It walks on the market and edge of policy to visit The private hospital three major bottlenecks demand urgently to analyse and explain

It walks on the market and edge of policy to visit The private hospital three major bottlenecks demand urgently to analyse and explain
It walks on the market and edge of policy to visit The private hospital three major bottlenecks demand urgently to analyse and explain
Author: The Zhao 's develops three major bottlenecks The burden of taxation is high: Enjoy the duty-free policy of the business tax by three in most private hospital not essences It is difficult to enjoy the medical insurance to benefit: In hospital can't enter medical insurance, medical insurance low than public hospital to wipe out proportion and medicines wipe out variety not so good as public hospital,etc. Talents have great flowability: On the job to claim, promote and academic status, the intersection of scientific research task and the intersection of person who make and respect often limit Last September, the largest ophthalmology medical organization of our country liked the ophthalmology department landed Growth Enterprise Market, become domestic first family simple Israel " The hospital " The enterprises with listing concept, the ophthalmology department is listed and succeeded in having significant meanings in the love - -The private medical organization of our country becomes a whiff of new developing strength of the medical market of our country. In recent years, the state policies have been taking the attitude of lightening restrictions on to the private hospital progressively all the time. " 36 of non-public economy " in 2005 After issuing, in April of 2009, especially made to the development of private hospital <>,Point out " private hospital in medical insurance by fixed position, the intersection of scientific research and set up, evaluation of professional titles and the intersection of person who continue educating and respect, enjoy the equal treatment with the public hospital; Treat to it equally without discrimination in serving entry, supervising management etc.. " However, our country has loved similarly the private hospital of development has been actually rare that the ophthalmology department succeeded like this for many years, on the contrary, a lot of once much-vaunted private hospitals are all getting quiet slowly. 80% are in losing the edge although have policies to escort, but the private hospital has not been in full flourish over the past 20 years, the proportion accounted for is very low too in the whole medical care industry. By 2007, the private hospital of the whole country with statistical data has been already up to 1792, investment in fixed assets is 40,830 million yuan, 78051 berths. The intersection of figure and accounting for than less than 10% in the intersection of our country and all medical organization this. In all private hospitals, 80% of the staples concentrate on ophthalmology department, gynaecology, andrology, dentistry, medical cosmetology, specially need to serve etc. and subdivide the field, from big number, great department, it is not enough to still set foot in, the high gross profit of this and the above-mentioned medical care has some relations. However, even if launch the business, the insufficient situation that the private hospital still faces making profits to higher field of the profit. The statistics show, the berth, doctor and nursing staff of the private hospital only account for 1.4%, 9.4% and 0.8% of the total amount, clinic quantity, admitted to hospital the person and only accounting for 7.7% and 2.9% of the total amount, has not been up to 10%. The development situation of the whole private hospital, the state appearing more but not strong. Meanwhile, 80% of the private hospitals are in losing the edge, and " small, break up, messy, difference " Private hospital give too let's supervise leave by areas blank. Exaggerate the therapeutic effect in recent years, the situation which deceives the patient takes place occasionally. "The reason why some private hospitals fall low for ' immortal's hospital ', ' advertising hospital ', "Former Vice Minister of Ministry of Public Health, China cure Yin Dakui, president of SCTE, to analyze, "first, management is unstandard, it is not strong to manage consciousness the standardization; Second, talent's deficient, technological team is unstable; Third, the burden of taxation is overweight. " Three major 'bottleneck' restrictions are developed and has not obtained the equal market position, the whole medical whole marketization degree of service field is on the low side, every policy becomes bottleneck of private economic development. Among them, it is that every large private hospital feels the most troublesome that the burden of taxation is high. According to the state policies, the profit-generating medical organization is from the day of obtaining licensing of hygiene, to the medical service income obtained, can enjoy three years the business tax is duty-free. But because the establishment, preparing to establish, running its uniqueness of the medical organization, most private medical organization until hygiene of getting permit, could apply for industry and commerce registration, register the procedure while being a series of, procedure walk take 3 year generally, so overwhelming majority private hospital essence enjoy the duty-free policy of the business tax by three. In addition, the private hospital must face 16 tax categories such as value-added tax, business tax, corporate income tax after after enjoying tax holidays of 3 years. According to in the industry to calculate, tax revenue account for the intersection of hospital and 10 of turnover probably. 