The private hospital experience " The glass door " Beset with difficulties and difficult to enjoy fair competition

The private hospital experience " The glass door " Beset with difficulties and difficult to enjoy fair competition
The private hospital experience " The glass door " Beset with difficulties and difficult to enjoy fair competition
The public hospital is " The big tree " ,The private hospital is still " The small grass " ,Unable fair competition at all. The sunshine of some preferential policies can only shine to " The big tree " ,It is unable to shine to " The small grass " "The government gives the good policy of the private hospital, just like a glass door. Give looking at to you, but it is rebuffed to stretch out one's hand. " A private director says so. In November of 2010, General Office of the State Council transmits five ministries and commissions " suggetion on further encouraging and leading the social capital to run the medical organization " such as the development and reform committee,etc.. At that time, a lot of private directors were filled with exultation, thought " Document No. 58 " Mark " Spring of the private hospital is coming " . But over one year, a few province issue implementing regulation, this policy " in the air " most place only . The professionalism of Tsing-Hua University Economic Management hospital is managed chief of research office Zhou Sheng and said, the reason why the country encourages developing the private hospital, just hope to press through outside, promote the public hospital reform, form " Nian's fish's effect " . However, the preferential policy has not been really implemented in all parts yet at present, the developing of the private hospital also has a lot of policy barriers. Only streamline the policy passway from top to bottom, could let the private hospital get larger development space. The foundation is run by the government " Document No. 58 " ," adjust and pay the utmost attention to the social capital with newly-increased health care resources " ," leave the rational space for the non- public medical organization " . However, in reality, the entry threshold of the private hospital is still very high. The hospital administrative director Huang YouZhong of extensive region says in Jiangxi, the public hospital is " big tree " ,The private hospital is still " The small grass " ,Unable fair competition at all. The sunshine of some preferential policies can only shine to " The big tree " ,It is unable to shine to " The small grass " . For example, plan to be an " invisible wall " in regional hygiene . Much social capital want, run private hospital, health authority with " accord with the regional hygiene, plan" In order to be blocked outside the door, but it is very easy for the public hospital to enter. Health, Wenzhou of Zhejiang, would rather the intersection of director and WeiLi Guan say the private hospital wants to enlarge, must take the road to chain operation. But the present examination and approval policy is, run a hospital to a place each time, need to apply for the license plate again, this restricts development of the chain brand. Technological entry, it is the private hospital a " threshold " different to cross over too . Director Ge ShuSen of kidney trouble in Yunnan says, the kidney transfer operation of the hospital has already been forced to stop for more than two years, expert's group runs off day by day. It is reported, the characteristic of this hospital was originally latter stage of end nephropathy integrated, treated, among them the transplantation technology of kidney has been occupying the leading position of the whole province all the time. However, Ministry of Public Health awards the qualification of renal transplantation to another public hospital in the approval of qualification of the entry of organ transplant, though the renal transplantation example of this public hospital is counted few. Director Huang JingSheng of heart disease in Jilin Province says, now, a lot of health authorities treat public hospital as " son " ,And treat private hospital as " The stranger " . For example send file, give private hospital, have a meeting, invite private hospital either. He thinks, health authorities are a administrator of the whole trade, but can't only become the administrator of the public hospital. Because the private hospital has inferior position in respects such as setting up, professional title promoting, household register policy of scientific research,etc., so must pay and is higher than the public hospital by several times of salary and welfare, could attract and retain staff Talent's shortage, is the largest " short board " of development of private hospital . At present, the composition of trained personnels of a lot of private hospitals are that " one is always few " ,Either just old expert of the pensioner, or the university students who just graduated are generally scarce " Mesozoic Era " in the prime . The extensive region hospital covers an area of 100,000 square meters, approves berth as 500 in Jiangxi. Over two years of the opening, a lot of departments are still empty, because can not engage a doctor. There is a head nurse retiring from the public hospital and already more than 70 years old, are still insisting on working. Huang YouZhong says: "Have no way, the old one will be used too, people is better than none, otherwise the department must close. " "Thought the easiest thing, had nowadays become the most difficult thing. It is too difficult for the private hospital to want to engage a good president! Only have far from enough high salary, if he does not approve your doing and curing the idea, how much will not given. " Investor boss Lin of a private hospital in Beijing says. In recent years, he fee try setbacks best, dig, reach satisfactory president from public hospital. For example, the hospital of woman of Beijing Mary baby which he invested in, engage former director of God Temple Hospital gynaecology and obstetrics Wang Rui to serve as a Vice President; Auspicious hospital of dept. of orthopedics of Beijing wheat where he invested in, engage director of former people in Peking University Lu HouShan to serve as a president. The luck person like boss Lin, actually few in the private hospital. Some policies of operation that our country has already issued a doctor more now. However, this policy, like " flower in moon, water in the mirror " ,It is very difficult to benefit the private hospital. It was not once a president of a public hospital in Pingdingshan of Henan that Wang changed, 2009 was engaged as a president by the long-range ambition hospital of Shanghai. He says, the manpower of the private hospital is with very high costs, even if draw the condition of the annual pay of 300,000 yuan, also it is very difficult to attract the business backbones of a public hospital. Because the public hospital " The salary of sunshine " Though is not high, " recessive income " But very considerable. At present, most experts of the hospital are that the public hospital of other places came, they mainly consider educational problems of children. And local public hospital doctor, some operation that none comes here more. The health bone director Lai Zhi, Odis of Sichuan, just said, doctors of the public hospital belonged to " unit people " ,And does not belong to " Social people " ,This restricts floating of professionals. The public hospital all regard the doctor as " The private property " . The doctor registers some operation more, need approving by hospital where