Run by the local Chinese medicine how to get rid of the "miscellaneous and not strong"?

Time: 2015-12-09

Author: Chen no yoga Zheng Gelin XiaoMengXiong Yong-sheng Yang

Although in recent years the rapid development of private medical institutions in our country, but generally on a smaller scale, the serious homogeneity competition, and there is polarization trend. Recently issued "notice about promote the development of social do medical services of traditional Chinese medicine" will help change the present situation, promote the rapid development of private medical institutions of traditional Chinese medicine.

Quantity, small scale, polarization

In recent years, our country social do medical institutions of traditional Chinese medicine (TCM hospital, clinic of traditional Chinese medicine, Chinese medicine clinics, etc.) to flourish, organizations from 31001 in 2009 to increase to 2014 in 40996. Average annual growth rate of 5.7%. Shandong, anhui, zhejiang, tianjin and guizhou social do medical institutions of traditional Chinese medicine are growing faster, five years the average annual growth rate of 18.63%, 16.58%, 13.29%, 16.58% and 13.29%.

In 2014, the national social do medical institutions of traditional Chinese medicine, Chinese medicine clinics, 38300, accounting for 93.63% of the social do medical institutions of traditional Chinese medicine; TCM clinic staff 72800 people, accounting for 43.1% of the total social do medical institutions of traditional Chinese medicine; Its diagnosis and treatment of totaled 113 million, accounting for 69.75% of the total social do medical institutions of traditional Chinese medicine diagnosis and treatment. These clinics on average less than two people, but provides for two-thirds of the our country social do medical institutions of traditional Chinese medicine diagnosis and treatment services. Since reform in 2009, the Chinese medicine clinic on the number of institutions, the number of personnel, the ZhenLiaoLiang are maintained steady growth.

Private hospital of traditional Chinese medicine in our country presents the trend of rapid development, the number of agencies from 2009 in 562 to 2014 in 1067. (see below), diagnosis and treatment services grew by an average of 11.67% a year, rising by an annual rate of 15.39% discharged patients, were higher than the average growth rate of Chinese hospital.

From 2009 to 2014, civilian battalion hospital quantity annual growth rate over 10%. Although private hospitals has been developing rapidly in recent years, but nearly thousands of private hospitals in our country, the tertiary hospitals accounted for only 0.8%, secondary hospitals accounted for 6.8%, level of hospital and undetermined level hospitals accounted for 92.4%.

Although development speed faster, but polarization trend of development of private medical institutions. China association of private medical institutions according to the survey of the national 1470 civilian battalion hospital, civilian battalion hospital is heading for polarization. More assets in 1 million ~ 5 million yuan, in 30 million yuan of above accounts for only about 7%; Civilian battalion hospital basic in 50 ~ 300 beds, more than 500 copies of the accounts for only 1.6%; Day MenZhenLiang under 100 m accounts for about half. In most years since 100 ~ 1000. Level 3 only wuhan Asia heart hospital, Beijing hospital three brain hospital and hebei hospital of China and the United States and a few hospitals. Part of abundant funds, advanced high technical content, management, flexible operating mechanism of private hospitals, not only can attract the public hospital doctors and nurses, but also continuously introduce advanced medical equipment and treatment technology, gradually expand the market in a region or a specialist; Others because of small scale, low technical level, eventually to be eliminated in the competition, Beijing has more than ten private hospital closures.

Why is miscellaneous and not strong private hospital

One is the policy barriers. Encourage social capital to run medical in national and local introduced a lot of good policy, but the implementation of the well. Second, the lack of good faith. Some private hospitals to expand the scope, exaggerated curative effect, collect fees in disorder and even selling counterfeit drugs cheat patients, seriously affect the overall image of the private hospitals. Third, the tax burden is heavy. Such as municipal regulation, for-profit hospitals should pay medical business income 5.5% sales tax, water should pay 25% of the profits of the enterprise income tax (25% minimum not less than the business income of water l.). A largest city, south to pay medical business income 5.7% sales tax on water. Four is the massive social investment funds has not yet or just come in.

