Office of the State Council to encourage and guide health care reform run medical advice question of social capital

 

 
 
      
Ministry of Health

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Office of the State Council person in charge of health care reform to encourage social capital run medical advice guide issued by Mr 


  

   Recently, the State Council General Office of Development and Reform Commission, Ministry of Health, Ministry of Finance, Ministry of Commerce, Ministry of Human Resources and Social Security "further encourage and guide social capital held views of medical institutions" (hereinafter referred to as "Shehuibanyi"). In this connection, the reporter interviewed the State Council Leading Group Office is responsible for health reform people.

    Q: Why should the introduction of "Shekuaibanyi"?

    Non-public sector health services in China an indispensable part. Since reform and opening, China's non-public medical institutions continue to grow and develop. In 2009, the private sector accounted for 36.06% of the total number of medical institutions, but the number of beds in only 5.19% of total beds, and non-public sector is still dominated by small-scale operation. Organize the development of social capital in general is facing medical institutions with high barriers to entry, operating pressure, the development of space, lack of technical personnel, regulatory mechanism is not perfect, not so good social atmosphere, difficulties and problems.

    Encourage and guide the development of social capital, medical and health services, the formation of investment diversification, investment diversification run medical institutions, medical and health system is to deepen the basic principles and important content, help to increase medical and health service resources, and expand service delivery , meet the people and more levels and diversified demand for medical services; to the establishment of the mechanism of competition, improve efficiency and quality, and improve the health care system, the formation of public sector and non-public sector mutual promotion and common development.

    Q: "Shekuaibanyi" major solve the problem?

    "Shehuibanyi" The general considerations are: on the one hand, efforts to eliminate obstacles to the development of non-public medical institutions, policy barriers, non-public medical institutions in terms of access and practice and public medical institutions such as non-discriminatory, equal treatment; the other hand, strengthening supervision, great loss, and guide the practice of non-public medical institutions, norms, foster social responsibility and the credibility of word of mouth, non-public medical institutions to promote sustained and healthy development.

    For the current outstanding problems, "Shehuibanyi" Social Capital organized access to medical institutions, practice, development and other areas, clearly related to policy measures to relax the social capital of the scope of organized access to medical institutions to further improve the health of social capital held agency practice environment, promotion of non-public sector health and sustainable development around the establishment, nature of the business, scope of practice, foreign run medical, tax price policy, health care fixed, employment and academic environment, device configuration, and other social capital development of medical institutions organized and highlight all aspects of the problem, develop a targeted policy measures.

    Q: "Shekuaibanyi" organized social capital proposed to relax the access to the scope of medical institutions, specifically what measures?

    Access is the development of medical institutions, social capital, held the first session, held for the current health care institutions into the social capital is difficult to restrict the number of questions, "Shekuaibanyi" to relax the proposed six measures of social capital held in the scope of access to medical institutions:

    One is to encourage and support social capital held various medical institutions, social capital can be in accordance with the objectives of the operation, independent bid for the for-profit or non-profit medical institutions, according to the registration, classification management.

    Second, adjustments and new medical and health resources for priority social capital, development and adjustment of regional health planning, Medical Institutions and other medical and health resources planning, to give non-public sector leave a reasonable space. Need to be adjusted and new medical and health resources, in line with the conditions of access standards, the priority held by the medical institutions of social capital.

    The third is reasonable to determine the scope of practice of non-public medical institutions to ensure that the scope of practice of non-public medical institutions have the service and its ability to adapt.

    Fourth is to encourage norms of social capital in the public hospital system. Guide social capital to participate in a variety of ways, including those run by state-owned enterprises reform of public hospitals, including hospitals, actively and steadily transformed to some public hospitals for non-public medical institutions, the proportion of moderately lower in public hospitals.

    Fifth, to further expand opening-up of medical institutions, medical institutions will be held outside the capital restricted by the current adjusted to allow foreign investment projects, the phasing out of foreign capital proportion of shares held in medical institutions, restrictions on foreign-owned medical institutions, the pilot first, and gradually release.

