"The development of non-public medical care is ushered in the spring or hidden in the winter. This is a common and abstract topic. There is not much substantive significance in the discussion. We should focus on how non-public medical care should be developed at this stage. The practical issue." Cai Jiangnan, director of the Center for Health Management and Policy Research at the China Europe International Business School, said at the "2018 Non-Public Medical Leaders Summit" jointly hosted by GE China and Caixin Media.
Two Heavens: Non-public medical ice and fire
During the 30 years of China's reform and opening up, the government twice supported the holding of private medical institutions. The first round occurred in 1998-2009, but the support was limited and most of the policies were not implemented. From the second round of 2009 to the present, the support is much stronger than the first one, and various favorable policies are released in a high-level and high-frequency manner.
In April 2009, the State Council issued the "Opinions on Deepening the Reform of the Medical and Health System", which clearly stated that the non-profit medical institutions are the mainstay and the for-profit medical institutions are supplemented. The public medical institutions are the leading and non-public medical institutions are developing together. The principle of medical treatment, this opinion has also officially opened the door to social medical treatment;
In September 2013, the State Council issued the “Several Opinions on Promoting the Development of Health Service Industryâ€, re-emphasizing that China should form a non-profit medical institution as the main body, supplemented by profitable medical institutions, and public medical institutions as the leading and non-public medical institutions. Diversified medical practice pattern developed by the institution;
In June 2015, the General Office of the State Council issued a special policy for social medical treatment—a number of policy measures to accelerate the development of social medical treatment. The policy proposes to further relax the market access conditions for social medical treatment and optimize the social medical treatment. Develop the environment, implement the taxation policies of medical institutions, incorporate social medical institutions into the scope of medical insurance, and propose to control the scale of public hospitals;
In May 2017, the “Opinions on Supporting Social Forces to Provide Multi-level Diversified Medical Services†was released. The opinion proposes to develop social forces to organize and operate high-level general practice clinics, and encourage the establishment of branded private specialist medical groups. Large general hospitals with specialist advantages;
"The government's functional institutions continue to encourage and support. To a certain extent, non-public medical care is indeed in the best period of history." Wen Daxiang, deputy director of the Shanghai Municipal Health Planning Commission, said frankly. Chen Qiqi, general manager of GE Healthcare Greater China and the non-public medical division, also said that non-public medical care has ushered in an unprecedented policy dividend period.
Under the wave of reforms that have been frequently demonstrated by the policy, at the same time, China’s economy has entered a period of slow growth in the past few years. The once high-profit industries such as real estate and mining have no longer seen the scenery, which further promotes the capital and various backgrounds. People have transformed into the medical industry . As a result, the non-public medical care of the society has ushered in a “live periodâ€. The number of social medical practitioners has been rising all the way. According to the latest issue of the National Health and Health Commission’s Statistical Information Center, January-May 2018 According to statistics from national medical institutions, as of the end of May 2018, there were 12,145 public hospitals and 19,461 private hospitals. Compared with the end of May 2017, there were 451 public hospitals and 2,454 private hospitals.
However, behind the glitz is the undercurrent of the crisis. In other words, behind the seemingly flourishing development of non-public medical care is the worrying survival situation.
"The development of non-public medical care in China is indeed facing many difficulties. The development of quantity and quality is far from proportional. For example, there are more than 5,000 medical institutions in Shanghai, of which 2,240 are non-public medical treatments, accounting for about 40%. However, from the number of beds in non-public medical care, its market share in Shanghai is only about 17%, which can't compete with public hospitals. Most of the 2,240 non-public medical institutions still have most of them. They are all small and small, mainly in outpatient departments and clinics, even in hospitals, there are very few beds." Wen Daxiang pointed out.