6% . The private hospital has been difficult all the time to enjoy the medical insurance policy equally to benefit. Regarded loving the ophthalmology department in Shanghai as the example, would not win the medical insurance qualification of cataract operation until 2010, before obtaining the medical insurance qualification, this hospital has not carried on the cataract operation in half a year. This kind has reasonable fee, but the situation that nobody shows any interest in, of common occurrence in the private hospital. To the private hospital, the clinic exists yet to enter the medical insurance, can't enter the medical insurance in hospital; The proportion is lower than the public hospital that the medical insurance submits an expense account; Medicines wipe out variety as public the intersection of hospital and many the intersection of grade and all sorts of phenomenon. They have compounded and formed the development foundation different from public hospital of private hospital. According to the statistics of association of hygiene of Shanghai, Shanghai has or includes in the private medical organization by fixed position of the medical insurance and amounts to 43 in the single department in all nearly two years, only accounts for 7.85% of the total number of hospitals of Shanghai. Moreover, in more than 500 private medical organizations of Shanghai, the majority is still waiting to examine and approve earnestly. Let private hospital treble difficulty that development have difficulty in taking a step that talents have large flowability, because of uncertainty in such aspects as household register, labour protection, especially on the job to claim, promote and academic status, the intersection of scientific research task and the intersection of person who make and respect often limit, have caused the private hospital to lack the attractiveness to retain staff for a long time. Solve the way to advance according to statistics, in the first half of 2010, Beijing will monitor more than 3000 medical advertisements of illegality, among them the private hospital accounts for 73.6%. There are data that reveal, the private hospital above 90% of the whole country has advertising unlawful practices even more. Can't obtain " The equal treatment " Private for hospital,move towards by another piece road slowly. As to this, Chen Zhu, minister of Ministry of Public Health, has taken a stand publicly, as to the private hospital, will support to cure the skill in the good, public praise large good hospital in the future, strict Cong keeps a firm hand on the small hospital, sets up strict entry system. And a series of problem that exists to the development of private hospital, every local government has already begun to seek the solution. Take Beijing as examples, from May of 2010, relevant over 20 supplementary measures of the medical system reform of Beijing are issued successively, show clearly that will make private hospital and public beneficial hospital enjoy the same treatment, the tax revenue is offered the favour according to the state policies too. "Beijing is exempt from the business tax in according with the fixed medical service income in the future, this is absolutely a good news to the vast private hospital. But how exempt, how much does it exempt, I'm afraid supplementary measure that must be relevant issue. " Zhou Hong, surgical Deputy Director of BJ Children's Hospital, says. And the situation to that private hospital talents are deficient, the solution of reaching common understanding in industry at present, that is that advances and registers medicine The teacher is some operation more, set up effective encouragement tied mechanism, lead more medical workers to go to the private medical organization to serve. In Shanghai, the high side of the private hospital has already become a means to deal with the above-mentioned situation. This year, reply star medicine (600196 SH)s Participate in Sino-American mutual benefit by shares, thus become owner of the harmonic family's hospital and become another listed company which enter the medical service field. At present, the medical capacity of service market of the high side in Shanghai is more than 10 billion yuan, and enlarge year by year. Influence, attract another way of talents as expanding, grouping is the way which the private hospital chooses in recent years too. Groups of Chinese hospital have been about 120 up till now, there is a hospital group of many private properties among them, such as hospital group, Shanghai Tongji University hospital group, phoenix hospital group, eastern medical group of Shenyang,etc. of the Changjiang River of Nanjing.


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