Spit no unhappiness in People's Daily: cancel ACTS in accordance with the public interest 
 
 
Bai Jianfeng 
 
 
On June 20, 2014 09:27 
 
 
Source: People's Daily 

        The government should increase financial input, straighten out the medical service price, make public hospitals don't have to rely on the special service and fill the gap, let the doctor can get a decent income by providing basic medical treatment 
 
        It is reported that a lot of public hospitals in Shanghai stripping "ACTS", all in two medical park - Shanghai international medical zone and new hongqiao international medical center, let the social capital and public hospital resources. Experts suggested that ACTS should be thoroughly out of public hospitals. 
 
        As a hospital, there are common ward, also have the special ward; As an expert, have average outpatient service, also has the special consultation clinic. And ordinary and special consultation, prices tend to vary more than ten times as much. This is a unique "landscape" of our country's public hospital. In the 1980 s, our country because of the lack of high-end service oriented medical institutions, part of the public hospital opened outpatient medical department or the international medical department, mainly for foreign guests, or political groups. In order to meet the specific needs of the public hospitals and launched a specialist outpatient clinic. For example, an expert the registration fee is $14 of average outpatient service, the special outpatient can reach several hundred yuan. Nowadays, public hospital outpatient medical has downplayed "status bar". Although the price does not poor, is still in short supply. Therefore, the government clearly requirements: control the scale of public hospital outpatient service, the proportion of public hospital outpatient service no more than 10% of the total medical services. 
 
        Someone pointedly, cancel the special medical services, like "cutting" in public hospitals. Long-term since, our country public hospital compensation mechanism is not reasonable. It is a government spending does not reach the designated position, hospital income to survive must rely on yourself. 2 it is medical technical service price is low, serious departure from the law of value, many ordinary medical is a "bad deal", the more you do, the more you lose. Therefore, ACTS as a special compensation channels, hospitals increase their income, paid for the doctor, who is willing to move their "cheese"? 
 
        Public hospital opened outpatient medical treatment, is rare in the world, because that run counter to the public welfare nature of public hospitals. Held in any country, the government public hospital, the purpose is to ensure the basic medical care, rather than the pursuit of economic benefits. At present, our country many large public hospitals are overcrowded, it is difficult to guarantee basic medical services. If the average outpatient service and general wards are in short supply, under the premise of blind increase outpatient clinic and the special wards, hard to avoid a few from the majority of the public resources, is not in conformity with the principle of public interest maximization. Therefore, cancel outpatient medical treatment is the trend of The Times. 
 
        There are also people who believe that society is demand for the special medical services, public hospitals have resource advantages, while the private hospitals don't have the ability to service and why public hospitals can not do, don't want to give the market to private hospitals? Actually, this is a misunderstanding. Over the years, unclear orientation of public hospitals in our country, a serious illness ailment, ordinary outpatient simultaneously. Many hospitals blind pursuit of high-grade, away from the public welfare. Although held public hospital outpatient medical treatment, but also to meet the needs of public multi-level and diversification. However, public hospital's first duty is to meet the basic medical needs. If public hospitals use of public resources and private hospital competition high-end medical, is undoubtedly a kind of unfair competition, and narrowed the scope of social capital to run medical, also deviates from the direction of the public hospital. Therefore, public hospital should focus on do a good job in basic health care, and gradually achieve the goal of basic medical as public products provided to society. For the special medical services, social capital can give completely. Whatever the market can do, the government should not rob to do; All market failures, that the government should do. Public hospital cover basic, private hospital for high-end; Government to provide public products and the market to provide private products. This is the optimal configuration mode of medical resources. 
 
        Cancel outpatient medical public hospital, of course, is an interest in the game, there needs to be supporting policies to support. First, the government as public hospitals by the sponsor (s), must shoulder the responsibility, the basic increasing financial investment, make public hospital "eat and be satisfied". At the same time, straighten out the medical service price, make public hospitals don't have to rely on the special service and fill the gap, let the doctor can get a decent income by providing basic medical treatment. If public hospital even cannot solve the existence problems, adhere to the public welfare will become empty talk. Second, gradually open the doctor free practice, both for the social capital to run medical release of talent resources, and create conditions for the doctor pay marketization. 
 
        As the saying goes, the grass movie more rare. If public hospitals at the special medical "savage growth", "movie" of basic medical will be swallowed up by the "weeds". The basic medical and health care system as public products provided to universal, is an important goal of health reform. The government should accelerate reform of the public hospital compensation mechanism and to cancel the special medical conditions, make public hospital real name of "public".
 
 
The People's Daily (on June 20, 2014 (19)