The private hospital looks forward to " The specification " Analyse and explain and develop the difficult position

The private hospital looks forward to " The specification " Analyse and explain and develop the difficult position
The private hospital looks forward to " The specification " Analyse and explain and develop the difficult position
Plum monarch of reporter cub reporter Qi Lin / document From this month, relevant over 20 supplementary measures of the medical system reform of Beijing will be issued successively soon, before this, <>(hereafter referred to as " implementing scheme ") Has already finished collecting the opinion to the society publicly, among them in one private hospital, " implementing scheme " expresses clearly that will make private hospital and public beneficial hospital enjoy the same treatment in land policy, the tax revenue is offered the favour according to the state policies too. In the related file that will be issued soon on earth, to that which does social capital have to run the concrete preferential policy of the hospital? Serve some and basic medical care part and reduce or remit the taxes to the public health which the private hospital bear, OK? The government unifies the platform and purchases the administration of medical organization at present, will you please run hospital the society to include in it too? At one time, development and reform of the private hospital have become social focuses once again. Statistics reveal, the private medical organization of Beijing has already been up to more than 2000 at present, but it is difficult for 80% among them to develop. Because except system of the public hospital, add the restriction of the existing policy, though the charges of a lot of private hospitals are the same as public hospital, face the too high taxation, it is difficult to enter the medical insurance array, talent introduction is difficult, such predicaments as medicines, medical equipment purchase the route limitedly. Expect to enjoy the long-standing problem that the real tax allowance tax revenue has been development of private hospital all the time, the private medical organization can't have to go to the country to replenish and duty-free like public hospital, especially for medium and small hospital, the tax policy may concern its final and decisive juncture directly. The intersection of Beijing and member of the municipal CPPCC, BJ Children's Hospital surgical Deputy Director, the intersection of world and parts of medical director Zhou Hong tell reporters, though the foundation " The notice on medical relevant tax policies of health organ of the Ministry of Finance, State General Tax Bureau [property tax No. 200042 ] " This policy, the profit-generating medical organization is from the day to obtain licensing of hygiene, to the medical service income obtained, can enjoy three years the business tax is duty-free. But because the establishment, preparing to establish, running its uniqueness of the medical organization, so most private not duty-free policies of the business tax by three of enjoyment of medical organization. "The establishment of the private profit-generating medical organization, have its particularity in setting up procedure, State Administration of Industry and Commerce regards private profit-generating medical organization as Co., Ltd., can be managed after obtaining the business license. Private medical organization before selecting site, preparing to establish must check and approve and obtain after the licensing of hygiene through Ministry of Health in advance, can manage after State Administration of Industry and Commerce examines and approves and obtains the business license. " So, the private site selection, preparing to establish or leasing of management place before operation of medical organization, must consider leading link of examining and approving etc. succeed or not, succeed in, get, can plan, establish, run while being leading to examine and approve only. Prepare to establish the high-quality private hospital of a norm, often takes 2-3 years, it already spends three years to obtain the licensing of hygiene, because the affiliated revenue department applies the former policy of the General Tax Bureau mechanically, do not cause at all and can enjoy this duty-free normal tax preferential policy of the business tax, have increased the operation cost that the hospital is expected outside, has aggravated the burden of the hospital. On the other hand, operation of hospital exist relatively large and different with enterprise too, to drop into greatly initially hospital, foster one longer, it is relatively low to one's own repayment, the guidance of receiving the policy is strong, must bear the taxation of higher income tax when the hospital is making a profit instead of suffering a loss gradually the management at longer stage, the tax organization treats the profit-generating medical organization as enterprises, levy tax on income according to the same income tax rate, to hospital, if will develop, need to improve the profit level hard and but because bear higher taxation, lead to the fact the net profit is relatively low, it is less likely to be unfavorable to enterprises to manage to retain incomes continuously. "Even if is able to enjoy and reduce or remit business tax, tax holidays of three years pass, will pay 5.5% of the business tax and 25% of the corporate income tax according to the service industry, it is very considerable if there can be 10% of the profits in three years in the general operation of private hospital, if turned over over 30% of the expenses of taxation at this time, almost became the task that can't be finished. " Member of the municipal CPPCC in Beijing, Beijing engrave physical examination president of managerial body Han XiaoHong of the health to reveal kindly, in this case, some private hospitals draw a patient over to one's side by way of various deception, some do, change to a new form, earn, walk by one three year, influence private reputation of hospital seriously. The ophthalmology hospital Vice President establishes the soldier to say frankly too, the ophthalmology hospital intelligently of Great Britain is like other private