    Six is to simplify and standardize the approval procedures of foreign capital to do medicine, joint venture and cooperative medical institutions set up under the approval authority to the provincial level by the state. The establishment of wholly foreign-owned medical institutions by the Ministry of Health and the Ministry of Commerce for approval.

    Q: Social Capital organized by the medical institutions which enjoy the preferential policies?

    In order to further improve the social capital of organized medical practice environment, "Shekuaibanyi" 11 proposed measures include:

    First, in accordance with the nature of the business implementation of non-public sector price and tax policies, social capital held by non-profit medical institutions and public medical institutions to enjoy the same tax and price policies; for-profit medical institutions shall be entitled to the appropriate tax incentives.

    Second, the eligible non-public medical institutions into the medical insurance point range, non-public medical institutions where the implementation of the Government provided medical services and drug price policies, in line with the provisions of Medicare and other related point, the relevant departments be included in the scope of fixed services, and implementation public sector pay or reimburse the same policy, the nature of investment may not be as designated medical institutions, health care organizations to apply the conditions for approval.

    Third, improve the employment environment of non-public medical institutions and academic environment. Encourage medical staff in public and non-rational flow between the public sector, the academic status of medical personnel, job classification, etc. from the workplace changes. Non-public medical institutions in the titles of evaluation, research projects and results of the tender identified key disciplines of clinical, medical schools and other clinical teaching qualification enjoys equal treatment with public medical institutions. The medical class of trade associations, academic organizations and the Commission on Accreditation of Healthcare Organizations should be equal to absorb non-public medical institutions.

    Fourth, non-public medical institutions to support large-scale equipment configuration, around the formulation and adjustment of large medical equipment configuration planning should take full account of local non-public sector development needs, with space for a reasonable reserve. Health administrative departments in the approval of non-public medical institutions and their treatment of subjects offered by its major medical equipment together with the approval and use of configuration standards that meet the qualifications may not limit its equipment.

    Meanwhile, the "Shekuaibanyi" also proposed to encourage the government to purchase non-public medical institutions to provide services, to encourage enterprises, institutions, social groups and individuals organized social forces in social capital non-profit medical institutions donation.

    Q: how to guide the healthy development of non-public medical institutions?

    The healthy development of medical institutions can not do without technology and credit, require long-term accumulation. In order to guide the healthy development of non-public medical institutions, "Shehuibanyi" formulated a series of policy:

    First, non-public medical institutions to strengthen technical guidance to non-medical institutions into the industry, the scope of training and daily guidance. Continuing medical education in professional and technical personnel, skilled practitioners and technical training, training of general practitioners and hospital physicians develop standardized training, and give full consideration to non-public sector personnel need to co-ordinate arrangements.

    Second, non-public medical institutions to improve the management level. Encourage non-public medical institutions to implement modern hospital management system, establish a standardized corporate governance structure, strengthen cost control and quality management, hospital management is responsible for hiring professional president, hired or entrusted with management experience in medical professional organizations involved in hospital management, improve management efficiency.

    The third is to encourage qualified non-public medical institutions bigger and stronger. Encourage social capital to organize and develop a certain size, there are characteristics of medical institutions, medical institutions to guide the high level of qualified, high-tech development of large medical groups to implement brand development strategy, establish a good social reputation and credibility.

    Fourth, training and enhancement of non-public medical institutions of social responsibility, encourage non-public medical institutions in the relief fund set up as required to conduct a free clinic and other means of social return.

    "Shehuibanyi" also called on all localities, departments and emancipate the mind, changing concepts, fully understand the social capital organized to encourage and guide the significance of medical institutions. Promptly eliminate or modify the access involving non-public medical institutions, practice, regulatory and other aspects of the file, as soon as possible to eliminate non-public medical institutions hinder the development of policy barriers; the same time, with the actual development and improvement of capital organized to encourage and guide the implementation details of the development of medical institutions and supporting documents, to further implement the non-public medical institutions to support policies that promote non-sustainable and healthy development of public medical institutions.

    Q: Why should emphasis on non-public medical institutions to strengthen the regulation? What are the specific measures?

