Non-public medical institutions are an important and indispensable part of China's healthcare service system.
Not long ago, the National Health Commission, the National Development and Reform Commission, the National Health Insurance Board and other ten departments jointly issued the "opinions on promoting the sustained, healthy and standardized development of social medical services" (hereinafter referred to as "opinions"). Wang Hesheng, deputy director of the NHRC, pointed out at the State Council's regular policy briefing that the document would introduce 22 policy measures to support social medical operation in six areas, including increasing government support and simplifying approval services, in order to meet the people's needs for medical treatment at different levels. In order to further promote the implementation of the "Opinions" policy, and effectively promote the sustained, healthy and standardized development of social medical institutions, China Association of Non-public Medical Institutions has recently held a "study and publicity to implement the ten ministries and commissions of the State "on the promotion of the sustained, healthy and standardized development of the opinions of the social medical institutions" activities arranged for the press conference and seminar in Beijing. Hao Deming, Executive Vice President and Secretary General of China Association of Non-public Medical Institutions, said that the "Opinions" fully listened to the views of the industry associations, a number of policies and reform initiatives than in the past, more "grounded", more operational. But at the same time, Hao Deming also admitted that, how to promote the social medical from quantitative to qualitative change, is a new topic facing the industry. "Today, social hospitals accounted for 65%, but only 20% of the diagnosis and treatment volume, to let the "Opinions" as soon as possible, in order to effectively guarantee the continued healthy and standardized development of social hospitals."
Medicare is still the biggest problem for most of the social hospitals
"For most of the social medical institutions, the biggest problem encountered in the development of the basic medical insurance." Nanjing Mingji Hospital, said Ji Daxi, a social hospital located in Jiangsu, opened half a year of total **** only admitted three patients, because as long as you know that the hospital does not have health insurance, the patient will shake his head and walk away. Ji Daxi believes that the social medical institutions must be assured that the government, so that the people are satisfied, so that the hospital can be built into a brand hospital.
In fact, even if they have been included in the basic health insurance, many people still can not feel at ease in the social medical institutions. Xu Xiangying, vice president of Sanbo Brain Hospital of Capital Medical University, mentioned that more than 90% of its hospitals are full of foreign patients, but many provinces will designate public hospitals when reimbursement is made in a different place. In this regard, it is expected that the relevant departments will introduce rules as soon as possible, so that more patients can benefit.
Wang Guangfa, president of Beijing Wangfu Hospital of Integrative Medicine, also said that the relevant departments should treat different attributes of the hospital equally. Public hospitals and social hospitals are served by patients, not because of the choice of a different organization, the cost is not the same.
It is understood that the "Opinions" clearly put forward to optimize the health insurance designated pre-conditions, shorten the application waiting time. Social medical institutions can be formally operated three months after the fixed point application, fixed point assessment time limit shall not exceed three months and other specific requirements. Xiong Xianjun, director of the Medical Service Management Department of the National Health Insurance Bureau, said at the State Council's regular policy briefing that it will guide the local authorities to strictly implement the relevant policies, focusing on providing a relaxed environment for the application of social-run medical institutions to set up medical insurance. The time required for the application, expert assessment and system modification processes will be compressed to facilitate the application of social-run medical institutions for medical insurance designation. At the same time, will improve the health insurance designated management mechanism, study and improve the health insurance designated medical institutions agreement management methods and corresponding regulations, model agreement.
In a large number of social medical institutions into the designated medical insurance institutions at the same time, due to the part of the medical institutions of low level, small scale, management is not standardized, profit cash motive is strong, the medical insurance fund supervision has brought some challenges, is a fraud fraudulent "high-risk areas". Xiong Xianjun said, in the social organization to apply for medical insurance designated to provide a relaxed environment at the same time, will further strengthen the supervision of the designated medical institutions, to carry out medical insurance credit management, improve the intelligent monitoring system based on big data, the establishment of designated medical institutions agreement management of the exit mechanism, and crack down on malicious fraud fraudulent insurance behavior.
