Medical network May 26 - "China's medical and health services field's biggest problem is the public hospital surnamed 'male', not lack of government intervention; private hospitals don't surname 'private', market dynamics is not enough." China association of the public medical institutions vice President and secretary general Hao Deming land to cap out the role of public hospital and private hospital in medical market confusion. 

 

On May 23, the state council general office provide multi-level, diversified medical service for social capital a programmatic document, and even called "the scale of the largest in the history of social do medical documents". Unlike previous efforts to provide policy support to social health care providers, the state council has directed social capital to the most promising medical market. 

 

"The main theme of the document is how to make it possible for public hospitals and private hospitals to stand on the same starting line." Yan changxiang, the head of the three schools of brain science at the capital medical university, believes that this is a major obstacle to social practice, and it is difficult to make the necessary steps. 

 

Doctor zhang qiang group founder zhang qiang agrees that documents guiding ideology is to share the responsibility for the whole society power and public hospitals provide medical services for the responsibility. "Recently, many of the policies adopted by the state have been aimed at doctors and have really mobilized people." Zhang believes the New Deal has pointed the way for doctors to start businesses. 

 

But yu xiaobao, executive vice President of the association of private hospitals in guangxi province, says there are still a lot of blurred areas. "File to civilian battalion hospital, for example, purchasing large medical equipment has not completely liberalized; in the aspect of land is not clearly how to give security; file without clear also reduce what prior approval process including..." 

 

A man of the mind is wise. First of all, the state council, for the first time, is in a document that points the way for social capital to enter the healthcare market: social capital can provide universal medical care; To open up to social capital, such as ophthalmological, oral, pediatric, etc. Individual clinics set up unplanned layout limits and encourage the development of chain medical institutions... 

 

In support of human resources, insurance, taxation, investment and financing support, land protection, etc., proposed a series of measures for the social capital into the medical services. "But there are still a lot of places that haven't touched the ground." Yu xiaobao stressed. 

 

Social capital is in the most promising areas of the world. 

 

File is a key word chaining with the brand, the state shall encourage social capital in the eye, mouth, pediatrics, and other areas of the most promising development chain, establishing specialized medical group, medical institutions have specialized subject advantages of large general hospital. Starting in 2014, the sanbo brain hospital started a chain of specialist chains. At present, there are three bo brain hospitals in kunming, three bo chang 'an hospital in chongqing, and three bo jiangling hospital in chongqing, and the fujian branch is about to run. 

 

闫长祥 believe that investors are encouraged to set up the brand college medical group, have specialized subject advantages of large general hospital, very fit three Po brain development strategy in the future. "The core of the chain is technical assurance." 闫长祥 told health industry, three brain hospital of Beijing headquarters location is hope to make a "flagship", become the intractable diseases treatment center, talent output base. 

 

Another highlight of the document is that a person's clinic setting will not be restricted by planning layout. In 2016, zhang qiang was defined as the center of the venous center of the surgery clinic in hangzhou. Zhang qiang's blueprint is a chain trip. "The policy not only encourages doctors to start clinics, but also gives them a series of favorable policies." Zhang qiang, for example, says that in the case of running a chain of clinics, the policy suggests that there will be a chain of clinics across the country, as long as the headquarters is unified with the registration procedure for business registration. 

 

"The idea of setting up a personal clinic is not limited to the planning layout. It's been released at some level, but there is a planning phenomenon in the big cities." Zhang qiang told the health, in hangzhou, doctor zhang qiang group of open surgery clinic within the city planning and layout, "we live in a building that is medical institutions." 

 

"We have to go to different places and we need to redo the relevant documents." 闫长祥 also felt the power of the New Deal, if the future "chain management service enterprise is the industrial and commercial registration formalities by the enterprise headquarters" policy will fall to the ground, "that's what we want most. 

 

The country also needs to do a little more work in social medicine 

 

Indicate the direction for social capital into the medical field, countries also support in human resources guarantee, insurance, taxation, investment and financing support, the guarantee of the land for the aspects such as policy tilt. But in the eyes of the dean of the private hospital, the pain points and difficulties of the social medical treatment are not yet reached. 

 

For example, in terms of land security, Mr Yan argues that for Beijing, approving land is a difficult thing. "Land planning is matched by urban planning, and social practitioners are generally more remote." Yu xiaobao stressed to the health community that public hospitals are usually given to better locations. Indeed, in before about social do medical file also has seen a similar expression, "to encourage social capital to invest in remote parts of government power is weak medical institutions". 

