Public hospital reform hangs out road map social capital participation is not holding

Since February, when the State Council executive meeting discussed and adopted the principle of "guidance on reform of public Hospitals" (hereinafter referred to as "guidance"), the Ministry of Health and other five ministries officially issued the guidance on February 23.　　Thus, the "roadmap" of public hospital reform, regarded as the most important in the new reform process, is officially presented to the public. Earlier, the industry generally agreed that the success or failure of the new medical system hinges on the outcome of public hospital reform.　　Under the combination of factors such as the publication of the catalogue of essential drugs and the reorganization of assets, first the medical index successfully broke through the highest point in the middle of last November, and became the first one to regain the lost land since the decline of the market. Then the policy on the liberalization of capital threshold, but also undoubtedly for the　　　　With the formal introduction of "guidance" and the reform of the pilot work on the right track, the pharmaceutical industry in the future development trend is becoming clearer.　　Focus on the list of pilot cities, flexible direction of the programme Clear 23rd, the Ministry of Health, the State Council health Reform Leadership group office in the newly released "on the establishment of public hospital reform in the pilot cities and related work of the notice" published 16 pilot cities, including the east and the central six cities and four western cities. According to the circular, the pilot cities of each country are required to formulate a pilot scheme for the reform of public hospitals in accordance with the outstanding problems of local public hospitals, combining local working basis and environmental conditions.　　Not only can promote comprehensive reform, but also can focus on the breakthrough of individual or some key links, both at the county level (level two) above the public hospitals to carry out the pilot, can also select some representative public hospitals for the pilot. Compared with the guidelines adopted in principle at the beginning of the month, the official version includes four parts, 18, and the guiding ideology, basic principles and overall objectives of the pilot reform of public hospitals. The main elements of the nine pilot projects are: one is to improve the public hospital service system, strengthen the planning and regulation of public hospitals, optimize the structure of public hospitals, set up the coordination mechanism between public hospitals, public hospitals and primary health care institutions in rural and urban areas. Second, reform the management system of public hospitals, and clarify the responsibilities of public hospitals organized by various governments Actively explore the effective form of separate management, gradually realize the unified administration of public hospitals, the establishment of a coordinated, unified and efficient public hospital management system; Third, reform public hospital legal person governance mechanism, clear government to run the medical subject, scientific definition owner and manager responsibility right, To explore and establish the corporate governance structure of public hospitals, which takes the Council as its core, to establish the management system of the Director's qualification and selection and appointment of the public hospital, and to explore the establishment of the incentive and restraint mechanism of hospital Dean; Four is to reform the internal operating mechanism of public hospitals, improve the internal decision-making mechanism and financial accounting management system, Deepen the reform of personnel system in public hospitals, improve the distribution of incentive mechanism; Five is to reform the compensation mechanism of public hospitals, rationally adjust the price of medicine, gradually abolish the policy of drug addition, increase the government input, realize the service charge and the governmentGrants two channel compensation, perfecting the system of medical guarantee payment; Six is to strengthen the management of public hospitals, ensure medical safety, improve the quality of medical service and improve hospital services; Seven is to reform public hospital supervision mechanism, strengthen public hospital Medical Service safety quality supervision and economic operation Supervision, give full play to the public hospital supervision role of all parties in society　　Eight is to establish a standardized training system for residents to carry out standardized training of residents; Nine is to accelerate the diversification of the medical pattern, encourage, support and guide social capital to develop medical and health undertakings, encourage social forces to hold non-profit hospitals. Du Lexiong, a professor of the School of Public Health at Harbin Medical University, told the Economic reference journal although the public hospital reform in the process of reducing the price of drugs have a direct interest in the impact of content, but in fact, the guidance of every detail of the relationship between the success of the overall reform, but also worthy of concern and follow-up. Du Lexiong also pointed out that although the directive is only clear in the direction of a scope, and there is no practical binding effect, but this is to avoid the whole public hospital restructuring become too stereotyped.　　　　"Local conditions can be more flexible to apply the overall guiding spirit to health reform around the world," Du Lexiong said. Focus on the new health reform or can reshape the whole industry, medicine separate good related areas prior to the implementation of the basic drug catalogue system accelerated the merger of some small and medium-sized enterprises, integration process, but also to those entering the national Drug catalog enterprises have to rush to expand capacity to meet the imminent outbreak of market demand. At the beginning of the month, with the State Council executive meeting to discuss and principle through the "public hospital reform pilot Guidance", public hospital reform officially broken ice. Although some experts have indicated that, due to the limited scope of the pilot and some details that cannot be ignored and subject to practice, the impact of the pilot reform of public hospitals will not have a real impact on the overall pattern of the industry in the next year or two.　　