The private capital goes through the hospital and opens the floodgate formally It is prudent to still deposit the domestic-investment foreign capitals enthusiastically chronic illness

The private capital goes through the hospital and opens the floodgate formally It is prudent to still deposit the domestic-investment foreign capitals enthusiastically chronic illness
The private capital goes through the hospital and opens the floodgate formally It is prudent to still deposit the domestic-investment foreign capitals enthusiastically chronic illness
Chinese Government strengthens the opening to the private capital of domain of health care with unprecedented efforts, the fresh blood pours into and certainly will take place with old system chronic illness " Arrange the different response " ,But still reform the prospect for but period. The reporter Dai Lian
Gentle " it is real to move at long last. " A private owner of medical organization hove a sigh of relief on December 3. The same day, General Office of the State Council, on " suggetion on further encouraging and leading the social capital to run the medical organization " (call " opinion " in the following text) Issue the notice, propose " relaxing the social capital and running the entry range of the medical organization " ," further improve the social capital and run the operation environment of the medical organization " ," promote the non- public medical organization to develop in a healthy way continuously " . At this moment, the distance " new medical reform " The scheme has been issued for nearly two years, <>Already too more than half from now to the time of goal; And " it is difficult to see the doctor " " it is expensive to see the doctor " Voice can be heard without end still,see antithesis, conflict during doctors and patients whether relieve also. Wait for the investors for a good while to state outright numerously in hesitating, looking around " Feel filled with exultation " . "Spring is coming. " The Sino-foreign joint venture " The harmonic family " The director said to the reporter a second jade-like stone, " not only spring of ' harmonic family ' came, spring of private medical treatment is coming, but spring of our country's whole medical system came. " In her view, a great deal of clauses in this opinion, especially allow the wholly foreign-owned venture to run the hospital, it is that " efforts is big, unexpectedly " even more . Once expressed too for this expert from various places doing one's utmost to appeal for it while the medical reform scheme is drafted, new medical reform " Have stepped a great step forward " . "This opinion is very important. " Zhang Shuo, medical and health expert of World Bank, says to the reporter. But no matter to investors or to the ordinary masses that chronic illness of medical environment is tired, more optimistic estimations still need to wait until time and examine. An investment institution analyst says to the reporter: "Before more thinning supplementary measure is issued, investors will still look around. " Professor of government of Peking University management college Gu Xin says to the reporter: "The issue of the file will undoubtedly contribute to increasing the supply of medical care, but increased supply can unquestionably make each side's medical demand satisfied, it is unable to predict at present. " In fact, this is just one of the intensive medical reform policies that has issued for the last few days: On December 6, Premier of the State Council Wen Jiabao holds the standing meeting of the State Council, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit; On December 9, General Office of the State Council releases" sets up and standardizes the government and runs the basic medicine of medical health organ in the basic unit and purchases mechanism's instruction ". At the time of coming goal node in 2011, medical reform or entering the fast traffic lane. And this line of meanings with greater policy lie in, they transmit a clearer " route " than in the past Signal: Insisting on " Public beneficial" If you can't if you can't cure, improve by Cheng, hit,essential in market mechanism; The roles of government and market, or will have clearer definition. From " unable to make up mind " It has behind schedule for one month to reach into the issue knowing " opinion " together. At the end of September, the development and reform committee has sent the documents and claimed, the file has already been reported to the State Council, " strive to issue before the end of October " . Before this, Guangdong, Zhejiang, Fujian, Yunnan and other places have already issued the measure in advance, encourage the social capital to run the medical organization. But the conjecture correlated to this has never been stopped. At the beginning of September, first " it is criticized that the wholly foreign-owned venture goes through the hospital " News spread far and wide,clarify but September 10, HaiHua Deng of Ministry of Public Health spokesman: "China does not set up the medical organization of the wholly foreign-owned venture, up till now, or this policy. " Have clarification this in the front, " the opinion " that release December 3 make a lot of people " quite unexpected " . " the suggestion " proposes wanting " Relax the social capital and run the entry range of the medical organization " : Not merely propose " Encourage and support the social capital to hold all kinds of medical organizations " ,Still propose " Adjust and pay the utmost attention to the social capital with newly-increased health care resources " ," encourage the social capital to participate in public hospital's reforming system " ," allow the external capital to run the medical organization " ," simplify and standardize the foreign capitals and handle the examination and approval procedures of medicine " . Among them a lot of statement appears for the first time. "About opening to nongovernmental fund and foreign capitals, each side has reached common understanding for a long