The policy is constantly improving, and the development of private medical care is really as beautiful as it is imagined?

The term “social medical treatment” has been mentioned for many years. Since the medical reform, encouraging the society to run doctors and providing multi-level and diversified medical services has been a key task of the state work in parallel with the comprehensive reform of public hospitals. After decades of development, private medical institutions have indeed achieved good development. By the end of 2015, private hospitals surpassed public hospitals for the first time in the number of 14,518, and by 2018, the number of private hospitals reached 19,139. In the clinic, the country is also a green light. In 2017, relevant documents were issued, indicating that the establishment of medical institutions below the second level and below is no longer required for approval, which means that the opening of the clinic is no longer approved.

The entire private medical market presents a thriving trend. E-European Health believes that this and the state encourages the social medical policy process to accelerate, the continuous injection of capital and the doctor's multi-point practice and other factors are inseparable.

First of all, what is private medical care? Private medical refers to medical institutions other than state-owned and collectively owned, including hospitals, clinics, health centers, etc., which are an important part of the medical system. In recent years, as some public hospitals have been heavily in debt during the frenzied expansion process, and the development of private medical care has become more and more popular, the state has begun to exert its efforts from the top level to lift the “shackles” that bind the society to run medical treatment. As a result, not only private hospitals and clinics in private medical care have been vigorously developed, but also many emerging medical formats have emerged, including “doctoral groups” formed by doctors alone, and “third-party independent medical care” that is independent from hospitals. "Institutions", as well as "Internet hospitals" based on new technologies such as the Internet. The emergence of these new formats has fully exerted the "squid effect", which has improved the entire medical ecology.

Private medical originated in the 1980s. The Third Plenary Session of the 11th Central Committee established the economic development route of "public ownership as the main body and developing various economic components", which provided a political basis for the social medical policy.

By 1990, private medical institutions began to be formally legalized. During this period, there were three phenomena: the first was that the reform of state-owned enterprises was carried out in large areas, the economy was active, and the sea became fashionable; the second was the establishment of the Shenzhen Stock Exchange and the Shanghai Stock Exchange, and the stocks were reborn, which accelerated the flow of capital; Putian people on behalf of street doctors also became department contractors during this period, which laid the foundation for the development of Putian Hospital.

After 2000, private medical care began to develop. Taking private hospitals as an example, according to the statistics of the Health and Family Planning Commission, it was developed in 2005. After experiencing market elimination and new births, the number of private hospitals nationwide reached 3,320.

However, the real spout-type outbreak is the deepening of national policies after 2013. The starting point is August 2013. Premier Li Keqiang presided over the State Council meeting, researched and deployed to promote the development of the health service industry, proposed to relax market access, and encouraged social capital and overseas capital to invest in the health service industry in various forms according to laws and regulations.

1. About the social medical policy

In 2015, the State Council’s General Office “Several Policy Measures for Accelerating the Development of Social Medicines” (hereinafter referred to as “Measures for 2015”) put forward the principle of “not impeding the right to enter” and incorporate social medical treatment into relevant plans, according to a certain proportion. Reserving resource allocation space for beds and large equipment for social medical practitioners, and canceling the specific number and location restrictions for social medical institutions under the premise of meeting the planned total amount and structure.

In the "Measures" in 2015, it was mentioned that "supporting social forces" organized non-profit medical institutions through special needs management, public construction and private office assistance, and did not prohibit social capital from cooperating with public medical institutions to organize for-profit institutions.

In 2017, the General Office of the State Council issued the "Opinions on Supporting Social Forces to Provide Multi-level Diversified Medical Services" (hereinafter referred to as the "Opinions" in 2017), and proposed to expand multi-level medical services, covering seven major areas: general medical services. , professional services, Chinese medicine services, cutting-edge medical services, personalized medical services, multi-format integration services, health service industry clusters.

At the same time, public hospitals and social medical institutions are encouraged to establish agreements and cooperation in talents, management, services, technology, brands, etc., and support social forces to manage multi-level and diversified medical services.

