Growth and development of the private hospital of our country
Growth and development of the private hospital of our country
Rely mainly on several tens of thousands of public hospitals after establishing in a river new China, the situation of practising medicine that the private hospital is only 20~30, more than 100,000 people operation of individual medicine, been extending for a long time all the time, until it is been near with the promotion of reform and opening-up for over ten years, just break through to some extent. Four groups of figures witness the course of growing up with the process of reform and opening-up, our country has established and relied mainly on public ownership, the pattern that many kinds of ownership coexist, the private hospital is developed. Four groups of figures have witnessed the development course of the private hospital: The private hospital of the whole country is only 21 1.1998 years ago, the self-employment practice or clinic is about 150,000. The management of China hospital is learnt to investigate in 2.2002, but there are 1477 private hospitals that counts. Ministry of Public Health and Chinese hospital managed and learnt to manage the branch to jointly investigate in the private hospital in 3.2003~2004, have private the intersection of hospital and 1792 in all while being national, account for national the intersection of hospital and 10.04% of 17844; Several 78051 sick beds, accounts for 3.51% of several 2221753 total berths of the national hospital; Total assets are 40,830 million yuan, accounts for 6.3% of total assets of 657,830 million yuan of national hospital. The statistical data of Ministry of Public Health of 4.2006 years: The profit-generating hospital is about 4000, accounts for 20.3% of the total number of national hospitals, several about 165000 over berths, accounts for 6.4% of the total number of national hospital sick beds. Most capital cost of private hospital of our country is not high, the scale is relatively small. Assets more in 100~500 ten thousand, assets in to account for 7% about only more than 30 million yuans; The hospital berth is basically greater than only accounting for 1.6% of 500 in 50~300; Accounting for over half under l00 person of clinic quantity in sun, annual surgery quantity is mostly in 100~1000. More than 90% of the private hospitals are distributed in relatively developed areas of economy such as North China, Central China, South China, East China,etc.. It have private country China belong to property right being own hospital, mechanism is flexible, " The characteristic training " (80% of the private hospitals take the characteristic road of the specialized department) It is a characteristic, paying attention to at different levels, humanization is served (if help to strand the hospital, basic medical insurance category hospital, high income crowd, external personage's high side or specially need to serve) ; Pay attention to managing strictly and cultural construction of hospital, make one's own advantage by team spirit and strong marketing and brand consciousness. Already appeared in large quantities of outstanding societies and approved of, the private hospital of brand with high popularity. Explore, run the intersection of government and the intersection of helping hand and of our country private hospital of institute in the mode, run modes of institute, there are 6 kinds as follows of: First, construct with medical care of community - second hospital - medical service system of the tertiary hospital with the private capital. This mode establishes one's own system, it is unanimous to manage by oneself from tube, interests, avoid the conflict of interests, can make sure to divide one layer of medical treatment, change the place of examination bidirectionally. Second, ownership is separated with the power of management, the people work in the camp. After being done the courtyard by private capital investment, deposit for the state-run tertiary hospital. Third, develop one's own training advantage and develop the activity of public service to combine together, repayment society while strengthening one's own capability. Fourth, the non-governmental chronic disease hospital combines with state-run tertiary hospital. Namely serve continuing service mode behind the foreign courtyard. The fifth, state-run and private. The private capital enters the public hospital, occupy certain share in the public hospital, or does not take shares, take the money to deposit the public hospital in private advantage. But ownership of hospital with non-profit-making to change, worker identity does not change. The sixth, the government buys the public health service of the private hospital. The development of the private hospital of our country, being supported by governments at all levels is an essential condition: If the private hospital is entering the medical insurance and is being solved progressively, already there are 37 private medical organizations in Beijing, 17 private hospitals, Shanghai has already had 43 private medical organizations, 40 private medical organizations of Hangzhou that have been included in the medical insurance in batches too in Harbin; Jiangsu leaves the increment of medical organization to the private hospital; Qinghai stipulates that runs the private hospital to enjoy tax allowance for 5 years in the pastoral area of countryside; Shanghai issues a series of policy and promotes the social forces except government to set up the medical health organ, will also encourage social forces to participate in the reform of the public medical organization; Cities such as Anhui Province, Guangzhou, Wenzhou, Fuzhou, Kunming, Luoyang,etc. have all issued some private hospital preferential policies too. Way of sincerity save up strength to start out, it develops initial the intersection of stage and policy to be large to let go to of our country private hospital extensive to lead, cause some private hospitals to be unstandard and run, has produced questions such as the sincere crisis,etc.. In June of 2005, the private hospital of association of Chinese hospital managed the branch and hospital of Ministry of Public Health and managed the research institute, united the association of provincial hospital of Guangdong, organized, mobilized, led 113 private hospitals in the whole country brought in Guangdong, through " the sincerity of the private hospital of the whole country contain the norm by oneself " . A lot of private hospitals sign and promise to observe and implement this norm live, and regard ten norms as the standard and establish " private hospital of national sincerity " Activity. Ten requirements involve the important issue of organization's surviving and long-term development and four key questions. These ten are required: 1. Every the masses of workers, investor and administrator of private hospital, should implement the laws and regulations, rule of the national and department strictly, operation abiding by laws. 2.Make and improve every rules and regulations according to the requirement for every management system strictly, and set up effective implementing the mechanism. 3.Want the operation abiding by laws, guarantee doctor, nurse and cure skill personnel to hold the card on duty, stop to practise medicine without licences firmly. 4.Insist on " Regard patient as the centre " Aim,prohibition excessive without being induced for medical care for behavior of demand. 5.Carry out the price of national medicines and policy of charging of medical service item strictly. 6.Emforce the management on medicines, apparatus and consumptive material, guarantee medicines, apparatus and consumptive material that the hospital uses are purchased by the regular legal channel, stop to use and imitate medicines, consumptive material fake and poorly firmly. 7.The result of characteristic treatment which the hospital adopts and promotes judges necessary science, precise, attack, resist and not release the sham publicity, does not propagate or adopt other ways to mislead the patient in a disguised form. 8.Make great efforts to reduce the hospitalization cost of patients while paying attention to dealing in and cost accounting. Can't implement performance examination and distribution system that medical worker's income link directly only with its personal economic indicator. 9.Safeguard patient's right in accordance with the law, respect the patient's right of being in know, right of privacy and right to choose. 10.Set up and improve unblocked communicative channels of doctors and patients and patient and complain that handles the mechanism, solve the patient's opinion and appeal properly. These ten requirements have concentrated ԏ on clearing up four key questions: First is proper invest, run institute's idea and direction. Since the investors of the private capital have ambition to hold health care industry, must handle affairs according to basic law and requirement of the medical industry. Adhere to the basic attribute of the hygiene industry of our country, insist on " ancestor " Medicine advocated and descended is trained, adhere to the science of the medical work. Second, practise medicine in operation that must be abiding by laws. Third, necessary sincerity contains by oneself and cures the wind nobly. Run the medical organization, no matter who does, no matter public, private, it is complete to not merely want the hardware, must also pass the invisible one " The entry of morals " ,Enter this " The threshold " It is the real hospital. Fourth, must guarantee medical quality and medical security. Must abide by the heavy patient's right, construct the harmonious relationship between doctors and patients. In the past few years hereafter, the private hospitals of all parts began the new development under the new situation. (The author cures department's former chief of policy for Ministry of Public Health, inese hospital association let the Chinese hospital manage and learn to manage duties such as the president of branch's president's committee,etc. in the Deputy Chairman, private hospital of Chinese hospital association in succession since 1998)
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