The hospital landscape will reshuffle the role of large hospitals being forced back into the role of medical centers

China's hospital landscape will usher in a reshuffle? In an interview with the Beijing News, the head of the Beijing Municipal Health planning commission said there would be a reshuffle in hospitals in the future. So what great changes are taking place in China's hospital landscape? "Look at the medical profession" brings you an exclusive inventory.hospitals will be forced back into the role of medical centers
It is well known that China's large public hospitals do everything from colds and minor operations to critical illnesses.
but what exactly should level three hospitals do? In fact, the original positioning is very clear, that is, critical illness, scientific research and teaching.
But the reality will be the big hospital forced on Liangshan, even hungry, beds are getting bigger and bigger, the surgery level is getting lower and lower, and even known as large township hospitals, will be the primary medical personnel and disease sources siphoned away.
, where will the big public hospitals go, driven by the reform of graded care?
to Ying, now there are too many level three hospitals, secondary hospitals are not enough. Our medical system should be a pyramid structure of primary (level 1 hospital), clinical (level 2 hospital), medical center (level 3 hospital).
, there will be a large number of three-level hospitals to return to medicine, teaching, research, prevention and integration of the medical center positioning. However, since there is a surplus of third-level hospitals, some so-called third-level hospitals, which have no speciality in scientific research and teaching and critical care, may be expelled from the medical center and returned to the purely clinical nature. In fact, it's about being demoted!a large number of urban secondary hospitals face restructuring or transformation!
secondary hospitals are facing an existential crisis? In fact, it's about some of the sandwich level secondary hospitals in the cities above the ground level.
To Sanming City, Fujian, for example, according to the "see the medical community" understand that Sanming City X Hospital as a second-level hospital can be described as a miserable home, want money no money, want patients without patients, doctors income and county-level hospitals are far from. Patients either go directly to a triple-A hospital like Sanming City First Hospital, or go to a county hospital that the government strongly supports, who will go to such a sandwich hospital?
More exaggerated, according to the spirit of Sanming medical reform, the cancellation of registration fees, change the fee, directly mentioned the chief physician 48 yuan, deputy director of the doctor 38 yuan, the attending doctor 28 yuan, the level of 18 yuan of residents, a Sanming City X Hospital deputy director of the doctor complained that the diagnosis fee is so high, the same deputy director of the doctor fee is only one or two dollars less than the first hospital in Sanming City, patients do not come!
this situation only three clear unique? With the promotion of drug zero-plus reform, the whole country will set off the cancellation of registration fees to increase fees and other technical labor charges, when large and medium-sized secondary hospitals will be greatly increased to the unified level of large hospitals, patients will come?
and of course the drug sinks. In the words of Han Xiaofang, director of the Beijing Municipal Medical Reform Office, the grass-roots level is adequately equipped with medicine, large hospital outpatient clinics can be directly less than nearly one-third. With the promotion of graded diagnosis and treatment, the primary drug use situation will be greatly improved, when chronically ill patients in the third-level hospital diagnosis and treatment, in the community on it, who will go to the middle of the secondary hospital?
the director of a second-level hospital in Shanghai said that there should be a sense of crisis, it is likely that the second-level hospital no longer need so many physicians.
a director of a second-tier hospital in Shanghai in an interview with Tencent Finance is more straight-forward, now can only survive, said that the graded treatment will be the second-level medical institutions to the dead road.
the way forward for hospitals like Sanming X Hospital? At present, many of these sandwich hospitals, is ushering in a wave of restructuring.
To Guiyang Six Hospital, for example, is a government-run second-class public hospital, in a big city like Guiyang, you can say that there is no development prospects, before being sold to listed company Longma information, has been six consecutive years of losses, a loss of 5 million a year! What to do? Sell! To the social capital, inject funds to upgrade the hospital hardware and software.
, the addition of "ammunition" Guiyang six hospital on the whole department to dig three hospital doctors, patients of the incident. Visible, the institutional mechanism changed, "sick cat" seconds to become a tiger.
, however, not all local leaders are willing to sell their "pro-sons" but have no money to invest, so what should be done? Another way is through transformation.
According to the "medical circles" learned that from the state to the local government, in fact, in recent years has been encouraging the transformation of urban secondary hospitals to do rehabilitation and old-age care, but because rehabilitation in the existing medical service price system does not make money, less than a knife rack to the neck, the deans are difficult to make up their minds.
but some of the second-tier hospitals that know the time have moved to find a way out. Take Yangpu District Hospital for the Elderly in Shanghai as an example, formerly a comprehensive secondary hospital, and then because of operational suffering, seeking transformation and rehabilitation hospital, has now successfully changed its name to Shanghai's first rehabilitation hospital. Its rehabilitation characteristics are becoming more and more popular in Shanghai, which has scarce rehabilitation resources.
, according to Fang Toying, in 2016 there were six secondary hospitals in Beijing turned to rehabilitation hospitals. It can be seen that whether active or passive, a number of secondary hospitals in large and medium-sized cities transformation and rehabilitation hospitals has been the general trend. social doctors will take back half of the medical market!
We all know that the total number of social hospitals in China exceeded that of public hospitals in 2015, but we all know that about 90% of China's medical market share is still in the hands of public hospitals, whether it is the number of beds or the number of patients, or the number of doctors, public hospitals are still in an absolute monopoly position.
but will this pattern be broken in the future? In this regard, the industry said that social hospitals occupy half of China's medical market is sooner or later, and is accelerating the arrival.
first of all, under the new economic normal, the medical and health industry has been placed on the important pillar industry of the national economy, is being supported by the focus, a large number of capital in the policy continued to encourage the medical field.
second, in the context of the national liberation of doctors, encourage doctors to work part-time business, doctors practice more, free practice, and even doctors to run a doctor is coming!
According to the medical community from the two consecutive "Chinese doctor group training camp" was informed that many third-level hospital director-level doctors, is co-founding a doctor group, and actively prepare for the construction of hospitals, chain clinics and so on.
, coupled with the leading demonstration effects of some leading doctors, doctors in the medical profession are increasingly starting to get their hearts started and are taking action.
when the enthusiasm of doctors is mobilized, a large number of doctors' groups and doctors' hospitals may sweep the medical profession, and their potential is not compared with the strength of traditional society. Don't say to the Putian system, for a large number of public hospitals will cause no small impact!
this, the above-mentioned industry insiders said that the main force of China's health care reform- doctors, with the help of social capital, will be China's existing medical market pattern subverted. (See the medical profession)