But the industry generally believes that in the long run, the experience of public hospital reform pilot may gradually change the traditional layout and rules of the pharmaceutical industry. Among them, as one of the bright spots of public hospital reform of the elimination of drug addition caused by the change of the Bureau, has undoubtedly become the interests of patients and hospitals the most closely related to a link. It is not difficult to anticipate that, as pilot hospitals step away from dependence on drug revenues, they will become insensitive to drug prices. At the same time, the list of basic drugs and domestic low-cost drugs will face a lot of opportunities to increase market share, the basic drug catalogue varieties in the large hospital share of the use will be significantly improved.　　Some analysts point out that there is no rule out the possibility of accelerated expansion of the National hospital drug market during the pilot reform. On the other hand, according to the Government's compensation scheme for the reform of public hospitals, the compensation standard is based on the reasonable income and expenditure of each hospital, so there is also analysis that the hospital may be able to generate high growth in the hospital drug market in 2010 due to the increasing income base. This also means that the hospital-facing drug manufacturers, their sales income is facing increased potential,And the general medicine, the specialized medicine all has the benefit opportunity.　　In addition, if the drug is eliminated and the compensation is in place, foreign-invested enterprises have lost the price added to the hospital to bring profit advantage, its sales share of the decline will undoubtedly become obvious, this will also be conducive to domestic generics and imitation drug companies to seize the market, and this is generally good for industry enterprises. In addition to China's pharmaceutical enterprises themselves benefited, in the abolition of drug addition policy driven by many investment advisers have also expressed the optimistic about the medical service industry in the future opportunities. Since drug addition has always supported the income of our public hospitals to a large extent, the subsidy that relies on government finance to carry out this part of income gap can not completely relieve the pressure that the hospital financial system may face, so relying on medical service charges will undoubtedly become an important way to benefit the pilot hospitals,　　　　This will constitute a long-term positive for producers of medical diagnostics. Focus on the threshold of medical capital to relax, the system is still a big constraint in addition to the phasing out of drugs, to encourage social capital into the medical field, diversified medical treatment and other reform content has attracted a large number of people in the industry and investors. At present, 96% of the hospitals in our country are public hospitals, which concentrate on the highest quality medical and health resources. Some industry experts pointed out that the public hospital reform in China is facing a major challenge is how to rationalize the current management system.　　A public hospital reform pilot in the scope of the economic reference newspaper, said that although the policy of social capital into the public health care services provided a lot of support, but if the real institutions of personnel management and joint-stock enterprises, its difficulty "incomparable". The reporter learned that in some pilot areas, although the government to encourage social capital to build profitable hospitals, but also welcome them to the existing public hospitals, but for the latter, the current private capital is not holding, can only participate. But Shanghai Health Bureau Secretary Jianguang recently in the media, said in the future, Shanghai not only to encourage the holding, but also to encourage and develop the social capital holding of non-profit hospitals. The premise is, first, to ensure that there is enough basic medical care to meet the needs of the people; Du Lexiong that as more private capital enters the healthcare industry, private and specialist medical institutions will have more opportunities to grab the market by improving the level of service and hardware equipment.　　But in the current capital markets, investors still devote much of their energy to public hospitals. In addition, Du Lexiong to the economic reference newspaper, said that public hospital reform in the emphasis on "separation of medicine" at the same time to further promote the "separate management office." Although the directive has just come out, Du Lexiong says there are some breakthrough points in some of the attempts that have already begun around the world. For example, the Health Administration Department of Shenzhen has no longer directly involved in public hospitals, but through the way of entrusting management, it gradually transfers public hospitals to hospital management organizations for autonomous management. It is understood that Guangdong province recently issued the "on the acceleration of the development of private medical institutions in Guangdong province," and some enterprises and industries run public hospitals have been restructured into private hospitalsand has carried out market-oriented operation. Du Lexiong said that the ultimate goal of health reform is to ease the problem of people to see a doctor, rather than to let patients go to public hospitals. So the social capital enters the medical field, lets the patient have more choice, this is an important goal of the health reform.