The problem of favorable policies highlights how to "break the board" for the stable development of private hospitals"


Release time:

2018-12-13

In recent years, social medical service has become the highlight and key point of China's medical and health reform. Private hospitals, as an important part of the society, have been developing continuously and rapidly. According to data released by the National Health Commission, as of the end of September 2018, there were 32000 hospitals in my country, including 12109 public hospitals and 20011 private hospitals, 7902 more than public hospitals. The total number of private hospitals increased by 1252 compared with 2017 and 3579 compared with 2016, showing a "blowout" growth trend.

However, corresponding to the rapid development of private hospitals, in recent years, problems such as non-standard operation of private medical service market and damage to consumers' rights and interests have been repeatedly exposed, and cases of doctor-patient disputes and consumer complaints are on the rise. Repeatedly placed on the "cusp" of private hospitals, how to "break the game" in order to continue to move forward steadily? Around this topic, People's Health recently launched an interview research.

  Favorable policy issues highlight the growth of private hospitals "pain"

With the vigorous implementation of the new medical reform policy, China's diversified medical system has developed rapidly in recent years. While the policy is liberalized, it also provides more opportunities for social capital to enter the medical service industry.

In January 2017, the State Council issued the 13th five year plan for health and health, proposing to relax the service requirements for social forces to run medical institutions and support social forces to participate in health services in various forms; in May of the same year, the State Council issued the opinions on supporting social forces to provide multi-level and diversified medical services, It is proposed to create a large number of social medical structures with strong service competitiveness by 2020, and gradually form a new pattern of multi-level and diversified medical services; in June 2018, the National Health Commission issued the "Notice on Further Reforming and Improving the Examination and Approval of Medical Institutions and Physicians", proposing to deepen the reform of "decentralization, management and service", and the establishment of approval and practice registration in medical institutions at the second level and below ".

The promulgation and implementation of a series of policies have released many positive signals for social capital, and the lowering of entry barriers has prompted more private hospitals to spring up like bamboo shoots after a spring rain. But at the same time, there are also some "black-hearted" private hospitals that see opportunities to "make money", abandon professional ethics, ignore medical integrity, and repeatedly extend "black hands" to patients who sincerely seek medical treatment ".

According to media reports, Mr. Liang went to a private hospital to diagnose and treat andrology problems. During the operation, the doctor added more items and even opened the mobile phone payment page on the spot to allow patients to transfer money through WeChat ...... Another example is that Kangya Hospital in Yiyang, Hunan is suspected of over-advertising; Eurasia Hospital in Zunyi defrauds patients of high fees; two private hospitals in Shenyang defrauded huge medical insurance funds by hiring "patients" false hospitalization "and forging medical records, with the rapid growth of private hospitals, more and more negative news has been exposed.

Hospital insurance fraud, false propaganda, high fees, shocking cases occur frequently, so that many patients have a "crisis of trust" in private hospitals, and at the same time, it also makes those private hospitals that adhere to standardized operation "shame", and even face the challenge of survival.

 The development of private hospitals with mixed talents and services needs to make up for "short boards"

Throughout the more than 20 years of open access to private hospitals, as a product of the market economy, it can optimize the allocation of medical resources and promote healthy competition in the market. It not only plays an important role in meeting the medical needs of the public, but also forms a powerful supplement to public medical institutions. So what is the reason for so many "chaos" in private hospitals?

"Although the number of private hospitals has increased, the rate of increase in beds, service volume, surgery, and income has not kept up, and there is a lack of leading talents." Regarding this phenomenon, Li Dinggang, executive director of Beijing Ludaopei Hematology Hospital, said that my country's private hospitals still have mixed medical quality and medical technology capabilities, especially Junior College service capabilities. Compared with public hospitals, there is still a lot of room for improvement.

According to the "Blue Book of Private Hospitals: Report on the Development of Private Hospitals in China (2017)" published by Social Literature Publishing House, the total number of medical staff in public hospitals in 2016 was 5.3395 million, while the total number of medical staff in private hospitals during the same period was 1.2026 million, accounting for only 22.52 percent of public hospitals. Medical staff do not have an advantage in the total.

However, the National Medical Service from January to September 2018 issued by the National Health Commission pointed out that from January to September 2018, the total number of visits in hospitals nationwide reached 2.63 billion, including 2.24 billion visits in public hospitals and 0.38 billion visits in private hospitals (accounting for 14.4 of the total number of visits); in 2017, the number of visits in public hospitals was 2.95 billion, while that in private hospitals was 0.49 billion (accounting for 14.2 of the total number of visits). It can be seen that although the number of private hospitals has exceeded that of public hospitals, there is still a big gap between their reception capacity and public hospitals.