Social hospitals should be differentiated from public hospitals
Social hospitals are useful supplements to the public healthcare system, but have been facing the status quo of "different origins, different treatment". In this regard, the "Opinions" requirements, strict control of the number and size of public hospitals, for the development of social medical space; the Government of the total number of social medical area and spatial layout of the planning restrictions; social medical can be required to apply for the recognition of high-tech enterprises to enjoy the corresponding tax incentives; for the formation of the community of the health series of senior title review committee and medical institutions in the evaluation committee, a certain proportion of the social medical Industry organizations and social medical personnel. In the selection of residency training bases, medical schools and clinical teaching bases as well as to promote the clinical service capacity building, the same treatment for qualified medical institutions, and to the appropriate tilt of the social medical.
Yang Lihuai, chairman of Shenzhen Longcheng Hospital, believes that the social medical not to "grab" patients with public hospitals, but to differentiate the development of public hospitals. Wang Hesheng also emphasized in the State Council policy routine briefing, social medical to be stable and far-reaching, sustained and healthy development, first of all, to find the positioning, clear development direction. He pointed out that social medical services is a useful supplement to the public medical service system, mainly to provide non-basic medical and health services to meet the public's multi-level, diversified and differentiated health service needs. For example, with the aging of China's population, the demand for rehabilitation, nursing care and healthcare integration services will increase significantly, providing a broad space for the development of socially-run medical services; there are also great potentials for socially-run medical services in some shortage specialties, such as pediatrics, psychiatry, obstetrics and gynecology, ophthalmology, and medical aesthetics; and there are also a number of independent third-party institutions, such as medical testing, hemodialysis, and medical imaging, etc., that can be focused on the areas in which socially-run medical services can operate. There are also some independent third-party organizations, such as medical testing, hemodialysis, medical imaging, and so on, which are also the areas where socially-run medical institutions can focus. Some socially-run doctors have already established disciplinary strengths in these areas, formed a brand impact, and have been recognized by the people.
Wang Hesheng said, in general, with the growing demand for health services, the development of social medical prospects will be better and better.
Social medical sustained healthy and standardized development is inseparable from the industry self-discipline
Iron still needs its own hard, undeniably, due to the part of the bad institutions excessive medical, and even fraudulent behavior, so that the public on the loss of trust in the social medical. Therefore, if you want to go into a benign development track, in addition to the good policy "big gift", but also to strengthen the industry self-discipline and environmental purification.
Shen Jianwei, secretary-general of the Association of Non-public Medical Institutions of Hainan Province, believes that social medical institutions should be strictly self-discipline. Wu Xinchun, vice president of China Resources Medical Group, suggested that the government and associations should increase the supervision and service of social medical institutions, organize the construction of a credit system and implement the corresponding responsibilities. In the view of Qin Xunyun, president of Beijing Yao Medical Hospital, the development of social hospitals requires the whole society, multi-level, full-dimensional **** the same efforts, we should be courageous, self-reliance and self-reliance, with their respective strengths and specialties to make their due contribution.
It is understood that the Chinese Association of Non-public Medical Institutions led the launch of the first national industry credit 3A level and service capacity 5-star list of social medical institutions, launched a number of "integrity service self-discipline convention" commitment to sign the list of hospitals. Xiao Zhengquan, president of the Beijing Association of Non-public Medical Institutions, said that by playing the role of benchmarking and demonstration of excellent social medical institutions, the industry can be led to healthy and standardized development. "I hope that the media can publicize and report on the excellent social medical benchmarks and demonstrations, leading the industry to take a big step forward."
In order to provide safe and efficient medical services to the people, the "Opinions" will also support industry organizations to improve industry standards, medical quality, service capacity and other evaluations; social medical into medical services and medical quality management control and evaluation system. At the same time, the strict implementation of departmental supervision responsibility, the serious breach of trust in the main body of the implementation of the industry life ban according to law.