 

In private hospitals procurement of large medical devices, the policy requires room for them. "It may have been that private hospitals used their own money to buy medical equipment and applied to the relevant departments. Now it is the equivalent of easing the policy." Mr. Zhang sees this in yu xiaobao's view, the private hospital procurement of large medical equipment has not been fully released. 

 

"There is also a need for improvement in the standards of approval for private hospitals." Yu xiaobao stressed that the number of patients in the early days of private hospitals was difficult to guarantee. He suggests that the ratio of beds to bed care should be changed to the disease care ratio and the medical ratio in the early stages of construction. To this, the file is put forward, in the examining and approving the establishment of medical institutions such as specialized subject hospital, will audit emphasis on personnel qualifications and technical service ability, on the premise of guarantee medical quality and safety, dynamic adjustment of related standards. 

 

Basic health insurance is also a major problem in the development of private hospitals. According to yan changxiang, it is better for the three bo brain hospitals to be reimbursed in the Beijing area, but many provinces are unable to get medical insurance reimbursement. "When the patient is reimbursed by the local health care department, the invoice is not recognized." Drawn 闫长祥 said, civilian battalion hospital is industrial and commercial tax invoice, invoice is drawn public hospital administrative institution, "many patients are unable to submit an expense account to the hospital to invoice to institution, but it is clearly impossible thing." 

 

In yu's eyes, yan's health problems are better than before. "Private hospitals in health care is good, have no obvious discrimination. Whether public or private health care related department, as long as the medical service price is low, can meet the requirements of control cost, basically can give health care." 

 

The doctor is too important! But it hasn't really flowed yet 

 

Human resources are the core elements of social capital holding medical institutions. To arouse the enthusiasm of the doctors to participate in social do medical institutions, the file is put forward, in the society to the practice of medical institutions stable part-time staff, I attend the title appraisal according to regulations. All localities must also ensure that social medical institutions enjoy the same treatment policies as public health institutions in scientific research, technical titles, evaluation of technical titles, and personnel training. 

 

"Now we have solved the talent problem." 闫长祥 told health industry, as the capital medical university affiliated hospital, and hospital personnel echelon construction platform, three rich brain hospital neurosurgery talent team construction is good, have a doctoral degree and graduate and post-doctoral mobile stations. But there are still bottlenecks in the construction of some talent teams because there is no master's master or doctoral degree. "The talent team is a big problem that worries the development of private hospitals." 

 

File is a great innovation in civilian battalion hospital doctor practicing can enjoy equal treatment as public hospitals to attend the title appraisal, "but the doctor title appraisal in private hospitals do." 闫长祥 explains, in Beijing, the doctor part of professional evaluation of the service center of the ministry of health, talent communication module, part of the Beijing health series modules. Due to historical reasons, the doctor in the service center of the ministry of health, talent communication of the subtropical high titles in the series of health will not be admitted, not promotion orthometric height. "The need for countries to guide them through policies is needed." 

 

Recently, the ministry of human society has released a signal that the hospital will have the right to evaluate doctors. "This is a huge span, which means it will cancel the title review system in the future." Zhang qiang says, for example, if the hospital itself can assess the title, the equivalent of a medical institution can establish a contractual relationship with a doctor in one job. But the doctor from the hospital to another hospital, the original unit of the title by new unit recognition, or new medical institutions will sign a contract with a new title relationship with the doctor. "There must be a hidden meaning behind this policy, otherwise it will not be put in the hospital to assess the title." 

 

"Private hospitals can attend the professional evaluation, but pass rate is low. The hospital professional evaluation is unlikely, their hospital review title who approved? Especially difficult evaluation of senior titles, main factor is the private hospitals generally do not have scientific research ability." "Yu added. 

 

Why is it that private hospitals have trouble crowling big experts? On the one hand, Mr Zhang argues, it may be that the platform itself is not good enough; Another reason is that doctors' brands are tied to hospitals, and doctors don't have the courage to be independent. "The doctor himself is himself." Zhang qiang thinks private hospitals may change this concept in the future. "Why should I go to the experts? Why don't I work with the doctor group?" Zhang stressed that this is the future value of the doctors' group. 

 

Opportunity always coexists with challenge. Zhang qiang, yu xiaobao, yan changxiang, in the course of the interview with the health community, generally conveyed a kind of concern, how does the policy fall to the ground? Mr Zhang argues that the reason for the difficulty of the policy is that it may be in the interests of all parties. For example, health sector management is being tested and the health care sector faces financial difficulties, as private clinics and private hospitals grow.