The system reform analyses and explains the tax revenue puzzledly The private hospital investment difficult problem is expected to solve

The system reform analyses and explains the tax revenue puzzledly The private hospital investment difficult problem is expected to solve
The intersection of phoenix and the intersection of peach and the intersection of China and medical reform Li last 30 year, become public hospital and the intersection of market and painful travel of break-in already, the contradictions each time are prominent all lead to the new reform, and each reform has all offered more fertile " soil " for development of the private hospital . New medical reform scheme announced in April of 2009 " The public hospital reforms " Push to the front desk, and the private hospital of the backstage can taste " dominoes " again Even move the advantage brought. Insider think a wave of " unsuccessful " at the new policy is analysed and explained The medical reform is brought the investment difficult problem of the market, that is a three major issue perplexing private hospital all the time - -National treatment is unequal, market competition wide margin, two lines of tax revenue public and private. The treatment started the eighties since last century of fair play on an equal basis, the medical market of China had already introduced the market mechanism, the government encourages medical organizations such as enterprises,etc. to be geared to the needs of the society opening, in order to solve medical treatment and supply insufficiently. But undergone more than 20 years of development, folk strength seems to " disappoint those who had hopes or confidence in a person " ,Wander up and down on the small-scale, low-level small-scale clinic, aspect of section hospital all the time, possess comprehensive medical scale and there are very few private hospitals of the ability. Ministry of Public Health statistics show, the national hospital will make a diagnosis in the total number of persons in 2008, the private hospital part only accounts for 9.5% of the total number of hospitals. The insider thinks, " enclosure " of restraining the private hospital from surviving and development space It is the unequal treatment of the market, mainly embody in: First, on the state specialized medical care qualification, the public hospital enjoys the natural " lineal " Concern, become the main body of the service organization of medical insurance, and in the private hospital, except less large-scale hospital, the medium and small-scale hospital is very difficult to be listed in the row that consider; Second, the private hospital is unable to evaluate the professional title, this causes a large number of outstanding talents to be absorbed by the tertiary and first rate large-scale public hospital, the shortage of the medical talents of high side becomes the soft rib that the private hospital grew up; Third, the public hospital enjoys the country hundreds of millions of finance is put into with deductions and exemptions of taxes every year, though the private hospital was entering the market to enjoy the preferential policy of the tax revenue in the first three years, but restriction and inferior position in conditions such as the fund, scale, technology,etc., combine with the pressure of the tax revenue, the private hospital which is in equal competitive environment enters the medical market to need " Go all out to fight " Courage. In April of 2009, the bosses of the private hospital all notice this policy in the new medical reform scheme - -"Private hospital in medical insurance by fixed position, scientific research set up, evaluation of professional titles and the intersection of person who continue educating and respect, enjoy the equal treatment with the public hospital. " This means, the private hospital begins to establish entry condition and competitive relation equal with public hospital on the aspect of basic medical care more than 20 words short. The hospital of woman of Beijing Mary baby is a private hospital which is absorbed in woman's infant and pre-school children's medical health service, born in the market-based tide of medical treatment 3 years ago. As to in the new medical reform scheme " The equal treatment " Narration,say " the China weekly magazines economic " Mary woman baby hospital Vice President Chen LinHai, the government includes the private medical organization in the medical service system in the basic unit, take the government to buy way of serving etc. to compensate, this let private hospital realize new medical reform forget they, treat equally without discrimination on government in entry of serving, supervise, mean the private hospital enjoys and ensures the equal market chance of aspect with the public hospital in basic medical treatment. "The opportunity that the new medical reform brings to the private hospital is obvious, it lets the private hospital enjoy equal national treatment. " Economics professor Liu GuoEn of Guanghua School of Management of Peking University states outright to " China's economic weekly magazine ". 10% specially need to limit and enlarge it about specially needing to serve to the public hospital in the new medical reform of private market (Mean the high-level medical care that the medical unit offers for meeting some high income crowd's high-levels special requirements to medical treatment and health care, for instance VIP ward, well-known doctor diagnose the express passway) The restriction under 10% makes a lot of private hospitals secretly pleased. The insider thinks, if various conditions have limited the private hospital on aspect and the contending of the public hospital of basic medical care, then 10% of the figures have enlarged the space on the medical service market of high side in future of private hospital. In Beijing, there are dozens of tertiary and first rate public hospitals such as similar Peking Union Medical College Hospital, colleague's hospital, BJ Hospital,etc., they gather domestic most high-quality medical talent, advanced medical technology and apparatus, but reporters can not find a large-scale comprehensive private hospital in the