People's Daily: Where is the private hospital difficult? What is hindering the justice on earth

People's Daily: Where is the private hospital difficult? What is hindering the justice on earth
Talk with people: Editor Huang BiMei Expert Liu GuoEn (Guanghua School of Management economics professor, economic director of research center Chinese medicine of Peking University of Peking University) Yu ZongHe (the private hospital of association of Chinese hospital manages branch's president) [Read, brief on ] of our country private hospital close to 5000, it accounts for of our country the intersection of hospital and total number to be 20% about, but his one that bears makes a diagnosis the serving amount is well below this proportion, most of the hospital scale are smaller. The private hospital can not develop, certainly there is oneself that faces reasons such as the trust crisis,etc., but it is an important reason that the policy for a long time is restricted. New the intersection of medical reform and scheme last year propose 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; Treat to it equally without discrimination in serving entry, supervising management etc.. Is the private hospital pure enterprises or public beneficial? Why should we support their development? What policies barrier carried out is the private hospital in the reality, " treat equally without discrimination " New policy deserve how fulfill? Editor and relevant expert of this edition conduct dialogue, attempt to seek the answer. Ask: Commercial and public service contradiction editor: How until private localization of hospital it will be country, it pure profit-generating enterprise or have not public beneficial? Liu GuoEn: It depends on it is traditional meaning to public beneficial understanding or grows with each passing hour. From the traditional meaning, the public beneficial service seems it must be a low price, even a free one is the best. But in view of essence, I thought the public was benefited it was the public beneficial most central intension. As to medical care, system and medical treatment system two respect of medical insurance should be developed simultaneously in coordination, just perhaps advance the benefited intensity of the public of medical treatment effectively. The public can not serve, mainly ask the medical insurance system of the responsibility; The public can not serve, mainly ask the medical system of the responsibility. Though the service is an organic whole, responsibility right is clearly demarcated. Medical service organization is public beneficial, the most tangible manifestation should be in service quality, efficiency, security and satisfaction, it is not merely low priced, should not eat the free sumptuous meal. " there is not a free lunch all over the world " ,This is a basic principle of modern market economy. Yu ZongHe: The private hospital is the important component of the service system of health care of our country. The new medical reform opinion points out, insist non-profit-making medical organizations are supplemented by the main body, profit-generating medical organization, what the public medical organization took as the leading factor, developed together in the non- public medical organization is done and curing the principle, build medical service system with rational structure and covering the urban and rural areas. Nearly 5000 private hospitals now of our country, accounts for about 20% of the total number of hospitals. According to the incomplete statistics two years ago, estimated profit-generating accounting for more than 90%, the non-profit-making one accounted for 10%, the situation may be changed to some extent these two years. Health care industry belongs to public service properties. Though the private hospital is mostly profit-generating, not totally the same as general enterprises, also there is public beneficial the certain one. Editor: Encourage developing the private hospital, it is the consideration based on that what kind? Liu GuoEn: Look from economic angle, utilize social resources to do medicine, can reduce the financial pressure, make it used in the other places that need even more. Can't form, help, include public hospital and private hospital grow up environment jointly by one, then, it is very difficult for China to be finished the great medical reform mission alone by the existing public hospital - -Meet the national medical care demand for increasing constantly. Because the development of the public hospital needs sufficient resources after all, and should put the finance into (especially local finance) Unrealistic, inadvisable (poor efficiency too, have no motive force) ,So it must be the developing road that we should ponder deeply to gear to the needs of the society financing. The medical trade introduces the social capital, not merely have enormous potentiality, can bring the game rules of the modern market into the medical market to develop at the same time, promote the whole operation benefit of the medical market. Look from political angle, open medical market, it is the objective requirement that the social progress, development opportunity are fair. According to experience of the developed country (besides extremely specific country) ,Brand, technology, scale, service quality and benefit of the non-governmental medical organization, be nearly all superior to the medical organization of the government. So, all sorts of questions that the present private medical organization of our country shows should not be destined innately. Two asks: Which are citizen's treatment Editor: Propose in the new medical reform scheme: " bring about an advance in non- public medical health organ actively " ,But in reality is carried out, a lot of private hospitals often face the treatment that differ greatly with the public hospital. What treatment concrete to have, cause the private hospital and difficult fair play on the same runway of public hospital? Liu GuoEn: The private medical organization has not formed with the reciprocal situation that competes for of the public hospital, mainly caused by system reason, this mainly includes two respects: The obstacle exists greatly in the entry; The healthy growth condition is restricted. Especially set up the respect in scientific