    Medical institutions to provide medical services directly related to people's health and safety, and supervision must be encouraged both with both hands, so as to promote the healthy development of its track. At present, medical institutions, social capital, held a prominent problem encountered is that of social awareness and confidence is not high. This phenomenon, one of the reasons is the government department re-entry, light management, the daily behavior of non-public medical institutions have not yet formed a continuous, dynamic monitoring, non-public medical institutions is not conducive to the sustained and healthy development. Therefore, "Shekuaibanyi" to strengthen the regulation as a guide the healthy development of non-public medical institutions as an important means to develop the relevant policies.

    Behavior in the practice and guide the specification of non-public medical institutions to practice. Non-public medical institutions to perform medical institution regulations and implementation rules and other regulations and related requirements, providing medical services to obtain the appropriate license. Health administrative departments at all levels should include non-public medical institutions, medical quality control evaluation system, through daily supervision and management, medical institutions and physicians regularly check checks, non-public medical institutions and medical personnel practice to inspect, evaluate and review. Prohibited beyond the scope of non-public sector services, and severely crack down on illegal medical practice and health care fraud activities. Regulate non-public behavior in medical advertising, is strictly prohibited publication of false and illegal medical advertisements.

    In operation, non-public medical institutions to promote law-abiding business integrity. Non-public medical institutions to use the tax department the supervision of the characteristics of the healthcare industry meet the bills, the implementation of the state's financial accounting system, according to accounting and financial management, and accept supervision and inspection of the relevant departments. Non-profit medical institutions must follow the object and purpose of the business engaged in medical service activities. Proceeds from profit medical institutions economic return for investors, but must follow the basic principles of clinical need to provide appropriate services for patients, health care and excessive medical induction is strictly prohibited.

    At the same time, to establish social supervision mechanism, quality of care and patient satisfaction for non-public medical institutions into the daily scope of regulation. Their medical insurance medical insurance incentive constraint for designated institutions to promote the non-public medical institutions to improve service quality, reduce service costs.

    Q: The profit and nonprofit health system reform is a clear separation of the "four separate" one, "Shehuibanyi" on the profit and non-profit medical institutions are what policy?

    Profit and non-profit medical institutions are divided primarily on business purposes. In the past, mainly by non-profit government-run medical institutions, community health agencies are usually organized as a for-profit orientation. The proposed healthcare reform, encourage social capital to organize non-profit medical organization, which is multi-level adaptation of the people, the needs of diverse medical and health services, a major innovation. First of all, insist on the public nature of public health, achieve universal access to basic health services, determine what the non-profit medical organization of the main position in this regard, the government-led, but also to mobilize community participation. Second, meet the people personalized, high-end demand for services, mainly rely on market forces, the development of for-profit medical institutions.

    In order to implement separate profit and nonprofit, "Shekuaibanyi" made it clear that encourage social capital to organize non-profit medical institutions, to support organized for-profit medical institutions, social capital can be in accordance with the objectives of the operation, independent bid for the for-profit or nonprofit medical institutions, health and other related departments classification management, mainly in tax price and so on.

    Organized social capital non-profit medical institutions, medical institutions and public non-discriminatory, equal treatment. Social Capital organized by the non-profit medical institutions, medical services and drugs required by the Government related to the implementation of pricing policies, according to the state to enjoy the preferential tax policy, electricity, water, gas, heat and public medical institutions with the same price. Accepting donations, the implementation of land use, it is also the same with the public sector policy. At the same time, non-profit non-profit medical institutions should follow the object and purpose of the business activities engaged in medical services, revenue, net of reasonable expenses required outside medical institutions can only be used to continue to develop, in principle, allow the change to for-profit medical institutions , and where change needs approval by the original approval and shall go through relevant procedures. From international experience, with the accumulation of social wealth and the degree of civilization, more and more enterprises or individuals to contribute to the community organized as a medical charity, and develop an important means of social forces to develop non-profit medical institutions tremendous potential.

    For-profit medical institutions by the state corporate income tax, the implementation of medical services provided by independent pricing, exempt from sales tax.
(Source: Government Network)