Shanghai International Medical Center (hereinafter referred to as? Medical center? ), considered as the first international comprehensive non-public hospital promoted by the new medical reform, is also a key project of the Ministry of Health and Shanghai, focusing on the high-end medical market.
The key content of the new medical reform is reflected in the medical center, which is expected to force the reform of public hospitals.
However, Xin Xin, CEO of Shanghai International Medical Center Investment Management Co., Ltd., is not optimistic. He said, revolution? Far from success. This investment management company is the main body of medical center project investment and construction. 20% of the company's shares are state-owned and held by Shanghai International Medical Park Group Co., Ltd., and the remaining shares are equally held by eight social capital shareholders.
Compared with public hospitals, China's non-public medical institutions are not only few in number, but also weak in strength. In order to operate successfully, they need a lot of cooperation with public hospitals. In the interview, Xin constantly stressed that the development of medical centers will not have an impact on public hospitals. ? When talking about cooperation with public hospitals, we will also put more emphasis on the win-win situation brought by cooperation. ?
Weaknesses of commercial insurance
Xin Linshu prefers to use foreign-related private medical care to describe the positioning of medical centers rather than high-end medical care, but in any case, high-end medical care is considered to have a huge market to be developed. As expected, high-end medical care will be gradually industrialized as a modern service industry to meet different levels of medical needs.
It is reported that Wang Yongmao, deputy general manager of Shanghai International Medical Park, held a meeting a few days ago? The 69th National Drug Fair? The report shows that the potential market size of high-end medical care in Shanghai is about 1 1 100 million yuan, and it will be close to 165~ 185 billion yuan in 20 15 years, and it will be close to 30 billion yuan if the Yangtze River Delta and high-income people who come to Shanghai for medical treatment are included.
According to the data of Shanghai Pudong Health Development Research Institute, taking some sample hospitals as an example, the number of foreign-related medical service outpatients increased from 6,543.8+0.09 million to 586,000 in 2,065.438+0.438, an increase of more than four times, and the per capita expenses of foreign-related medical service outpatients increased from 4,875.1yuan to 4,747.06 yuan.
Xin Linshu is not sure whether this medical center will be successful in the future. At least the hospitals in operation, such as Xiamen Chang Gung Memorial Hospital, Hong Kong University Shenzhen Hospital and Beijing Yanda Hospital, are not really successful.
Unlike these hospitals, medical centers do not use medical insurance, and patients can only seek medical treatment at their own expense or use commercial medical insurance. Xin said that medical centers do not occupy public resources at all, but such risks will be greater.
Since China has established a basic medical insurance system, few individuals buy commercial insurance. The data show that at present, the proportion of medical expenses borne by commercial health insurance in China is less than 2%, while the population covered by commercial health insurance in the United States accounts for more than 60% of the total population in China, and more than 80% of families in France have health insurance plans provided by commercial insurance institutions.
In addition, for medical institutions, the use of commercial medical insurance also has the risks of long account period and high bad debt rate.
Due to the underdevelopment of commercial medical insurance and the adjustment of medical service charges, public hospitals are far more attractive to many patients than private high-end hospitals. Xin Linshu expressed the hope that through reform, patients will be diverted and waste of health resources will be reduced. ? The biggest risk of private high-end hospitals is the low price of public hospitals. ?
The difficulty of practicing more.
For private high-end hospitals, another key factor is to have enough high-quality doctor resources. In addition to full-time nurses and doctors, medical centers also need to introduce a large number of foreign resources.
These foreign resources have been well guaranteed: medical centers will be established in cooperation with the superior departments of Shanghai Jiaotong University Medical College123A Affiliated Hospital, such as hematology oncology department of Ruijin Hospital, stomatology department of Ninth Hospital, Renji urology department, gastroenterology department, etc. The above hospital departments will send their own doctors to practice here.
In addition to this exclusive departmental cooperation, the medical center is also seeking more high-quality doctors to practice here. At present, the medical center has received a good policy and has become the first recommended place for open doctors in Shanghai health system to practice more.
Multi-point practice is an important part of public hospital reform in the new medical reform, in order to promote the rational circulation of medical resources, let more patients enjoy high-quality medical resources, and let doctors maximize their own value and gain more benefits. |
However, doctors need the approval of the first medical institution to practice more. Many hospital directors are worried that this will bring impact to our hospital's scientific research, medical care and teaching, and the hospital's own resource advantages cannot be maintained.
Xin Linshu said that many doctors have been contacted, and they are all very active and have reached an intention with the medical center. I hope that the government can issue detailed implementation rules as soon as possible, so that doctors can practice more and truly implement it.
Xin said that higher legal income can make these experts focus more on scientific research and teaching in public hospitals.
Abstract: The ultimate goal of public and private hospitals is to treat patients and make profits. The two sides will strengthen cooperation and promote technical exchanges, which will deepen the development of the medical industry and bring technological innovation. If there is a good voice in the end, we hope to see it.