Health: encourage social capital to do medical can alleviate a doctor is difficult

health

        ZhangHaiTong (doctor)

        As the cure of the policy to promote the gradual, about encourage social capital in medical industry into the news is increasing up. By increasing the social capital of open medical institutions, the medical service supply capacity growth, increase of competition between medical institutions, whether can alleviate the general public to see a doctor to see a doctor, the difficult to your problem? The author is suspicious.

        First, let us find out a problem-the public to see a doctor, your main reason is what? Medical institutions is enough, not enough competition fierce? The answer is no. In the cities, not only public medical institutions at various levels than a few number, all kinds of different scale of civilian battalion hospital is also blossom everywhere. But, in addition to a few major public hospital pedestrians, very busy; Most of the small and medium-sized public hospitals are often there, a lot of medical resources are idle, waste; And civilian battalion hospital is mostly in survival problems to solve and worry. Obviously, the main reason for the public to see a doctor, is that the government of the basic level of medical into too much debt, community first diagnosis, classification of diagnosis and two-way referral and the international medical system fails to get to carry out.

        As a result of medical treatment market in large hospital monopoly of the state, the scale is not large, less-known civilian battalion hospital environment is very bad. Due to inadequate software and hardware, pathogenic lack, profit-making ability weak, many civilian battalion hospital can only rely on the false medical advertising, the patients implementation fraud medical and illegal means to maintain operations. But, again by patient complaints, by the media exposure, can only let it completely lose the patient's trust, thus into "never grew up" difficulties. If the department of social capital is just do medical reduce barriers to entry, the result is very possible is a large public hospital dominant market position didn't break, the medical market further deterioration of the ecological instead.

        Second, encourage social capital hold nonprofit hospitals should let public hospital of the profit out of pressure. Some developed countries in Europe and America, because all kinds of social charity development very mature, social capital open nonprofit hospital is a very common phenomenon. For example, some church charity hospital, offered medical institutions, not only has a long history, and much public trust. But, in the domestic medical institutions, level 2 and above public hospital operating funds more than 90% rely on the profit, is a real for-profit medical institutions. Considering the domestic philanthropy is still in the initial stage, the public scandal of the government management frequent charity organization the lack of trust, the hope is that the folk organization or individual investment to run nonprofit hospital is not reality. Therefore, the government of medical security of the leading role is especially important. If no public hospital non-profit, how can you expect foreign capital and social capital to start nonprofit hospital?

        Moreover, social capital to do medical and public medical institution should be a kind of complementary, not competition relations. In the medical security system perfect developed country, although social capital to do medical was mature, civilian battalion hospital, individual clinic has become not be ignored in the medical force, however, the government does not give up in providing medical services of the leading role. For example, the government investment public hospital for ordinary people's basic medical needs to provide free medical care, and private hospitals for the rich offer most high medical services. Individual clinic is the dental, such as physiotherapy commonly do not involve the public hospital of the medical service programs. Social capital into the medical market is the public medical a helpful complement, not malignant competition.

        Visible, encourage social capital to do medical, not only reduce the medical market admittance threshold, private and foreign capital only increase the number of medical institutions. The main problem is that how to make sure the public to enjoy a fair and impartial medical treatment, rather than raise the intensity of the competition between medical institutions. The relevant departments and the public need to understand that a simple truth, whether the government medical, or do the medical society, in the medical industry introduce a competitive mechanism's purpose is not to create economic benefits, also not the burden for the government, but in order to improve people's health level.