Health newspaper: The public hospital reform is unsuitable to apply the method of state-owned enterprise mechanically

Health newspaper: The public hospital reform is unsuitable to apply the method of state-owned enterprise mechanically
By the look of pilot situation of public hospital reform of the past two years, all parts have adhered to the public service properties of the public health care, explore management system and operating mechanism reform of public hospital, " difficult to see the doctor that relieve the masses, it is expensive to see the doctor " The question, has made some positive progress. But some places apply the phenomena of thinking of the SOE reform and measure mechanically should be caused and paid close attention to. Some places incorporate the public hospital into the local State-owned Assets Supervision and Administration Commission ' State-owned Assets Supervision and Administration Commission) Manage; Some places adopt the method of the shareholding system reform of state-owned enterprise, invite outside investment for the public hospital, do the mixed ownership public and private; Some places obviously reduce the quantity of public hospital, lighten the financial burden; Some places reach the index of creating income to the public hospital, pursue the economic income. Above-mentioned " question method " Guide the public hospital reform with the theory of the SOE reform and thinking, have obscured the difference between public hospital and state-owned enterprise. True, public hospital and state-owned enterprise have similarity, like belonging to state-run assets, should be through producing the products or providing service and satisfying social demand, all have function of regulating the market, the top management teams should all accept personnel management of the Party and government,etc.. Government must exist something in common to public hospital and management of state-owned enterprise. But must see, it is only difficult to accomplish scientific management by generality management. Modern to finely take in each trade correctly of management expectancy ' Department, system) , each unit even each post and each produce, serve link, take, carry on scientific management according to personality characteristics and law their. So, it is necessary to dissect conscientiously and know different characteristics between public hospital and state-owned enterprise thoroughly. It is to offer the public service to set up the purpose that the governments at all levels different from goal of running of the purpose set up the public hospital for passing, satisfy the masses of urban and rural residents' demands for health care service, protect and outfit the people, have obvious public beneficial requirement and make a reservation. Goal of day-to-day working its to raise, serve efficiency, realize public health care serve and maximize, but not pursue profits to maximize. And establishment of state-owned enterprise in should produce economic field intervened and organized government products or service that social member need mainly in purpose, promote the economic growth, obvious management nature is required. Though the establishment of some state-owned enterprises regulates the economic need for the government, have more obvious policy purposes, it is not the same meaning but and the public hospital is public beneficial. The day-to-day working goal of the state-owned enterprise mainly pursues profits to maximize, though sometimes show as by the ones certain non-profit making and policy too, from long-term with overall, state-owned enterprise and general enterprise all pursue the basic characteristic that the profit maximizes, according with microeconomics will have and develop definition of the purpose to the manufacturer. Different so-called social functions of social function mean that organizes function and efficiency that should be produced in the society, reflect the society to expectation and requirement organizing. The social function of the public hospital is summarized: First, offer the equal health care service that melts for social member. Can't dislike poorly and love richly, should treat equally without discrimination, treat with fairness. Second, offer the hygiene service of the cost with good result, make limited input obtain higher health repayment as much as possible. The public hospital will develop suitable facilities preferably, the suitable manpower that will employ, will adopt the basic medicine, use suitable technology, offer the basic service. Can't excessively pursue " Expensive apparatus, high technology, new medicine are and expensive " Luxurious service mode. The financial burden of seeking medical advice that third, lighten residents and see the doctor effectively, assist the government to realize " the disease is cured to some extent " Social development goal. No matter or under a social medical insurance system under the national hygiene service system, the lowest goal of the public hospital is to offer the cheap basic health care service to the low-income colony in the society directly, its service is equivalent to " Mend directly " Patient, the function of giving play to medical treatment to ensure, lighten or dissolve the economic risk that a patient seeks medical advice. Generally speaking, because the existence which the government replenishes and government controlling strictly to cost of public hospital, public service price of hospital should lower than non-public price of hospital, thus can reduce patient, diagnose the illness economic risk of seeking medical advice. Have public incident to happening suddenly of effects four times, it is the guarantee with safe social stability. Fight a flood and earthquake disaster resist SARS, the public hospital should bear community responsibility. The historical experience proves, the public hospital is the infrastructure with safe social stability, keep the existence and development of the public hospital contributing to ensuring the social stability to be harmonious, ones that built the socialist modernized powerful country in this must. Fifth, give play to the role of market regulation of medical care person indirectly, influence and standardize the behaviors of other medical organizations. The existence of the public hospital can inhibit trending towards the favourable motive of the private profit-generating medical organization effectively, play the indirectness led and standardized to act on to the medical service market on the whole. The public beneficial implementation of the public hospital, can reduce the government and supervise the medical cost of service market effectively, contribute to reaching the goal of adjusting and controlling the medical market in the government, supervise the cost sparingly, improve the supervision result. Compare with the social function of the public hospital, the state-owned enterprise mainly offers economy for development of the country and construction to accumulate, seldom possess the social function of the above-mentioned public hospital completely. Relevant regulations of current state-run assets management of different foundations of state-run assets attribute, the assets of the public hospital are assets of administrative institution, belong to the non-profit making state-run assets of management of governments at all levels, generally managed in unison or authorized health authorities to manage by the financial department. And the assets of the state-owned enterprise belong to managing state-run assets, according to the 'three fixations' of the State Council The scheme stipulates, it is not finance assets of state-owned enterprise that belong to the committee member of the state property regulation and management good at managing, finance assets belong to Bank Supervisory Committee, The China Insurance Regulatory Commission and SFC,etc. to manage separately. According to regulatory ystem of current state-run assets, the assets administrator of the public hospital is not the State-owned Assets Supervision and Administration Commission that the governments at all levels managed operational assets, supervision department not belonging to finance more assets. So, it is not appropriate that the extremely specific place assigns the State-owned Assets Supervision and Administration Commission a management method public hospital assets, its essence is to change the non-profit making attribute of state-run assets of public hospital, it is operational assets to make the assets of the public hospital actually alter implying. This means the change of the quality has taken place in purpose that the government held the public hospital, serve and change into pursuing economy reciprocating and profit maximization from offering the public beneficial basic health care of the general favor, reflect thought and knowledge aspect regard public hospital as, earn, learn from else's experience profit-generating department to help interests already, this is a very dangerous behavior, should adjust and correct as soon as possible. Otherwise, have endless trouble. " two benefits " Unified degree of one is different Come to the public hospital Say, the economic income? 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Plan according to the regional hygiene and medical organization structuring is planned, the public hospital can totally transform into the private non-profit-making hospital, even the profit-generating hospital, but the governments at all levels can't produce and facilitate the public hospital of mixed ownership public and private. This is because the public hospital of mixed ownership has operation goal and interests conflict problem public and private, non-profit making state-run assets could not grow coexisting with profit-generating investment. Otherwise, will twist the public hospital behavior seriously, its result is public service properties not guaranteeing the public hospital. But to state-owned enterprise, state-run assets can be identical with the non-governmental basic purpose to invest. So, can produce the state-run mixed ownership enterprises controlled interest or participated in by shares. And enterprises are only under abiding by the law the situation of management, its economy is with high return, mean the products or service that enterprises produce adapts to the market, has met the public's demands, its social benefit is realized at the same time, basically coordinate the unified one between economic benefits and social benefit. Because public hospital and prominent difference between the state-owned enterprise, can't in implementing mixed ownership public and private the intersection of shareholding system and reform under public hospital. The similar method of the extremely specific place should rectify a deviation at once, get back to the correct reform development track.

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