In addition, what does not match the high fee policy adopted by private hospitals is the service level of some private hospitals. A patient who had suffered high fees in a private hospital told people's health about his experience. He said that there is a private hospital near his home. One day he went to the hospital for treatment because of abdominal discomfort. As a result, the cost of various examinations added up to several thousand yuan, not to mention the nurse's service attitude. Not only love to take ignore, but also almost reprimand tone.

Lin Shunchao, a representative of the National People's Congress and an honorary professor of ophthalmology at the Chinese University of Hong Kong, pointed out that it is necessary to encourage the development of truly powerful private hospitals, especially in terms of high-quality doctor resources. The medical service capabilities of public hospitals and private hospitals should be roughly equivalent to achieve a balance. Patients will have more choices.

In the view of Wang Zhili, president of Beijing Chaoyang Diabetes Hospital, the development of private hospitals has to go through a process. The first is the process of becoming more and more standardized and professional; the second is the process of people's cognition; the third is the adjustment process of the management of the competent department. In addition, if private hospitals want to develop healthily and sustainably, they must have integrity, meet the expectations of patients, and work hard to improve the quality of medical care.

 Supervision to increase the development of private hospitals also need "their own hard"

"After the non-standard behavior of private hospitals is exposed, it is hoped that it can be effectively curbed." When talking about their views on the chaos in private hospitals, some netizens said that they called on relevant functional departments to strengthen effective supervision and prevent these medical behaviors that harm patients from continuing to occur.

In view of the fact that China's private hospitals as a whole are in a small-scale, low-level, many but not strong stage of development, He Xiang, deputy director of the Comprehensive Supervision Bureau of the National Health Commission, pointed out that as a government regulatory department, the key task in the near future is to conscientiously implement the guiding opinions of the General Office of the State Council on reforming and improving the comprehensive supervision system of the medical and health industry. It is necessary to strengthen diversified subject responsibilities and actively promote the construction of a comprehensive supervision system of institutional autonomy, industry self-discipline, government supervision, and social supervision. All aspects of subject responsibilities must be implemented. In particular, it is necessary to give full play to the self-discipline role of industry associations, strengthen the organizers of medical institutions to implement the main responsibility of practicing according to law and operating in good faith, and keep the bottom line. It is also necessary to further improve the social supervision system, improve the work of complaints and reports, and invite all sectors of society to participate in supervision. Only in this way can we build a social co-governance pattern, and social medical services can form a healthy and sustainable development trend.

At the local level, since the beginning of this year, local health and family planning commissions have carried out a number of special rectification actions against medical fraud. Hebei, Shanghai, Chongqing, Shandong and other provinces and cities have introduced the corresponding regulatory measures. For example, Shandong Province issued the "Shandong Province Medical Institutions Bad Practice Scoring Management Measures" to quantitatively manage the practice of medical institutions in various jurisdictions and standardize the practice of medical institutions; Chongqing issued the "Chongqing City Implementation Plan for Improving the Modern Hospital Management System", Emphasize the focus on strengthening the supervision of medical quality and safety, medical expenses, large prescriptions, fraudulent insurance, drug and consumable rebates in hospitals at all levels and types.

With the continuous increase of national supervision, some private hospitals with strong scale and strength are gradually moving towards legalization and standardized operation. After all, "iron still needs its own hard work".

Hao Deming, executive vice president and secretary-general of the China Association of Non-Public Medical Institutions, said that as an industry association, it is necessary to do a good job in industry self-discipline under the leadership of the government to further promote the healthy development of social medical standards. He suggested that government supervision, institutional autonomy, industry self-discipline and social supervision mechanisms in the field of non-public medical and health care should be established as soon as possible to further standardize medical services and practice, ensure medical quality and safety, and better protect people's lives and health.

A person in charge of a private hospital believes that it is far from enough to rely on the government to strengthen supervision. Private hospitals should also work hard on themselves, pay attention to talent training, gradually form a talent echelon, improve rules and regulations, strengthen management, and formulate effective medical care. Quality control and continuous improvement work plan, improve the quality control system, implement the core system of medical quality and medical safety. Only by standardizing the business behavior can it be used as an effective supplement to public hospitals and gradually be welcomed by everyone.

"High-end private hospitals charge high fees, but for the money, you can enjoy the corresponding high-quality services. In addition, private hospitals have much fewer people than public hospitals, and there is no need to queue up for the corresponding procedures, which reduces a lot of hassle." A mother who chose to give birth in a well-known private maternity hospital suggested that we should encourage the development of powerful private hospitals and let market competition eliminate those unscrupulous "black heart hospitals".