one stays. But, which hospital would like to let the doctor go to the private hospital to make money? He thinks, the outstanding doctor should belong to the whole society, but should not be monopolized by a hospital. If the problem of floating of professionals can not be solved, the private hospital can only be on small scale forever. In U.S.A., the hospital does not raise a doctor, and just offer conditions such as the berth, apparatus, attending to,etc., expert's group flows, can accept an appointment of many hospitals at the same time, expert resources got sufficient use. Our country cancels the undertaking of the hospital to work out, turn the doctor into " libero " ,Much to click the operation to really push away. Zhengzhou, Henan doctor of traditional Chinese medicine bone wound director Guo Yongchang says, the competition of the hospital, it is talents' competition after all. However, because the private hospital has inferior position in respects such as setting up, professional title promoting, household register policy of scientific research,etc., so must pay and is higher than the public hospital by several times of salary and welfare, could attract and retain staff. So long as the public hospital is open, can include in the medical insurance by fixed position naturally; And the private hospital is open Must be " long-tested " ,May become and cure Baoding to click? ' �'s shank? Document No. 8 " The requirement, " include the non- public medical organization which accords with the condition in the fixed range of the medical insurance " ," all parts can't apply to become as the medical organization the verification condition of the fixed organization of medical insurance of investment subject properties " . However, in reality, it is very difficult for the private hospital to include in the medical insurance. Zhi Lai say society general to implement to private hospital " guilty to infer " just ,And implement the public hospital " The presumption of innocence " . So long as the public hospital is open, can include in the medical insurance by fixed position naturally; And private hospital must " Long-tested " ,May become medical insurance by fixed position. In case of not having medical insurance, the private hospital and very difficult fair competition of public hospital. It is reported, though the bone hospital of health of Odis in Sichuan is the fixed unit of medical insurance of Chengdu, but the nonlocal medical insurance department does not recognize. Some nonlocal patients hold the invoice of the hospital to submit an expense account, the medical insurance department sees invoice name is " profit-generating invoice of medical organization " ,It is not given the newspaper that. Lai Zhi just said: "This invoice has discrimination. Though we are the profit-generating hospital, the expenses standard, totally according to the regulation of medical insurance, it is even lower than the large hospital. So, propose the invoice changes into ' the non- public invoice of medical organization '. " Health, Wenzhou of Zhejiang, director would rather in charge of big to stand, think the government department should liberate the idea, should implement the medical insurance by fixed position " It is wide to enter and appear severely " . Whether the public hospital or private hospital, so long as carry out the pricing policy of the medical insurance, can include in the medical insurance. If find unlawful practice, cancel curing Baoding a little more. Three rich brain department's hospitals in Beijing are a private hospital incorporating medical treatment, teaching, scientific research into an organic whole. Will become the affiliated hospital of Capital University of Medical Sciences in 2010, and is classified as the fixed hospital of the medical insurance of Beijing. However, the patient above this institute 90% comes from the other places, it is the private hospital that medical insurance department see some places, refuse to submit an expense account. For this reason, the hospital has to send people to all parts to persuade throughout the year, has already contracted with the medical insurance organization of more than 20 cities at present. For this reason, general manager Zhang Yang proposes, the regional medical insurance department should treat to public hospital and private hospital equally without discrimination, break the region demarcation line, mutually recognize intercommunication. The land of the private hospital was bought according to the commercial area. But land and house property can't secured loan, private financing cost of hospital well-above the public hospital The hospital is a capital-intensive trade. The difficult, tax shoulders a heavy task, become another " bottleneck " which restricts development of private hospital to grant the loan . According to the stipulations of bank, the land of the hospital, house property can't be asked for a secured loan of, this makes financing cost of the private hospital well-above the public hospital. Bone wound director Guo Yongchang of Chinese medicine in Zhengzhou says: "Real estate and house were bought by oneself, but but can not lend the fund. " Several years ago, because this hospital was building the floor, the fund was tight. As a result, someone comes to stop up the door to exact debit every day, the hospital can't almost open normally. Dongguan Li JingBo, director Hua of the east of Guangdong thinks, no matter the profit-generating hospital, the non-profit-making hospital, have certain public service compositions. At present, though the business tax of the profit-generating hospital exempts, the income tax is still up to 25%. Last year, the hospital only paid duty on and reached more than 20 million yuan. He proposes, the hospital makes capital construction, buys the apparatus, the government should allow to deduct taxes, in this way, can lighten the burden of the hospital greatly. Zhang Yang thinks, the income tax of the private hospital is the same as hotels, this is unreasonable. The hospital is a high-tech trade, but not ordinary service industry. So, the government should determine the profit-generating hospital as the new high-tech enterprise, enjoy the relevant preferential policy. Lai Zhi just thought, the land of the private hospital was bought according to the commercial area at present, with very high costs. In fact, one there are public beneficial trades in the hospital, should examine and approve with ground according to public service. So long as does not change the land use, should keep the preferential policy. It is pointed out that Zhou Sheng comes, the reason why the private hospital " fails to grow up " ,Lack the favourable tax policy to a great extent. In this respect, the experience of Taiwan is worth drawing lessons from. Will it be the eighties the 20th century, Taiwan put out one the intersection of tax revenue and preferential policy, namely invest in non-profit-making private hospital, can deduct the intersection of investor and individual or corporate income tax. As a result, the medical resources of Taiwan increase at the speed of 50% per year. By the end of 2000, the sick bed of the public hospital of Taiwan has counted and accounted for 34%, the non-governmental non-profit-making hospital accounts for 39%, the non-governmental profit-generating hospital accounts for 27%. It means, if you want to let the social capital enter the medical field on a large scale, the government must make the best of the tax revenue lever.


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