Encourage private investment to stop

2017-03-21

Source: Health News

      The General Office of the State Council recently issued the Opinions on Further Enlarging the Investment in the Social Sector, giving 37 policy measures from the aspects of relaxation of industry access, expansion of investment and financing channels, implementation of land tax policies and strengthening of regulatory optimization services. Industry insiders have said that this is the medical, pension and other social areas of construction is a good news, but the government encourages the social sector of private investment must not stop in the "barrier", but also in policy support, flow guide, strengthen supervision and so on Lasting force.

      Private investment urgent need to "help"

      Relaxed access is not complete, support policy is not in place, the regulatory system is not perfect ... ... Although the national level has been committed to stimulate the social field of investment vitality, but private investment "glass door" phenomenon always exists. In this regard, the National Development and Reform Commission official said, solid and effective access to industry access is the "opinions" one of the main content, especially in the social needs of large, inadequate supply, high voice of the public, pension as soon as possible breakthroughs, Social forces into the relevant areas of the "block", focusing on the practice of doctors to solve more difficult, into the medical insurance point difficult, pension financing and other issues.

      Last October, the Ministry of Finance and other 19 departments jointly informed the third batch of government and social capital cooperation demonstration project review results. After sorting out, the total investment in the planned total investment amount of 1,137.8 billion yuan, and medical and health-related total investment of 99.5889 billion yuan, accounting for less than 1%.

      In view of the relaxation of the social areas of access and streamlining approval is not complete not complete, narrow financing channels, mortgage is difficult, the policy is not in place and other issues, "opinions" combed and put forward solutions. Cao Jian, a researcher at the Institute of Hospital Management, Tsinghua University, said that the central government's views are only instructive. Local governments should take the initiative to formulate local implementation plans according to specific circumstances and basic conditions, promote reform pilot and make policy more feasible. Passive, negative waiting for the introduction of reform rules.

      CAI Jiang-nan, director of the Center for Medical Management and Policy Research at CEIBS, suggested that the "government hand" could not be loosened by easing access to private investment, and that further development should be made in expanding investment and financing channels Related industries to encourage the development of the terms, to expand the supply of land, a clear tax standards, the implementation of preferential policies for water and electricity charges.

      Do more should be "ground gas"

      For the "opinions" by relaxing the threshold to encourage private investment advocates, the State Council Development Research Center, associate researcher Jiang Yu reminded that if the profitability of capital into the medical field, it will exacerbate the doctor difficult, expensive medical treatment. He believes that the medical field does require funding, but private investment and the real needs of patients may not be consistent. At present, the real "short board" is concentrated in the low economic efficiency, high social efficiency of primary health care, appropriate technology, preventive health care and other low profits or even profit direction, and private capital may not take the initiative to invest in these "short board" areas, The effective supply of the field, but may exacerbate the large hospitals, expensive treatment and other aspects of the excessive expansion, so that the structural imbalance in the health care system more serious. "If there are a number of 'noble hospital' 'high - end clinics', then ordinary patients will be more difficult to see a doctor, more expensive.

      Into the medical, pension areas of private capital will meet the medical expenses of the "high" Cai Jiangnan said, usually speaking of "the government to protect the basic, the market to do high-end" is a misunderstanding, for the market and the community have the ability to do things, it should let the market and the community to do. Most of the things do not need direct government, but can use the way to purchase services, and fully mobilize social forces to solve the livelihood problems and promote national economic development.

      In order to guide the new medical investment in line with the current direction of health care reform, Jiang Yu suggested that investment should be encouraged to invest in grassroots institutions, general institutions, poor areas, to encourage public welfare investment, restrictions on large hospitals, surplus specialist hospitals, Of the investment, limiting the size and proportion of for-profit investment, the speculative, profit-driven capital in the medical service system, so that the real ability to have the right to return the capital of society to enter and establish the exit mechanism.

      It is understood that although the private hospitals have been more than the number of public hospitals, but the service volume is only about 13%. Cao Jian said that the local government in the treatment of society often will be "hi tired." "In general, the social capital and not a strong economic strength, but also to control the risk, it will tend to choose to build a relatively small community hospitals, specialist hospitals, etc. As long as it is able to meet the needs of residents to seek medical treatment, The government should encourage and support. "

      "Gate" after the strict control

In the private capital into the medical, pension and other social areas "loose" in place, the government supervision should be re-overweight. At present, although China's medical field there are excessive abuse of abuse, but the main or regulatory efforts are too weak. Last year, the "Wei Zexi event" directly exposed the lack of government regulation of the problem.

       National Development and Reform Commission official said, "Opinions" put forward "solid and effective access to industry access", not to the principle of the abolition of all access restrictions, give up access to supervision, but to sort out the various areas of approval and access conditions, Shorten the approval time limit, improve the efficiency of approval. At the same time, the government will work to establish a synergistic regulatory mechanism, give full play to the positive role of departments, localities and associations.

      For the "opinions" of the "perfect service agencies and practitioners blacklist system and exit mechanism, the implementation of regulatory information disclosure of the normal," Capital Medical Health Industry Co., Ltd. Deputy General Manager Zhang Zhiguo deeply agree.

      Talking about how the government to fulfill the follow-up regulatory functions, Cao Jian proposed, should be in accordance with the profit-making and non-profit hospital classification supervision. He said that some "pseudo-non-profit private hospital" will wear a non-profit coat, drilling non-profit hospitals do not have to pay taxes, the transfer of hospital profits. Therefore, the Government should do a good job of non-profit private hospital audit audit, while preventing forbidden private hospitals to carry out false propaganda.