Wang Shibin, chairman of Shandong municipal hospital holding group, pointed out that in order to achieve sustained and healthy development, private hospitals should abide by the law of running medical treatment, adhere to the patient as the center, think about the interests of patients, abide by relevant laws and regulations, do things in a down-to-earth manner, and make it convenient for patients to see a doctor and have a good experience. Only in this way can we win the trust of patients and win hope and opportunities for the development of the hospital. In recent years, social medical service has become the highlight and key point of China's medical and health reform. Private hospitals, as an important part of social medical services, have been developing continuously and rapidly. According to data released by the National Health Commission, as of the end of September 2018, there were 32000 hospitals in my country, including 12109 public hospitals and 20011 private hospitals, 7902 more than public hospitals. The total number of private hospitals increased by 1252 compared with 2017 and 3579 compared with 2016, showing a "blowout" growth trend.

However, corresponding to the rapid development of private hospitals, in recent years, problems such as non-standard operation of private medical service market and damage to consumers' rights and interests have been repeatedly exposed, and cases of doctor-patient disputes and consumer complaints are on the rise. Repeatedly placed on the "cusp" of private hospitals, how to "break the game" in order to continue to move forward steadily? Around this topic, People's Health recently launched an interview research.

  Favorable policy issues highlight the growth of private hospitals "pain"

With the vigorous implementation of the new medical reform policy, China's diversified medical system has developed rapidly in recent years. While the policy is liberalized, it also provides more opportunities for social capital to enter the medical service industry.

In January 2017, the State Council issued the 13th five year plan for health and health, proposing to relax the service requirements for social forces to run medical institutions and support social forces to participate in health services in various forms; in May of the same year, the State Council issued the opinions on supporting social forces to provide multi-level and diversified medical services, It is proposed to create a large number of social medical structures with strong service competitiveness by 2020, and gradually form a new pattern of multi-level and diversified medical services; in June 2018, the National Health Commission issued the "Notice on Further Reforming and Improving the Examination and Approval of Medical Institutions and Physicians", proposing to deepen the reform of "decentralization, management and service", and the establishment of approval and practice registration in medical institutions at the second level and below ".

The promulgation and implementation of a series of policies have released many positive signals for social capital, and the lowering of entry barriers has prompted more private hospitals to spring up like bamboo shoots after a spring rain. But at the same time, there are also some "black-hearted" private hospitals that see opportunities to "make money", abandon professional ethics, ignore medical integrity, and repeatedly extend "black hands" to patients who sincerely seek medical treatment ".

According to media reports, Mr. Liang went to a private hospital to diagnose and treat andrology problems. During the operation, the doctor added more items and even opened the mobile phone payment page on the spot to allow patients to transfer money through WeChat ...... Another example is that Kangya Hospital in Yiyang, Hunan is suspected of over-advertising; Eurasia Hospital in Zunyi defrauds patients of high fees; two private hospitals in Shenyang defrauded huge medical insurance funds by hiring "patients" false hospitalization "and forging medical records, with the rapid growth of private hospitals, more and more negative news has been exposed.

Hospital insurance fraud, false propaganda, high fees, shocking cases occur frequently, so that many patients have a "crisis of trust" in private hospitals, and at the same time, it also makes those private hospitals that adhere to standardized operation "shame", and even face the challenge of survival.

 The development of private hospitals with mixed talents and services needs to make up for "short boards"

Throughout the more than 20 years of open access to private hospitals, as a product of the market economy, it can optimize the allocation of medical resources and promote healthy competition in the market. It not only plays an important role in meeting the medical needs of the public, but also forms a powerful supplement to public medical institutions. So what is the reason for so many "chaos" in private hospitals?

"Although the number of private hospitals has increased, the rate of increase in beds, service volume, surgery, and income has not kept up, and there is a lack of leading talents." Regarding this phenomenon, Li Dinggang, executive director of Beijing Ludaopei Hematology Hospital, said that my country's private hospitals still have mixed medical quality and medical technology capabilities, especially Junior College service capabilities. Compared with public hospitals, there is still a lot of room for improvement.

According to the "Blue Book of Private Hospitals: Report on the Development of Private Hospitals in China (2017)" published by Social Literature Publishing House, the total number of medical staff in public hospitals in 2016 was 5.3395 million, while the total number of medical staff in private hospitals during the same period was 1.2026 million, accounting for only 22.52 percent of public hospitals. Medical staff do not have an advantage in the total.

However, the National Medical Service from January to September 2018 issued by the National Health Commission pointed out that from January to September 2018, the total number of visits in hospitals nationwide reached 2.63 billion, including 2.24 billion visits in public hospitals and 0.38 billion visits in private hospitals (accounting for 14.4 of the total number of visits); in 2017, the number of visits in public hospitals was 2.95 billion, while that in private hospitals was 0.49 billion (accounting for 14.2 of the total number of visits). It can be seen that although the number of private hospitals has exceeded that of public hospitals, there is still a big gap between their reception capacity and public hospitals.