time; To what extent as to opening, the policy-making level has been unable to make up mind all the time. " The public health Du LeXun, professor of institute of medical university in Harbin says to the reporter. Since the eighties of last century, Du insisted all the time that was introduced to the competition mechanism of the market the medical field. Du LeXun points out, in this course, " the Ministry of Finance has been supporting to introduce the social capital all the time, because it is unable to solve the insufficient in supply problem to invest only according to the finance " . " accelerating economic structure and making the transition and developing the service industry in a more cost-effective manner " Voice get off,Department of Commerce last attitude too. "Different opinions mainly come from the Ministry of Health. " Du LeXun says, " main leaders such as minister Chen Zhu, secretary Zhang Mao of Ministry of Public Health,etc. stand open actively too, but some comrades are still more prudent. " LeXun Du reveal opinion announced this time solicit the opinion inside the relevant department in September still, these clauses had already been shaped at that time. "The reason why delay, relate to coordination of the interests of every department. " Du LeXun says. Grow parts of leading the intersection of medical reform and difference, the near future multiple the intersection of medical reform and by " the the intersection of the State Council and the intersection of medical reform and the intersection of leading group and office " policy with centre halfback, impression of people, Make. In April of 2009, the State Council will establish and regard vice-premier Li Keqiang as a group leader, the State Council that 16 departments make up deepens the system reform leading group of the medical and health. The unit of director of office of leading group, for the national development and reform committee (call the development and reform committee in the following text) , Ministry of Public Health, Ministry of Finance, human resources, social security department, the development and reform committee undertakes the concrete work. According to a personage close to the development and reform committee, " this office is a coordination organization of an agenda, there are more than 20 member units at present. This is for the previous period, the leading group of the medical reform has organized investgation in all parts, rather low-key, the relevant policy will be also issued successively in the future. " Hold a memorial ceremony for out " market " The realistic awkward situation over the past two years of new medical reform of edge toll is thought to impel the policy-making level to reach a decision too, hold a memorial ceremony for the policy edge toll out. " new medical reform " Since pursuing, the coverage rate of the medical insurance has been expanded constantly, the medical demand " blowout " ,But though the financial input to medical treatment of governments at all levels is being strengthened constantly, the supply and demand contradiction of medical care is still very outstanding. The medical care of Ministry of Public Health supervises Zhang Zong, chief of department, to point out for a long time recently: "According to statistics of the past three years, annual the intersection of hospital and the intersection of clinic and quantity want, increase 100 million more than, increase nearly 10 million times in hospital amount, increase the work load of an Australian all hospitals newly every two years in other words. " Meanwhile, get rid of the scheme of three years of the new medical reform The ones that put forward " Invest 850 billion yuan in three years " ,It is considerable that the financial input to medical treatment of governments at all levels is different too. For instance, the side of chief of Beijing Municipal Health Bureau comes to Great Britain and reveals not long ago, in 2009, the gross investment of affiliated medical organizations of every system such as hygiene system, education system, army's system, State-owned Assets Supervision and Administration Commission of intra-area of Beijing urban area,etc. has already been up to 76,967 million yuan. Among them, the input to medical treatment of governments at all levels of Beijing is 13,920 million yuan, increase by 26% compared with that of last year. But invested the efficiency of the medical organization to condemn all the time directly in government finance, the internal reform of the large-scale public hospital moves forward slowly all the time. "Practise and already let the policy-making level experience the enormous pressure in medical reform of more than one year. " It if you can't pay close attention to, change medicine to China medical treatment Vice President Tao Jiangs administrative [% of 0.070.00 ] say reporter, "at this moment, must introduce the market mechanism solved the inherent problem. " "If before this file was released, the new medical reform ' the government sent ' got the upper hand, ' the market sends ' get the upper hand since present. " The insider says to the reporter. For this speech,whose name is new for medical reform for scheme formulation process until " whether market send " Gu Xin put forward objection. "Has never denied the function of the market mechanism in new medical reform scheme, market and public service are not always opposite. The whole new medical reform should realize and move towards public beneficial efforts through the rational market-based road. " Gu Xin says: "Just summarize, buy the service, medical care and move towards the competition in government's leading medical insurance, medical insurance. " Seem in happy merit Du, " the opinion " this issue, prominent function of government exactly. "It want think neither appropriate to give play to the role of market nor due to government leading factor,' push away,draw ', the state-owned enterprise reform is like this, health care reform will be like this too. " He says, " the