China's health care reform "investigation" 

The 2014-06-16 09:50:35 | source: 半月谈 | 

        Health bonuses do d tide gave rise to a new society 
 
        Along with the reform of public hospitals at the county level and thorough going efforts to promote and encourage social capital to run medical policy developed in detail, the eastern Midwest parties capital to mergers and acquisitions or a new hospital is to form a new round of medical boom. Many pharmaceutical investor said, "price scissors" between supply and demand of medical and health reform released policy dividend, let prices generally bullish investment at the county level hospital. They expect the government departments to take rules and the functions of public defenders, further release of social capital to run medical activity. 
 
        "Break into" social capital to speed up the hospital layout 
 
        As a heart specialized subject of civilian battalion hospital, hubei wuhan Asia heart hospital (hereinafter referred to as the heart hospital) in recent years, frequent layout: acquisition of xinjiang cardio-cerebrovascular disease hospital at the end of 2011, in February 2011, hosted the seventh hospital in wuhan city, the next two years to construct a heart specialized subject hospital. The general manager j.r.cole told 半月谈 reporter heart hospital, the hospital has 750 beds but patients still full, conventional hospitalized patients with heart disease surgery at least 3 months in advance reservation. Increasing medical needs, let the hospital to expand the scale of do the medical prospects of confidence. 
 
        The heart hospital aggressive expansion, is just a microcosm of social capital to run medical boom at the moment. Reporters learned that in the past two years, pharmaceutical companies, medical equipment, many fields such as capital, financial funds to speed up the pace of construction, acquisition, custody hospital. Headquarters is located in Shanghai fosun pharmaceutical, two months in the second half of last year to buy guangzhou nanyang tumor hospital and central hospital of fosan buddhist the city zone of two large hospital. Gansu province listed companies blindly, acquisition of sichuan deyang better tomorrow hospital last year, qionglai welfare hospital five private hospitals. 
 
        Rushed to hospital layout investment, "break into" high medical market industry chain, has become one of the main characteristics of social capital, the establishment of medical institutions. According to Beijing health office, in the first half of 2013 the city's newly approved 163 social do medical institutions; Health development planning commission, hubei province, showed that the province's 2012 newly approved private hospital set up to 32, 2013 to 130. 
 
        Social do medical capital tentacles, began to frequent to public hospitals at the county level. Last November, the well-known domestic pharmaceutical drug firms listed on sig signed an agreement with jilin MeiHeKouShi government relief over local maternity and child care, friendship hospital, hospital three public hospitals at the county level. Belongs to "national team" of the CRC health, has acquired in children's hospital of kunming, guangzhou brain hospital lump-sum and five cases, the public hospital last year has been in talks to buy gaozhou county hospital. 
 
        Huarun medical CEO Zhang Haipeng said, China resources the initial plan is to buy the best hospital, but soon found that idea is not reality, then turned to second and third tier cities relatively good hospital. Public hospital management now, he says, unreasonable, too much waste, through the China resources input "enterprise, streamline, IT, hotel" management mode, the hospital profits double two years easily. 
 
        Shanxi Province development planning commission director biomechanical signals, huazhong university of science and technology, tongji medical college, vice President of the institute of medicine and health care management Fang Pengqian etc. The personage inside course of study thinks, compared with a decade ago the folk capital to run medical everywhere "smoke", the present social capital at the grass-roots level office has had three characteristics: d tide do medical subject from medical "farmers" into "do medical capital", the specialized degree is improved; Do medical way from is given priority to with a new hospital into a new and mergers and acquisitions, investment do significantly improve medical efficiency; Hospital operating from short-term profit "grass" model to pursue long-term returns "trees" model. Capital break into medical, scale of quality improvement, a new round of office d tide undoubtedly shortcomings of China's total health resources play a good complementary role. 
 
        Health bonuses to form social capital to run medical "window period" 
 
        Reporters learned that the social capital to run medical enthusiasm increased significantly in recent three years, in addition to the state shall encourage social do medical policy stimulus, another important reason is that health care reform, especially the reform of public hospitals to release the bonus, bring important opportunities for investment in county hospitals. 
 
        First of all, the health release of medical needs, widen the channel of the do medical profit. Zhang Haipeng said the CRC health acquired hospital, now belong to non-profit hospital, the hospital in the future in the medical devices such as centralized purchasing supply chain, IT services, financing lease and related medical education and training can be obtained in such aspects as investment gains. 
 
        Often overlooked by capital of county-level hospitals, in the reform of public hospitals at the county level, also can give investors a considerable market profit space. Phoenix group hosted Beijing mentougou district hospital, for example, the phoenix group, according to the prospectus released its invest 75 million yuan managed vallely hospital, although the management fee of 5 million yuan a year, but drug YiXie supply chain business profits in 2012 and more than 6 million yuan. 
 
        Second, "a serious illness not county" reversed transmission of grassroots local government decentralization. Some in the industry, the public hospital by some basic-level government as a "back garden" of arrangement of personnel, the doctor care, and don't worry about a bank loan, rarely let social involvement. However, to achieve "a serious illness not county", by the mere force of public hospitals is difficult to do, and borrowing construction was banned, reversed transmission fiscal weakness in area county gradually to the hospital to delegate, virtually broaden social capital mergers and acquisitions, custody, new county-level hospitals operating space. 
 