In addition, what does not match the high fee policy adopted by private hospitals is the service level of some private hospitals. A patient who had suffered high fees in a private hospital told people's health about his experience. He said that there is a private hospital near his home. One day he went to the hospital for treatment because of abdominal discomfort. As a result, the cost of various examinations added up to several thousand yuan, not to mention the nurse's service attitude. Not only love to take ignore, but also almost reprimand tone.

Lin Shunchao, a representative of the National People's Congress and an honorary professor of ophthalmology at the Chinese University of Hong Kong, pointed out that it is necessary to encourage the development of truly powerful private hospitals, especially in terms of high-quality doctor resources. The medical service capabilities of public hospitals and private hospitals should be roughly equivalent to achieve a balance. Patients will have more choices.

In the view of Wang Zhili, president of Beijing Chaoyang Diabetes Hospital, the development of private hospitals has to go through a process. The first is the process of becoming more and more standardized and professional; the second is the process of people's cognition; the third is the adjustment process of the management of the competent department. In addition, if private hospitals want to develop healthily and sustainably, they must have integrity, meet the expectations of patients, and work hard to improve the quality of medical care.

 Supervision to increase the development of private hospitals also need "their own hard"

"After the non-standard behavior of private hospitals is exposed, it is hoped that it can be effectively curbed." When talking about their views on the chaos in private hospitals, some netizens said that they called on relevant functional departments to strengthen effective supervision and prevent these medical behaviors that harm patients from continuing to occur.

In view of the fact that China's private hospitals as a whole are in a small-scale, low-level, many but not strong stage of development, He Xiang, deputy director of the Comprehensive Supervision Bureau of the National Health Commission, pointed out that as a government regulatory department, the key task in the near future is to conscientiously implement the guiding opinions of the General Office of the State Council on reforming and improving the comprehensive supervision system of the medical and health industry. It is necessary to strengthen diversified subject responsibilities and actively promote the construction of a comprehensive supervision system of institutional autonomy, industry self-discipline, government supervision, and social supervision. All aspects of subject responsibilities must be implemented. In particular, it is necessary to give full play to the self-discipline role of industry associations, strengthen the organizers of medical institutions to implement the main responsibility of practicing according to law and operating in good faith, and keep the bottom line. It is also necessary to further improve the social supervision system, improve the work of complaints and reports, and invite all sectors of society to participate in supervision. Only in this way can we build a social co-governance pattern, and social medical services can form a healthy and sustainable development trend.

At the local level, since the beginning of this year, local health and family planning commissions have carried out a number of special rectification actions against medical fraud. Hebei, Shanghai, Chongqing, Shandong and other provinces and cities have introduced the corresponding regulatory measures. For example, Shandong Province issued the "Shandong Province Medical Institutions Bad Practice Scoring Management Measures" to quantitatively manage the practice of medical institutions in various jurisdictions and standardize the practice of medical institutions; Chongqing issued the "Chongqing City Implementation Plan for Improving the Modern Hospital Management System", Emphasize the focus on strengthening the supervision of medical quality and safety, medical expenses, large prescriptions, fraudulent insurance, drug and consumable rebates in hospitals at all levels and types.

With the continuous increase of national supervision, some private hospitals with strong scale and strength are gradually moving towards legalization and standardized operation. After all, "iron still needs its own hard work".

Hao Deming, executive vice president and secretary-general of the China Association of Non-Public Medical Institutions, said that as an industry association, it is necessary to do a good job in industry self-discipline under the leadership of the government to further promote the healthy development of social medical standards. He suggested that government supervision, institutional autonomy, industry self-discipline and social supervision mechanisms in the field of non-public medical and health care should be established as soon as possible to further standardize medical services and practice, ensure medical quality and safety, and better protect people's lives and health.

A person in charge of a private hospital believes that it is far from enough to rely on the government to strengthen supervision. Private hospitals should also work hard on themselves, pay attention to talent training, gradually form a talent echelon, improve rules and regulations, strengthen management, and formulate effective medical care. Quality control and continuous improvement work plan, improve the quality control system, implement the core system of medical quality and medical safety. Only by standardizing the business behavior can it be used as an effective supplement to public hospitals and gradually be welcomed by everyone.

"High-end private hospitals charge high fees, but for the money, you can enjoy the corresponding high-quality services. In addition, private hospitals have much fewer people than public hospitals, and there is no need to queue up for the corresponding procedures, which reduces a lot of hassle." A mother who chose to give birth in a well-known private maternity hospital suggested that we should encourage the development of powerful private hospitals and let market competition eliminate those unscrupulous "black heart hospitals".

Wang Shibin, chairman of Shandong municipal hospital holding group, pointed out that in order to achieve sustained and healthy development, private hospitals should abide by the law of running medical treatment, adhere to the patient as the center, think about the interests of patients, abide by relevant laws and regulations, do things in a down-to-earth manner, and make it convenient for patients to see a doctor and have a good experience. Only in this way can we win the trust of patients and win hope and opportunities for the development of the hospital.