attitude before the government is not clear enough. " " Nian's fish " Will you please enter into? "Policy-making level not only for build more several hospital, must hope, let go of and prize the whole medical system through private hospital, the intersection of foreign capitals and hospital definitely. " A second jade-like stone expresses the reporter. In the reporter interviews, expect to produce " Nian's fish's effect " through private hospital and foreign capitals hospital ,Also most interviewees' common hope. The drugmaker personage closely related to medical treatment is no exception. "' see the doctor expensively ' once criticized as making profit as one's only aim of the medicine enterprise, generally ascribed to ' medicine price empty and high now '. We think, the basic problem lies in the system reform of the health care lags behind seriously and compensation mechanism is uncomplete. The public hospital reform introduces competition mechanism, is favorable to breaking traditional thinking and solidification mode, strengthen the sense of urgency of the reform. " General secretary of pharmaceutical industry association Zhou Yan calls China's chemistry [6.046.90 % ] when being interviewed by reporter. The problem is, " Nian's fish " Has the condition of entering into the playground already possessed? In fact, only by the look of quantity, all kinds of non- state-run medical organizations have already accounted for 1/4 of all medical organizations at present. The digital display which Zhang ZongJiu provided not long ago, the national hospital amounts to about 19,000 at present, among them about 14,000 are the public hospital, and about 9700 public hospitals which the governments at all levels held. Just, these non- state-run mostly small, technological capability of medical organization are weak, very different. "The public hospital is very important, high-quality medical resources still concentrate on the public hospital. " Zhang Zong has claimed for a long time. Can serve as " Nian's fish " State-run medical organization is few non-,it trace it to its cause, since not relate to the fact that the large-scale comprehensive medical organization have enormous capital cost and the policy is not clear, also relate to existence of the too high, a series of discriminatory treatment of entry threshold. This " opinion " Direct at these chronic illness, require in tax revenue, medical insurance, environment of choosing the right person, the apparatus is purchased, land policy,etc. to be in many aspects, offer the equal treatment of medical organization non-. For example, the non- public medical organization demanding to accord with the condition can include in the fixed range of the medical insurance, carry out the submitting an expense account the same as public medical organization policy; The doctor works for non-governmental hospital without changing professional title,etc. from the public hospital. But at present, the ones that compare some small-scale native investors are eager to have a try, the attitude of the external large-scale capital is rather prudent. The officer-in-charge of trade investment of British Embassy in China Zhao Xi says to the reporter, "some management companies, hospital building constructors, commercial health insurance companies of foreign capitals hospital have paid attention to the medical service market of China for a long time, enter, always can lag behind some really. " Zhao Xi thinks, it may be from " indirect investment " that the foreign capitals enter At the beginning, " for example cooperate with hospital of the first, second and third, participate in purchasing enterprise's hospital,etc. in the class II city. " The relevant personage thinks, the non-public medical organization wants to stand with the public medical organization on the same starting line, structural question is difficult to abolish. It says to the reporter, " the most urgent problem is how to attract talents at present that the bright base hospital of Nanjing carries out the bright continent of the Changjiang River. " The bright base hospital of Nanjing established in 2008, the bright base group of Taiwan holds 70% shares, the municipal State-owned Assets Supervision and Administration Commission of Nanjing holds 30% shares, it is one of the domestic largest comprehensive foreign capitals hospitals at present. Jiang MingZhou thinks, under the circumstances that the public hospital still belongs to the system of the public institution, systems such as current file system, retirement system, evaluation of professional titles,etc. make outstanding medical talents difficult to flow into the non- state-run medical organization. As to this, high to solve, get a transition scheme out of spring. "Should allow the public hospital to become a shareholder and participate in setting-up of hospital of the shareholding system with technology and intangible assets, only pass through such a transition stage, after from about 5 years to 10 years, could form the situation in which various medical organizations grow up healthy and sound, let a hundred flowers blossom. " This scheme has actually already had precedent. But this has initiated another worry: "The technology of the public hospital monopolizes and combines with the capital, whether will cause and monopolize more greatly? " Another structural question, the army seems first in the bear of Deputy Chairman of research association of China's medical insurance, it is the current pricing system. "The present medical service charge is too low, the medicines income is main sources of the public hospital income; Under the system of this price, the way that the non- state-run medical organization has to walk ' raises medicine with medicine ' too, make the great prescription, do thorough examination. A lot of reputation of private hospital is not good to relate to this at present. " Xiong XianJun says, " to shake the monopoly position of the public hospital and talk form where in this case? " " in charge of