Social capital to run medical, there are two difficulties: one is a large investment, long return period, high risk. Secondly, the hospital's overall operating efficiency is not high. The introduction of talents and experts and erosion is a private hospital in the heart of a pain. Couldn't get the high salary, high salary also hired experts not to public hospitals.

Some Suggestions on developing private hospitals of traditional Chinese medicine

A, suggested that the department in charge of policy implementation supervision files, the implementation of the accountability, reversed transmission departments of local government and the go-ahead for the development of private hospitals. Development of the state council social do medical two files are very good, very of private hospitals. In June, the state council general office issued "about several policy measures to promote the development of social do medical accelerate", but at present most of most of the policy is not implemented. "Glass wall", "clicks" around, the country's good policy only hear ringing disappeared down stairs. Now, private and public hospitals are standing on a platform competition, but their starting point was not in a the starting line.

Second, the government should not do or not do the thing you should to the market. Xi jinping, general secretary of the new normal in one issue: forces playan essential role in the allocation of resources by the market, is crucial to the transformation, this is to protect the mechanism of the new normal. Health departments to transform function, reduce the decentralization and encourage social capital to run medical, enhance the medical service of endogenous power, establish a public and private hospitals fair competition of the market mechanism, so as to ease the "medical care", improve the service quality of public hospitals.

Third, civilian battalion hospital of traditional Chinese medicine has become a minority of civilian battalion hospital family, to let go of traditional Chinese medicine (TCM) and the development of private hospital as soon as possible. By the end of 2014, there are 1067 private hospital in our country, accounting for 28.6% of the total number of national Chinese medicine hospital. While western medicine private hospitals from quantity to proportion are far more than private hospitals of traditional Chinese medicine, respectively, and 46.59% by 7699. The number of private general hospital is 8 times better than private hospital of traditional Chinese medicine.

Civilian battalion hospital there are both advantages and features of traditional Chinese medicine originally, with less investment, quick start, specialized subject, the advantages of the technology is suitable for more. But now private hospitals in western medicine to grasp the chance of the policy and reform rapid development, seize the market. Traditional Chinese original on public hospital medical resources and market share in a subordinate position, now in terms of resources and the market of civilian battalion hospital and weak, so, in the future on the strategic environment of hospital is very bad, so we want to alert, to adjust the policy, to let go of traditional Chinese medicine (TCM) and the development of private hospital as soon as possible.

Fourth, the "advertising campaign" is history, is the legislative quality and service. Bad image is the important reason for the less private hospital patients. Civilian battalion hospital must strengthen the concept of legal system, practice in accordance with the law, law-abiding self-discipline. In practice subject, personnel qualification, quality control, diagnosis and treatment, propaganda, fees, etc, to work, serious, you would have a bad apples out of the team, to restore credibility in the eyes of the patient, plastic image, again through a in the medical market competition.

Five, the talent bottleneck is an important factor restricting the development of private hospitals. It is because the private hospitals in practice, household registration, promotion, social insurance of a variety of difficulties, public hospital medical personnel factors such as high social status and development opportunities, make the high cost of civilian battalion hospital introduce talents. In addition, the civilian battalion hospital hiring difficult, it is harder to retention.

To this, from the manpower planning, recruitment and use, performance management, compensation, social insurance, etc, comprehensive planning. The development of private hospitals, need time, technology, culture precipitation, get the talent of precipitation. Shut the heart, help it to, and the gold, is the "troika" retaining talent.

Six, civilian battalion hospital to go different development road. That you can't have, I don't do you do, development of characteristic specialized subject, high-end medical service, intermediate medical rehabilitation, care, elderly care services, to win in the positioning and discretion.

Seven, civilian battalion hospital be careful investment, public hospital young doctor out entrepreneurship hospital more carefully. Hospital, capital, technology and talent intensive agencies, funds, experts, specialized special skill and the management pattern, especially the market demand, the types of hospitals, whether to have the restriction of many factors such as health qualification, general hospital from new to profit, take five to eight years, investment in hospital is like a "long-term" do stock. (unit: China academy of traditional Chinese medicine)