investigation. In advanced medical treatment, the intersection of VIP and ward, the intersection of person who attend to and advanced the intersection of service and respect specially, have the intersection of brand and the intersection of good reputation and degrees of relatively high private section hospital in technology and service, the first-selection that the high income crowd in Beijing saw the doctor must be specially needing the medical passway of the large-scale public hospital. Chen LinHai, Vice President of Queen Mary Hospital, say, " high side was serve and done by the public hospital before, but the service that they can offer is limited. With the constant increase of high income crowds such as overseas students abroad, golden collar of China,etc., advanced crowd's requirements for medical care are higher and higher, and have the ability to pay at one's own expense, this service can well be offered by the private hospital. " After 2000, service items such as the expert doctor regarding the public hospital set up for the high income crowd, VIP ward, attending to specially,etc. had already caused the social dispute. And public hospital regard as public beneficial social medical service organization, need, serve proportion, increase, can tie up the intersection of itself and rare medical resource too year by year specially. It is reported, pass the marketization in recent years and swell, the specially needing to serve and already far exceed 10% of some public hospitals. The insider thinks, cutting down and controlling and releasing the space of larger market for the private hospital to the VIP clinic of public hospital, VIP ward of new medical reform. In fact, the private hospital already ahead of time is preparing. Before this, private hospital poverty-stricken to impel them serve most large chip in not competing for already, and some section hospitals have already set up the advantage technically in a certain field. Talent introduction under the new the intersection of medical reform and background, scientific research set up equalization at offer the reserve guarantee for the fact that the high side of private hospital specially needs to serve. Baby of Mary woman the intersection of hospital and pieces of level, director of office, say to reporter " high side serve, change people to traditional understanding seeking medical advice, regard it as the course enjoyed in life to see the doctor. In this respect, the private hospital possesses the advantage. " Liu GuoEn thinks too, cancels VIP ward set up too much, VIP clinic and is not merely enjoyed by ordinary people by the rare public medical resources in short supply, serve, specially need service market to release the space for the high side of the private hospital at the same time, the private hospital fullies develop talents. The system reform analyses and explains the tax revenue puzzledly " tax revenue " Private hospital cries of discontent rise all round and whom haphazard arrow strafe most loud " Kent " . The east China's hospital of Dongguan is a Hong Kong industrialist Li invested more than 700 million yuan for one that established winning and piling in 1993 The large-scale comprehensive private hospital of the family, it is homogeneity with the public hospital in serving group and business type, and entered the national fixed medical unit in early time, the only different one was that the public hospital enjoy national financial subsidy and duty-free policy every year, there is not the east China's hospital. East Vice President of China hospital Zhao Wen says to reporters, this has already become the yoke which has restricted their development. The insider thinks, the profit-generating hospital pays and pays taxes to accept one to the country as right and proper thing, but because the public hospital for a long time " The indistinction between the functions of the government and those of enterprises " , " in charge of doing not dividing " ,Thus has caused the tax revenue standards of the public hospital and two lines of private hospital. In 2001, the country classified and managed the hospital, divided the public hospital into the non-profit-making organization, enjoy deductions and exemptions of taxes and financial subsidy; Divide the private hospital into the profit-generating organization, the profit-generating organization needs paying and paying taxes and accepting to the country. In fact, the time in the past nearly ten years, as the public hospital of the non-profit-making organization, the identity in disorder that already to seem in the competition with the profit-generating organization - -With " market " Identity chase profit maximize,Israel at the same time" public beneficial" Background acquisition state finance subsidy sum deductions and exemptions of taxes. Liu GuoEn says, " public hospital and private hospital are in the market but the investment subject is different, the game rules that they face are totally the same, the key difference of the profit-generating and non-profit-making organization lies in, surplus to put production again into with invest in the bonus, distribute, they are equal market subjects, need it in the face of raising the efficiency, produce surpluses, thus better service common people. " And the new medical reform scheme proposes, will reform management system, operating mechanism and supervision mechanism of public hospital, explore actively the government affairs are separate, in charge of doing the effective form separated, it is to establish the status as legal person of the market of public hospital, the pluralism of investment subject will break the public hospital and reduce or remit the taxes " Privilege " . In the new medical reform scheme, the country will transform some public hospitals into the private medical organization according to the disposition of the public hospital, push into the investment subject pluralism of public hospital. The insider thinks, with the plans of the market on this market, this plan, the problem of the tax revenue will no longer become what the private hospital complain about " The cause for gossip " .

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