research, the flow direction of scientific research fund of the country, is mainly inclined to the public hospital, especially the teaching type hospital. The strengths and professional titles are a big problem. In China, establishment and professional title of the public institution are strong administration resources. As to the private hospital, before the new medical reform, there aren't strength and professional title that the administration disposed, the medical worker of the private organization has lost the chances and motive force of the undertaking, professional development naturally, this is the bottom line platform which guarantees personnel's professional quality! It just think by piece than this what it have to in there lethality is country sound development of hospitals private? Yu ZongHe: The country always recommends supporting to encourage the private hospital to develop, but do in reality still uncompletely, if on the question by fixed position of the medical insurance, the proportion qualified for medical insurance of private hospital compares with public hospital now, disparity is obvious. This is one of the important reasons for influencing development of private hospital too. However, our country is on the choice of the fixed hospital of the medical insurance, which policies say what the private hospital can't be regarded as the medical insurance by fixed position. But why not choose the private hospital to do by fixed position in general cases? The public and relevant medical insurance, cooperative medical service fund administrative department leave the bad impression on the private hospital to cause mainly. If the private hospital wants to become the fixed hospital of medical insurance, should be from strict with oneself by oneselfing first, gain social trust; Certainly, the government should support on the policy, encourage the locality to choose private hospital as the medical insurance by fixed position. There is a still unchanged problem so far too in the private hospital. For example, the private hospital digs the technical backbone with the high salary, but some doctors do not think some methods of private hospital accord with the principle as doctor, unwilling to treat, this can't all get strangely on the policy head. Three asks: " treat equally without discrimination " It is a extravagant hope editor: The private hospital? Bohai Sea tool instrument W pa people engrave on gold or silver greedily say brain be endangered quail �� material strong fragrance gold-plating � boat badger nose rake stir table try not blowing to admire zongzi twist D �� s pretty cut out to gather �� knock to last spring onions orangutan casket Lou latitude Knapp the intersection of Pao and paralysis put Wu �� rush down and call Liang? Liu GuoEn: Several before the new medical reform scheme of last year comes out is during the decade, social forces goes through medicine, by the look of policies and regulations and practical operation, the ones that have faced the development platform and supported the condition are quite unequal. It displays the result, can not be like public hospital either naturally. The problem is, the unfairness of the current system, has caused the unfairness of the result. But ordinary people have more feeling based on observing the result, thus has formed suitable prejudice. This is a difficult point of our medical reform, it needs suitable time and efforts to solve. How to arouse and give play to social forces to develop health care industry, except want improvement the development conditions and living environment of private hospitals as soon as possible, also guide the social prejudice to the private medical organization formed for a long time correctly. In fact this reason is very simple, receive parents Guan Ai's child, the probability that the health becomes a useful person is generally a little older than the child letting drift. If want more children to become a useful person, we must put into caring about treating equally without discrimination. Our medical reform must be in order to promote the promotion of medical deliverability to be the basic goal, so give play to social forces to do the system choice that medicine is multi-win. In fact, the new medical reform file has already been stated very clearly in this, the present task is local government's problem of how to implement correctly and carry out effectively. Certainly, some local governments have already taken gratifying paces such as Chengdu and " in charge of doing and separating" Implement with giving play to the social forces measure fairly proper; It advance doctor Kunming it walk more some operation in in front of the whole country. Another question that the private hospital develops is a fixed qualification of the medical insurance, we can't guarantee the equality of the fixed result, this is determined by ability, but we have justice that the reason demands to participate in the election of the chance, stop because different discrimination that brings of ownership. If our society does not hope to see private medical organization is irresponsible " A hammer is bought and sold " The behavior becomes the general phenomenon, must construct the fair system environment, treat equally without discrimination, guarantee the racing on the same stage of the public, private organization, develop together. Yu ZongHe: During these years, the environment of the private hospital is being improved. Tax revenue, the business tax provisional regulations that will begin to be implemented in 2009 stipulate, the medical care which the hospital, clinic and other medical organizations offer is exempt from the business tax, this tax revenue which has been lightened the private hospital is born; Unlocking the private hospital too in medical insurance qualification. Meanwhile, in order to carry out " the sincerity of private hospital of the whole country has containing the norm by oneself " all the time as the trade corporation the private hospital branch With establishing " The private hospital of national sincerity " To lead the private hospital to improve oneself, gain prestige, gain the initiative. In fact, have already made or revealed the obvious effect during these years.

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