In December 2017, the first "Basic Health and Health Promotion Law (Draft)" (hereinafter referred to as the "Draft") was first reviewed by the 12th National People's Congress Standing Committee, the "Draft" and the 2015 "Measures" and 2017 " The Opinions are slightly different. It is proposed that medical and health institutions should be led by public medical and health institutions, and government offices and medical and health institutions should not cooperate with social capital to organize for-profit institutions. Public hospitals are not allowed to build debts, and public hospitals must be strictly controlled.

2. Policy on talent

In 2015, the Measures accelerated the promotion and standardization of doctors' practice, encouraged and regulated the flow of doctors between different types and levels of medical institutions, and encouraged physicians to go to grassroots, remote mountainous areas, scarce medical resources and other medical institutions in need. More practice, medical staff in academic status, job title promotion, vocational skills identification, professional skills and vocational skills training, etc. are not affected by more practice.

The 2017 Opinions also explicitly mentioned the need to strengthen human resources protection. Reform the practice registration method for physicians, and fully implement the regional registration of doctors' practice. Individual physicians can be practised in various institutions based on contracts (agreements) to promote the orderly flow of doctors and practice more.

3. About access and approval

In 2015, the "Measures" proposed to comprehensively clean up and cancel unreasonable pre-approval matters, further clarify and shorten the time limit for examination and approval, and further relax the access: clean up and standardize the establishment of medical institutions; publicize regional medical resources planning; reduce operational approval limits; The scale of public hospitals regulates the reform of public hospitals. In terms of approval, the level of social medical institutions and the size of beds should not be used as the necessary preconditions for determining the allocation of large-scale equipment, and the indicators such as the qualifications of personnel and technical service capabilities should be evaluated.

In 2016, the "Healthy China 2030" Planning Outline issued by the State Council proposed to break the unreasonable restrictions and hidden barriers of social forces entering the medical field.

The 2017 "Opinions" shall not be restricted by any reason if it meets the planning conditions and the qualifications for admission. The allocation of large-scale medical equipment to social medical institutions can reasonably relax the reserved space for planning. Individual clinic settings are not subject to planning layout restrictions. When approving the setting up of medical institutions such as specialist hospitals, the audit will focus on personnel qualification and technical service capabilities, and dynamically adjust relevant standards and norms on the premise of ensuring medical quality and safety. Simplify the optimization and approval service, actively promote one-stop acceptance, window service, parallel approval, and promote online approval.

It is these policies that are constantly improving, and social capital can be continuously injected into the medical field to help the development of private medical institutions. First of all, all types of hospitals are listed, the comprehensive categories are: Phoenix Medical, Honghe Renai, Kanghua, specialties such as Aier, Corning, Hemei, Tongce, New Century and so on. Secondly, in terms of quantity, the number of private medical institutions has been exploding, and the number of private hospitals above can already explain the problem. Finally, the development trend of medical grouping is becoming more and more obvious and growing. According to the health check-up, the number of beds including China Resources Phoenix, Peking University Medical, Shanxi Merchants Union, New Mile Hospital Group, Fosun Pharma, and Far East Medical has exceeded 10,000. In the clinic, chaining is also a major feature of current development, and this trend will become more apparent in the future.

On the one hand, private medical institutions have been greatly developed in these years, but on the other hand, we have to admit that there are many problems in the development of private medical institutions. In the private hospitals, first of all, since the "Weize Zexi incident", private hospitals have been pushed to the forefront, the public's trust in the degree of trust has fallen sharply, the number of passengers has been greatly affected, and the increasing number of private hospitals No patients can only be eliminated. Secondly, from the brand point of view, although the number of private hospitals is large, most of them are small. Compared with public hospitals, the word-of-mouth is much worse. Finally, in competition, if not, If public hospitals engage in dislocation competition, private hospitals tend to be better than public hospitals. In the doctor group, the doctor group, as an emerging form of business, also faces many problems, including: insufficient social security after doctors join the doctors' group; the career development path of doctors' group training and promotion is not clear enough; medical insurance policy does not support, etc. Wait.

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