospital, but do not they pursue profits? The private hospital mostly orientate as profit-generatingly, they can have more or less pens to make a profit? Unless so, there are on present situation, profit when it is be commercial,it is should commercial make profits. " The insider introduces to the reporter, before 2008, the country implements 3 - year long tax allowance to the private profit-generating hospital, hereafter, it would undertake about 8% of tax revenue obligations. And then manage the efforts of unit, personage such as the branch through the private hospital of association of Chinese hospital, the country announces duty-free to it, but a lot of places have not carried out the state policies so far. Review the public hospital, not only there is no tax revenue to bear, can obtain certain financial subsidy instead, this roughly accounts for 5%- 10% of its gross income. When the country advance social security projects such as new rural cooperative medical service, urban worker's basic medical insurance, basic medical insurance of urban residents,etc. in a more cost-effective manner, not obtaining the corresponding fixed qualification of medical insurance, it is nearly some " extinctions " of private hospital --Not merely remaining market share is reduced greatly, and face the competition from nearly all relevant hospitals. Ming Dai say, " happy private hospital of our city can obtain medical insurance, equal to etc. by fixed position while being agricultural while being new early, but in terms of the whole country, still many private hospitals fail to get this treatment. " Talk about this all sorts of " It is not the national treatment " ,Dai Ming's intonation is a bit excited: " A lot of people think, the private hospital is in order to earn money, even if the private non-profit-making hospital only changes a waistcoat, its purpose still locks and earns money. I think you have neglected a fact, namely the hospital, must bear the community responsibility sure to heal the wounded, rescue the dying, bearing the functions of the peripheral resident's medical treatment and health care, in this sense, private hospital develop well, one win-win, well development its to government, checked by investors, in other words, the government only shares the interests but needn't take the risk into account, under the the situation, I come round to the idea relevant responsible institution why give the policy the foot really. " Talent " nightmare " Dai Ming says, the difficult for nearly of him to get rid of nightmare of talent's question. " We hospital give salary that doctor turn on range from 3000 yuan to 10,000 yuan, a lot higher than public the intersection of hospital and at the same level the intersection of book and salary of doctor, however, it is very difficult for us to attract talents. " He thinks, a very important reason is, " everyone knows, doctor of the public hospital, the main source of its income is not a figure on the book, but the covert payment commission, so more than 100,000 of our annual pay, have no attractiveness to the high professional title doctor at all. " Wear, explain speak from private one's own interests of hospital, it needs to set up good prestige and public praise to morrow, so, it forbids the medical worker to collect patient's covert payment on behavior of will standardize the medical worker ing naturally; Meanwhile, to the medicines commission which the public hospital remains existing despite repeated prohibition, because the private hospital will try hard to seek the low price of homogeneity on the market during medical procurement, the profit space of medicines certainly will be forced down, the medicines sales force would not rebate medical worker and deduct a percentage too. Dai Ming thinks, the private hospital is difficult to form another reason of talent's team, it is the restriction of the policy of existing floating of professionals, for example, promote etc. in welfare, household register, professional title. Some insiders analyze to the reporter, at present, in a lot of places, the medical worker chooses to go to the private hospital to work, nearly mean giving up the professional title to promote automatically. The reason roughly includes: First, because doctor of the private hospital mostly lack and continue educating, write the thesis, study in and the very difficult if having time, chance; Second, competing and commenting the high title needs medical worker's having in the unit work experience of medical treatment at the basic level, but because the private hospital has not mostly totally included in the whole trade management, the possibility that the doctor promotes in professional title is reduced greatly. " the team of talent of the private hospital is often ' old and old, small and small ' " ,Dai Ming says, " a few young and middle-aged experts appear accidentally, others or squeezing in units one formerly belonged to, or because have children outside the state plan and have to leave, there are very few ones that really chose the private hospital and took office voluntarily, so, the echelon of talent of the private hospital is often very unreasonable. " " east bank hospital " Having already basically formed the key team, " generally speaking, ther e are only two or three intermediate professional title personnel in the first class public hospital, we have more than 20 high, intermediate professional title personnel, but our question is, the stability of the team is worse. " Dai Ming says, because of the welfare treatment and to such reasons as the development prospect confidence of privat e hospital is insufficient, personnel of high title don't say, even young and inexperienced medical science born and regards private hospital as the springboard oft en, higher position of preparing for the postgraduate qualifying examination, higher position of preparing for the postgraduate qualifying examination in less than one or two year ses in work. " the vast countryside, what the community lacked are not medicine, the apparatus, but the people, it is those that have technology, capable talent " ,Wear, say with feeling " to people these, the salary treatment that the public medical organization assigns priority according to seniority fig hts but the high salary which the private hospital made often tomorrow, that is to say, so long as the supporting policy about adjusting good talent introduction in the department of the go vernment, the private hospital is confident of recruiting outstanding talents, because we believe, most doctors want to make money clean. " " bear the blame for others " Close to all sorts of of private hospitals " Abominable" Existence condition,it is which still have numerous investor it choose enter. Dai Ming tells our publication, runs the hospital from him so far, the total amount of the population of this city has roughly risen more than 200,000, the private hospital has increased by 3 too. In the pattern of this market, someone has already begun to make " little trick " . Dai Ming says: " Some private hospital clinic quantity little, old in hospital amount, time long to know, depended on rebating rural doctor originally, for example, introduced a appendicitis patient, in hospital the fee of 3000 yuan of operation, ones that gave to the rural doctor can give to 600 yuan when deducting a percentage, had revealed, it is not that in the long run, whatever you're given, you pay for yet. " Bearing the public's query to its sincerity when the private hospital is nearly since the beginning. In the 80s and 90s of last century, a great school of the private hospital of China - -Fujian Pu the Tian 's appears, it is regarded as chink of market which aims at dermatosis, venereal disease, say having no disease into a sick, small disease, after trying to gain the surprising sudden huge profits, make the public take shape to the private hospital " Swindle " Impression. Thereafter, some private hospitals are accused of continuing using and cheat and inducing, Means such as excessive medical treatment, sham publicity, medicines of imitation and poor quality,etc., cause the private hospital image to slump, like one " The child lying " ,Even " The child liking lying " ,The public can't rest assured about it all the time. Dai Ming says: " The health care field of investment, can only pursue the stability of investment repayment, but the one that can't seek investment repayment is generous. The fact proves, those expect to make a profit to investors as many as possible during the time as short as possible, that was adopted is often a improper competitive method, not only has damaged patient's interests, also the atmosphere of the trade of the disaster, let the whole trade check for their acts and efforts for expediency finally. " " You explain sincerity, he does not explain sincerity, you will follow him and bear the blame for others together, what to do do you say? I can only comfort oneself by the idea, faith, say to oneself time is a touchstone, let us have a match part of the way again. " Dai Ming tells reporters: " During these years, those two public hospitals where I have worked have developed very fast, we can say, it is better than our local all situations of the private hospital. " Talking about this, he nips and kills the cigarette in the hand: " If really as skilled as others, close the door, fail I admit, now too, medical market still unfair. I only look forward to, let fairly to come a bit faster. " (should be required by the persons who interview, name and hospital are called the assumed name in the article) (reporter one is fired slowly)


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