hospitals intelligently in Great Britain, exempt from the business tax the first three years while being open, but the corporate income tax unavoidably, the hospital should pay 25% of the corporate income tax every year at present, this has become the greatest burden in evolution of this private hospital. "Especially emphasize in " implementing scheme " this time, exempt from the business tax in according with the fixed medical service income, this is absolutely a good news to the vast private hospital. But how exempt, how much does it exempt, I'm afraid supplementary measure that must be relevant issue. " In week being red to seem, to " the implementing scheme " carry on thinning, government should in support to the private hospital at expenses of taxation reduce or remit future, let the private medical organization really enjoy the preferential policy of business tax of enterprises. "I propose, should change into a profit-generating medical organization 3 years duty-free initial time of business tax from the day of opening formally, to the medical service income obtained, can enjoy three years the business tax is duty-free; Reduce private the intersection of hospital and income tax rate while being appropriate on the other hand, let, left just now steady private hospital will because of the income tax overweight, shoulder the heavy burden. " " change the place of examination bidirectionally " The range should be expanded except the support of the financial expenses of taxation to be private, as to private hospital, whether could attract the outstanding doctor to go, will decide whether its future development software terms are really up to the mark. Propose in " implementing scheme " clearly, some operation that advance the registered doctor more, set up effective encouragement tied mechanism, lead more medical workers to go to the medical organization at the basic level to serve. If approved by Ministry of Public Health, " pilot scheme that the doctor is some operation more " is expected to issue recently, the side of chief of Beijing Municipal Health Bureau comes to Great Britain and points out, possesses the expert type doctors of some operation levels more at present, assemble in the large-scale public hospital. So have relevant system design in the pilot scheme, restrain public the intersection of hospital and doctor from in the intersection of own job and post of finishing make a diagnosis task basically, could utilize free time, get to other kinds medical organizations, including public hospital, private hospital, the community health Center, offer service of making a diagnosis for the patient. Han XiaoHong thinks, are " some operation more " Scheme medical to lacking for a long time for pieces of good news in hospitals private of talent, the ones that can make her worried at the same time are, policies Been encouraging citizens to realize all the time in the office " Small disease does not go out of the community " Seek medical advice formal,possess more some operation? �� lowers Nao Rest on ostrich pay �, support the intersection of Yi and yarn glitter � sigh, cut Hey, the intersection of razor clam and careful ���, my darling of ��, mend the conduct to imitate? "It is still very difficult to expect to have the expert type doctors of more public hospitals to move towards the private hospital at the present stage. " Han XiaoHong says, the government has been encouraging the private hospital to take the medical route of high side all the time, there is VIP in very public hospital, specially needs the ward, in this respect, still there is no space competing with public hospital in the private hospital, " in the whole private hospital organization, this is puzzled that all exist " . She says. Take loose area of strength as examples, when Jinsong Community hospital can't be satisfied with the patient's demand of making a diagnosis, can change the place of examination to the more advanced hospital - -Lie in the intersection of twin-well and area hang down the intersection of willow and hospital, hang down the intersection of willow and hospital, can have patient of demand change the place of examination to Jinsong Community hospital too at the same time, but it is limited to hang down the ward berth of the willow hospital, Jinsong Community hospital does not have a in-patient dept., under changing the place of examination the intersection of range and such little situation, cause some difficult demand that seek medical advice when being own, patient of this area, realize private hospital and changing the place of examination among the public hospital, above-mentioned patient can the private hospital at home seek medical advice. "Private hospital where the policy of changing the place of examination bidirectionally should expand to offering basic medical treatment service for citizen in the area under one's jurisdiction, in this way it is more convenient that the patient will go to a doctor. " The wide founder, Liu ZhenMing of benevolence hospital, says, changes the place of examination bidirectionally the expert who includes different hospitals holds a consultation, if will issue the relevant policy in the future, the private hospital can require the expert of the large-scale public hospital to come to the hospital to hold a consultation, so can improve the competence of making a diagnosis of the private hospital greatly. "In this way can realize progressively seek medical advice new pattern. " " eliminate " 5 year before 5% wipe out disparity, ZhenMing Liu establish this comprehensive private hospital in the intersection of strength and loose the the east end - -Wide the intersection of benevolence and hospital, in the 5 year, wide the intersection of benevolence and hospital develop present one into, have 300 more than people connect hospital to examine quantity every day nobody shows any interest ining, though new the intersection of medical reform and policy blow come a burst of spring breeze to private hospital, but until Liu shake, it seems tomorrow, require and issue with the equal policy of community's hospital, still need after some time. "It is easy to find, the entry threshold of the private hospital has been reduced in " implementing scheme ", the intersection of tax revenue and compare, have great favour, more loosely further examination and approval procedures for the future too in the past, the government supports the folk capital to do medicine too, it seems that the private hospital will have more capital and public hospital that will make rival claims as an equal in the future, but not with the equal preferential policy of community's hospital, the road hardships of making the development in the future of private hospital remain unchanged. " ZhenMing Liu mention as preferential policy more hospital with community have, come from to wipe out proportion 5% mainly. According to the intersection of medical reform and draft that Beijing release before the this, from the May 1, citizen reach community whom hospital diagnose the illness wipe out proportion, improve to 90%, this measure is to go to community's hospital to go to a doctor for attraction more patients, remove the ones that concentrated to large hospitals to line up to register from working hard, can see the doctor own nearby. To the private general hospital the same as ordinary function of community's hospital, to it wipes out proportions to be but only 85% patient, so, if come to the private hospital to diagnose the illness, the patient has to need to give up some one's own interests. "Our hospital opens in the community, most patients who to go to a doctor are nearby residents, by the look of this point, we and serivce object of community's hospital are the same, and the loose area of strength is the centralized dormitory areas of several large-scale state-owned enterprises, patients who to go to a doctor are not all tycoons, the proportion disparity of submitting an expense account between these 5%, block great majority of patients in the gate of fixed hospital of the private medical insurance. " ZhenMing Liu say frankly, increase policy to wipe out proportion go to a doctor to community obviously very much inflexible, not expanding to the non-governmental hospital at the basic level, though like rank of the medical service centre of the community, but can not get the corresponding and equal policy, this makes the management of the private hospital influenced much. Except that the clinic submits an expense account and has not enjoyed yet " National treatment " Outside, there is difference in catalogue and public hospital of using medicine of medical insurance of the private hospital at present. "Including antibiotic and rescuing the medicine that the administration is here inside partly, can use in the public hospital freely, but receive all sorts of restrictions in the private hospital. " Liu ZhenMing tells reporters, the director of the wide in-patient dept. of benevolence hospital is a chief physician from hospital of policeman's army unit, after reaching wide benevolence, but is limited by the hospital rank, some medicines can't be used for patients, and some medicines are not in the catalogue of using medicine of the medical insurance, that is to say, the patient can't submit an expense account after using this kind of medicine, need to be at one's own expense, but can submit an expense account in the public hospital normally. "The doctors of a lot of private hospitals all come from the large-scale public hospital now, the level is not low, possess, use some qualification of medicine, very such a regulation restrain the intersection of doctor and normal medical full play of level from, still bring the trouble to patient, increase burden. " It is reported to exercise restraint in to purchase to relax the apparatus large-scaly and make a diagnosis, the Ministry of Public Health, national development and reform committee and Ministry of Finance jointly issued " the large-scale medical apparatus disposed and used management " in December of 2004, Beijing Municipal Health Bureau issue to August of 2006 " Beijing ' large-scale medical apparatus disposed and used management> implementing regulation ", the original purpose is for controlling the input to hygiene funds of the country effectively, dispose rationally and use the large-scale medical apparatus effectively. According to the relevant regulation, the existing private medical organization has lost the disposition, used the qualification of the large-scale medical apparatus at present. "Country have on trial of the large-scale medical apparatus plan, for prevent until the same hospital of area large-scale to make a diagnosis apparatus to be too much to lead to the fact and leave unused wasting, I understand this very much, but what the public hospital spent is the money of the country, what the private hospital bought the apparatus and spent is the operator's money, unlock the restriction on the thing that the private hospital purchased the apparatus, will not violate the original intention of the government at all. " Establish the soldier to say, the private medical organization faces the multi-level serivce object, like CT, nuclear magnetism (MRI) The demand of checking etc. increases day by day, because of lacking the relevant large-scale medical apparatus, can't meet demands of customer, thus restrict the development of the private hospital. Han XiaoHong tells reporters too, is subject to, large quantities of private medical organization can't buy and use some full-length medical apparatuses while being legal, at being among them held in the last Beijing Municipal Health Bureau to purchase large-scale medical apparatus, can examine and approve, the applications of five or six private medical organizations are refused. Have so not only can't meet medical market's demands influenced the development of the enterprise run by the local people but also, even cause some private medical organizations to purchase, use the feeling of the large-scale medical apparatus stealthily privately in the relevant administrative department of the government supervise Condition. "If unlock the private disposition of medical organization, use the large-scale medical apparatus authority, will not violate the original intention that the government control the large-scale medical apparatus to dispose, use at all. ? 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