        Hospital heart, chairman Xie Jun, belonging to wuchang district of wuhan city before the seventh hospital is managed, hospital liabilities of more than 3000 ten thousand yuan, the vast majority of lost use value, medical equipment in hospital operation under double pressures of difficult and high standards of public hospital reform, wuchang district government initiative to find the heart hospital, hope fully to take over the seventh hospital is put forward. "Now more and more grassroots government, hope to cooperate with us." 
 
        Third, do the medical environment gradually optimized investment certainty. Of harmony county is located in guizhou wumeng plateau, set up new hospital was built a school less than eight years of private non-profit hospital, hospital MenZhenLiang more than 50000 people, business far in excess of the local public hospitals. New hospital Huang Wenzhe says, along with the reform deepening, the areas at the grass-roots level to encourage social capital to run medical knowledge gradually unified. Class declaration, staff titles, such as health qualification traditionally only open to the public hospital for medical barriers are gradually eliminate, undoubtedly bring to civilian battalion hospital investor confidence. 
 
        Hubei province development planning commission deputy inspector Gao Zhongming, Chinese academy of social sciences, director of the center for public policy research Zhu Hengpeng that payment adjustment, decentralization of local government, medical barriers fading, constitute the current social capital invests enthusiastically do medical "catalyst", effective primary care rich market supply, at the same time also reversed transmission public hospital internal work practice, the market to fight. 
 
        Looking forward to the government responsibility to return, to straighten out management strengthen supervision 
 
        Participate in the public hospital mergers and acquisitions, do the medical market opportunity at the same time, many investors, hospital managers to reflect 半月谈 reporter, government functional departments in the process of guide social capital to run medical, unable to continue in a state of "offside" or "doing nothing", and straighten out management system, perfecting supervision mechanism, to broaden the practice becomes more widespread social do medical capital looking forward to. 
 
        Making - social capital to run medical management system. A lot of the personage inside course of study introduces, the for-profit hospitals and non-profit hospital respectively and civil affairs departments of industry and commerce registration, for-profit hospitals property cannot mortgage, regional health planning is not reasonable to owe to carry out the management system of the problems, such as, restricting private hospital development. Shanxi hua jinlu orthopaedic hospital JiBinPing zen, guangdong foshan city hospital Xie Dazhi, said health reserve regional planning "of public hospital survival space" can't be empty slogans, social capital investment hospital equal rights and obligations cannot be more empty vision. Functions of the response to build system of rigid constraints, keeping social capital to run medical space, at the same time, straighten out social capital hospital departments and management system, can for civilian battalion hospital operating "qi and remove stasis" basic jobs. 
 
        - perfect social capital to run medical supervision. To maintain the market order, to maintain the hospital public welfare, both departments of responsibility, is also a common voice of civilian battalion hospital. Standing vice President of China private hospital management branch Zhao Chun said that the government of non-profit hospital financial audit does not reach the designated position, some investors to achieve profitable try their best to transfer funds, public welfare safeguard hard, easy to lay "mines" hospital normal operation. Of hubei lixin Chinese Hou Lixin said that, in the past some hospitals "big advertising, exaggerated illness, prescription" type operation, for civilian battalion hospital labeled "false, cheat, disorderly", important reason lies in the lack of regulation and discipline, a new round of social capital to run medical can't repeat "just a few bad a pot of soup" painful mistakes. 
 
        Doctors - multipoint "landing" boots as soon as possible. At present, the public medical institutions depend too much on public hospital from poaching, hire someone, so practitioners more let go of hope for the industry as a whole. Xie Junming thought, a variety of factors make social do medical personnel is still present new recruit students and retired workers two head big, young power "dumbbell" structure of middle small, to be a doctor more practice to speed up the pilot, help more doctors take public hospital door, in the construction of civilian battalion hospital personnel play a role of ChuanBangDai. Beijing the appropriate and children's hospital, said dean Hu Lan doctors hope the government will apply for more medical system into deeds by records, director of public hospital set so much jobs, retired doctor should be unrestricted more practice. 
 
        Guangdong province development planning commission, deputy director of the new wave of liao, Zhao Chun the personage inside course of study thinks, such as decentralization does not mean to let go, the government treated the public hospital regulatory functions cannot be lost. In the face of this round of active social capital to run medical boom, the government set up the perfect "beforehand, matter and afterwards," the whole supervision is particularly important, the earlier: supervising public hospital open and transparent, the conversion of the clear medical barriers to entry, avoid "pick up the basket is food"; Medium term: perfect the nonprofit hospital financial audit and transparent rigid constraint mechanism to the public; Late: a sound market exit and "blacklist" system, implements "zero tolerance" for fraud and malicious violations, further build encouraging healthy competition and severely punish illegal operation of the medical market environment. (reporter Li Jinfeng Yang Yimiao Li yahong Liu Xiangxiao XiaoSiSi Wang Daqian)