On the other hand, non-public medical care has always been discriminated against in development, and it is difficult to fully enjoy the fair treatment of policies. Compared with public medical institutions, the cost of non-public medical institutions is much greater. These cost land, rent, taxes, The purchase of equipment, etc., at the same time, the inclusion of medical insurance is also very limited, "the state promotes the construction of medical associations, but the medical association is dominated by public hospitals, many non-public medical care can not enter, the first reason for the local health planning committee is non- Public medical care will be abducted, the total amount of medical insurance is limited, non-public medical institutions can not come in, we must first guarantee the medical insurance costs of public hospitals." Hao Deming, executive vice president and secretary general of China Non-Public Medical Institutions Association, said.
Most of the most critical talents are accumulated in public medical institutions. As a result, they also cause a vicious circle of non-public medical treatment: with talents, there are patients, and patients have income, and vice versa. nor.
"Although the state is now vigorously advocating the practice of doctors, some hospitals have clearly told doctors that they cannot go to private hospitals, otherwise they will face corresponding penalties. This naked discrimination makes it difficult for public hospitals to get involved in non-public medical care. Institutions are not conducive to their development," said Hao Deming.
Long road, how to break the ecological bottleneck
"Because of historical reasons, the beginning of non-public medical treatment has indeed taken a path of less glorious history, and it takes a long time to change this impression." Cai Jiangnan pointed out that it is a non-public medical institution. How should it change this situation?
Two years ago, the sensational "Weize Zexi incident" began the bidding for the medical advertisements of the Putian Department Hospital in Baidu. This incident also directly led to the public's bad impression that the private hospitals only made "hooligan promotion."
"Non-public medical care must not be advertised. I am most opposed to advertising by medical institutions. Advertising is a commercial commitment, and medical services are a special kind of commitment. They cannot advertise, if they make promises to patients like ordinary business practices, because The limitations of medical technology, ultimately not realized, are abduction, non-public medical care can not simply treat medical treatment as a business, but on the basis of patient trust, relying on excellent technology and quality services to achieve patient endorsement At the same time, non-public medical institutions should also participate in academic exchange activities to endorse their own brands." Hao Deming proposed.
In addition to not doing commercial marketing communication, we must pay more attention to the development of medical academic research. Song Donglei, the founder of Donglei Brain Doctor Group and a well-known neurosurgical expert, believes that talent is the key to the breakthrough bottleneck in non-public medical care.
"Under the current situation, the public reputation is not really good. It has not yet reached the level of recognition. Therefore, we must have a clear understanding of this. It is not that non-public medical institutions will immediately be on an equal footing with public hospitals. There is still a long way to go before reversing. First of all, when doing non-public medical care, you must be able to withstand difficulties and setbacks. Believe that you can overcome difficulties and stand up and have self-confidence. In addition, non-public medical care In order to have a good reputation, the quality of the doctor and the ability of the doctor itself are the most important. If there is no batch of good doctors from the top three hospitals who have the technology, the service concept, and the more recognized, the non-public medical care It is very difficult to do a good job. A strong doctor's team is the best way to run non-public medical care. At present, a large number of excellent doctors belong to the top three hospitals within the system. If these talents can come out, the talents of non-public medical institutions The short board has been broken, and the development of private hospitals is just around the corner."
Xu Wei, the chairman of the China Health Information Society's Health and Medical Big Data Grassroots Application Committee, said: "The most important thing for non-public medical care to do is to form a joint development with the quality resources of public hospitals, because it is decisive and critical. The elements are basically concentrated in the top three hospitals, so it is necessary to get through this link."
Looking at the reality, what new attempts have been made at all levels
The standard is an important "touchstone" for assessing whether an industry is regulated. Public hospitals have normative standards issued by relevant countries, and the standards for non-public medical institutions that are not well-defined are determined.
Hao Deming introduced that the China Non-Public Medical Institutions Association has already drafted the "China Non-public Medical Institutions Industry Credit Rating Evaluation Standards and Evaluation Procedures" and the "China Non-Public Medical Institutions Industry Credit Rating Evaluation Management Measures" in 2015. In 2016, the Association The association has obtained the national qualification for credit evaluation of non-public medical institutions, and has begun to carry out the “double evaluation†of social credit evaluation and service capability star rating for member members of the association, which indicates that China's non-public medical institutions have been suitable since then. The evaluation criteria and system of the industry's own characteristics have played a positive role in improving the social credit construction of non-public medical institutions and regulating the behavior of medical services.