doing not dividing " Considered to realize the greatest obstacle of fair management. Taking medical worker's evaluation of professional titles as examples, Xiong XianJun points out, the professional title is still assigned by health authorities in fact at present, health authorities are still the run-up side of the public hospital now, in a situation that the number of people allowed is limited, distribute to the non- state-run medical organization to more or less? " putting is messy " Spell " die messily once putting and once accepting " Spell difficult to break through while consideredding to be the thing the state-owned enterprise reforms system. To the medical system reform, this spell may be likewise effective. "Exceeds womenning of the near future is whole Hold the incident of causing death, has exposed the question of the private hospital again; In negative impression that private medical organization cause already, with how utilize between the private capital fully, the responsible institution must look for the equilibrium. " The Chinese-foreign joint hospital " International SOS China " Government's affairs director, with talking to the reporter quietly and refinedly. "On the premise of lacking charitable culture, can't expect to rely on the private capital to meet the medical demand for ' blowout '. " Yunnan Province third Yang, director of people, profound to get the above-mentioned view out of. He thinks, " U.S.A. or other really democratic countries governed by law, once investors carry on input to the non-profit-making organization, the assets will have nothing to do with investors, will turn into social assets and manage. But a lot of private hospitals are that ' hang out a sheep's head but actually sell dog's meat ' now, the non-profit-making brand hang, but seize profits from every side. " Though has been opposed by many directors and experts, this view is not groundless. This " opinion " " encourages the social capital to hold the non-profit-making medical organization and supports to hold the profit-generating medical organization " . In practice for many years in the past, because of the preferential policy in many aspects such as tax revenue, medical insurance, land,etc. of non-profit-making hospital, a great deal of investors incline to register for the non-profit-making organization, but to the non-profit-making organization " unable to share out bonus " at the same time Feel discontented. In the reporter interviews, many investment institution analysts say, " because the present opinion has not made stipulations to the withdrawal mechanism after putting into the non-commercial hospital, a lot of investors may choose to look around. " And taking care of Xin to seem, " the non-profit-making organization had not originally withdrawn from the mechanism. " He points out, " Harvard University, Yale University are typical non-profit-making organizations, but these undertakings taking public service as purpose, have you heard they withdraw? " "The more important thing is to want distinct game rules, and supervise strictly and let everybody make the choice to non-profit-making hospital and profit-generating hospital. " Gu Xin says. Taiwan in the seventies of last century, a batch of non- state-run medical organizations rose, made " Nian's fish " ,Have broken the situation that the public hospital unified the whole country at that time, has rewritten history of medical treatment of Taiwan. But there is different a great deal of in the environment of Taiwan and environment of the mainland at present at that time. Except the difference of the aforesaid hospital personnel management system, Taiwan already ripe " legal person of financial group " at that time The system has established the foundation for the benign development of the non- state-run non-profit-making medical organization too. But the reality of the continent is, still remain to be complete to foundation and management of the non-governmental non-enterprise unit at present. One invests in the analyst to point out, the goal of the investors marching into the arena most quickly may take enterprise correlated to medical treatment as the core, such as some medical equipment enterprises, pharmacy enterprises. In the face of medical health organ in pluralism, ability to supervise of government could stand test? Yang profound to point out " policy and rule by law, may break through the interpersonal relationships of China, it is a great challenge that this pair is supervised " ; Association's General Board of Chinese enterprise hospital Wang FuQun thinks, " encourage the social capital to run the medical organization, must strengthen the intersection of government and regional planning and supervise, appear ' messy and alike ' probably. " In fact, the last round of medical reform started in 1997, has introduced the market mechanism, advanced the privatization of the medical organization too. 2005, the last round of to reform, prolong by Ge Development Reseach Center of the State Council report of wind,et al. criticize for for " basically unsuccessful " ,And is imputed to the medical reform " Commercialization, marketization " Inclination. But a great deal of experts point out, the development of market is insufficient, the government puts into " omission " , supervision " Uncomplete " With the function " Offside " It is the unsuccessful main reason. However, Du LeXun is comparatively optimistic to this. In his view, the present environment had already made very great progress than before it 2005. "For opening, each side has already formed the common understanding; For introducing the nongovernmental fund and question which the foreign capitals may present, we have had lessons; As to the solution of the problem, has gone through dispute and debate for many years, everybody's understanding is more thorough in fact. " "Opening may attract a cheat; But does not open, chance and possibility to improve are zero. " Gu Xin says.


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