It is understood that the credit rating of non-public medical institutions is divided into “three, three, five grades†according to the national unified regulations, that is, divided into three categories: A, B, and C. There are five levels of AAA, AA, A, B, and C, each Levels correspond to credit levels. The star rating is divided into three levels, from high to low, five-star, four-star, and three-star. Each time according to the results of the review, the corresponding credit and star rating certificates, signs, certificates and signs are granted to medical institutions for a period of 3 years. Hao Deming pointed out that the "double evaluation" work is of great significance to non-public medical institutions, not only enabling non-public medical institutions to obtain effective credit "identity cards" in the medical service process, so that patients can choose to seek medical treatment with greater confidence. The non-public medical institutions that have passed the review will be included in the A-level Social Credit Directory of the Ministry of Commerce, and they will be an important credit basis for their subsequent implementation of securitization management, asset restructuring, mergers and acquisitions, and obtaining state policy support and bank loan preferential policies. . Up to now, a total of 23 hospitals have received AAA credit rating, 6 hospitals have been evaluated for four stars, and 10 hospitals have been evaluated for five stars.
In addition to the positive actions of the regulatory authorities, the non-public medical institutions themselves are taking the initiative. Xu Xiangying, medical director of Sanbo Brain Hospital Management Group, revealed that Sanbo Brain is currently working on a “ten thousand†project, and “ten†is to build 10 The hospital and medical institution that the company controls itself, “Hundred†is the establishment of a core hospital cooperation relationship with 100 tertiary general hospitals or specialized hospitals with two or more levels. “Thousands†is to establish telemedicine with more than 1,000 primary health care institutions. The service model actively participates in the national classified medical treatment to enhance the brand effect and medical radiation capacity of non-public medical institutions.
The efforts of non-public medical care are important, but the use of external force is also indispensable. As a professional medical equipment service provider, GE Healthcare may be able to comprehensively discover the pain points and needs of non-public medical care from a participant's perspective. Explore more comprehensive solutions from device services, specialist pathways to operations management.
Chen Qiqi said: "When I was talking to many customers five years ago, eight years ago, at a limited cost, they were more willing to buy a better CT or MR. The information system in the hospital might think that this piece is not. Can save points, find a relatively small brand manufacturers to solve. But with the development of private hospitals in recent years, more and more customers reflect that digital solutions have become a stumbling block in the development of hospitals, therefore, non-public Medical needs now far more than simple products and technologies, from talent to capital, to hospital operations management, to information management, etc. GE hopes to start from the establishment of the hospital, from the front-end digital technology to the operation of the entire hospital. Management, including talent training, asset management, and financial solutions, addresses the needs of the industry by continuously introducing global resources."
It is also known that on August 24, GE Healthcare and a number of non-public medical institutions jointly launched the "GE Non-Public Health Early Health Alliance" program, aiming to build a collaborative platform for early diagnosis and treatment of diseases, sharing experts and technical resources, while GE Healthcare will also integrate its superior resources and service capabilities to provide online and offline system training for clinical physicians, medical technicians, department heads and hospital management, including clinical engineer training and early screening technology training. , clinical application training, leadership training, lean operation training and many other types, in order to improve the soft power and overall operational management level of non-public medical early diagnosis and treatment.
The overall promotion of non-public medical institutions will surely bring the public's recognition to it. "I am a native of Shanghai. Others say that I am not like Shanghai. This was once the best evaluation of Shanghai people. If there is One day, the people slowly blurred the boundaries between public medical institutions and non-public medical institutions, and believed that non-public is public. I think this is also the best recognition for non-public medical institutions.†Cai Jiangnan said with a smile.
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