三级aa视频在线观看-三级国产-三级国产精品一区二区-三级国产三级在线-三级国产在线

USEUROPEAFRICAASIA 中文雙語Fran?ais
China
Home / China / China

Private hospitals need help

By Li Yang in Shanghai | China Daily USA | Updated: 2014-05-23 11:52

 Private hospitals need help

A scene at the Shanghai No 6 People's Hospital. Gao Erqiang / China Daily

Providing 10 percent of nation's beds, treating 43 percent of agencies

Although the Chinese government vows to make private hospitals competent medical providers, they remain weak compared with the public ones.

In Shanghai, there were 170 public and 147 private hospitals by the end of 2012. Clinics in villages, towns and counties are mostly state operated. Only in the field of small specialist out-patient clinics, do private clinics outnumber their public counterparts - 1,458 to 391, according to the Shanghai municipal government.

Private hospitals and clinics only account for 10 percent of the national total of sickbeds, although they treat 43 percent of the national medical agencies. But there is still a long way to go for private hospitals to become competent competitors with the public ones and win people's recognition.

Diagnosis and treatment costs are much cheaper at the crowded public hospitals than private hospitals, while medicines are more expensive. The doctors and nurses are markedly underpaid, because of government control. They have no choice but to prescribe certain medicines for kickbacks, and taking small amounts of gift money from patients.

China's reform of its medical system needs to not only fix the distorted medicine sales system, which fattens middlemen, but also to promote the healthy growth of private hospitals to compete with the public hospitals.

But there are obstacles to overcome to help private hospitals.

The planned economy instilled an entrenched concept in people's minds, including officials of public health administrations, that state-run hospitals provide the best medical care, and are the place for most to depart from the world.

Commercial medical insurance is less developed because people overwhelmingly rely on the government medical-insurance system, which integrates well with the national public hospitals.

Restrictions on the free flow of human talent also hinder the growth of private hospitals. Most good doctors work at public hospitals. The medical authority's symbolic permission of allowing doctors to work for different hospitals does not make a difference because the rule is that doctors must obtain the approval of their first employer before going elsewhere.

It is much easier for doctors to apply for higher professional ranks and become medical administration officials in public hospitals, which have close relations with medical authorities at various levels, than in private hospitals.

The government needs to remove policy controls on the non-profit private medical agencies, investment in and financing of private hospitals, and ease their tax burdens.

Current rules stipulate that investors do not own the organizations they invest in if the organizations are registered as non-profit in the civil affair departments.

The non-profit medical agencies are collectively owned by their working staff, but not the investors. The ownership issue explains why most private medical agencies are non-profit in China.

The government sets the minimum investment threshold for joint-venture hospitals at 20 million yuan ($3.28 million). That high minimum requirement means the government only encourages big foreign investors to set up large hospitals in China. But the country needs private hospitals of various sizes to meet the demands from villages to megacities.

The China (Shanghai) Pilot Free Trade Zone, a national-level showcase initiative to explore new policies in finance, trade, service sectors and governance, maintains the 20 million yuan requirement in its new supportive policies.

Application and registration procedures of setting up a private hospital differ from place to place in certain medical fields, and are very complicated. There are strict software and hardware requirements for private hospitals.

Although the government says that public and private hospitals are equal in terms of medical -care technology, some key technology can only be used in hospitals of certain rank.

There is not yet a rank-evaluation system for private hospitals in many places, making the technological equality in official's discourses only exist on paper.

Private hospitals, regarded by the government as partially public-interest organizations, cannot be mortgaged to raise funds. The tax for private hospitals is much heavier than public counterparts, and it is much more expensive for private hospitals to buy medical equipment from abroad.

The central government sends out clear signals that local governments should encourage the development of private hospitals and foreign investment in the field. But some key supportive files of the central authority are vaguely worded and do not set a deadline for changes.

The State Council issued a file as early as 2010 to "gradually abolish the restrictions on foreign capital's equity share to promote the development of private hospitals". But the spirit of that effort has not yielded the desired results.

Such files of principles and directions leave considerable room for local authorities to compromise the implementation, or slight over their responsibilities as grassroots reformers.

Last month, the State Council gave private hospitals the authority to set prices for their diagnosis and treatment, which had been controlled by the government.

This is another good beginning to improve private hospitals' competitiveness. They can pay the doctors more, and save the patients more money from expensive drugs.

But analysts still hold a wait-and-see attitude toward how local governments will put this decision-making authority into practice.

To translate the central government's support into the healthy expansion of private hospitals, there should be coordinated efforts by authorities in various sectors to simplify procedures for setting up private hospitals.

liyangi@chinadaily.com.cn

 

Editor's picks
Copyright 1995 - . All rights reserved. The content (including but not limited to text, photo, multimedia information, etc) published in this site belongs to China Daily Information Co (CDIC). Without written authorization from CDIC, such content shall not be republished or used in any form. Note: Browsers with 1024*768 or higher resolution are suggested for this site.
License for publishing multimedia online 0108263

Registration Number: 130349
FOLLOW US
主站蜘蛛池模板: 中文国产成人精品久久久 | 国产高清大尺度一区二区不卡 | 成人夜视频 | 欧洲精品码一区二区三区免费看 | 手机看片福利日韩 | 在线观看日本三级 | 国产精品日韩 | 国产伦理一区二区三区 | 国产精品永久在线 | 日本一级毛片不卡免费 | 亚洲视频免费在线 | 免费亚洲一区 | 欧美丝足 | 狠狠色综合久久丁香婷婷 | 欧美三级在线免费观看 | 制服丝袜自拍偷拍 | 7788成年网站免费观看 | 一级做a爰视频免费观看2019 | 在线亚洲精品防屏蔽 | 国产黄色一级 | 国产免费破外女真实出血视频 | 青青热久免费精品视频在线观看 | 黄色一级毛片在线观看 | 一级毛片看真人在线视频 | 在线视频观看国产 | 18岁禁免费网站 | 色国产精品 | 欧美特黄a级高清免费看片 欧美特黄a级猛片a级 | 日本高清免费中文字幕不卡 | 一级黄色在线观看 | 国产午夜亚洲精品第一区 | 成人免费的性色视频 | 国产欧美亚洲精品第一区 | 国产夜色福利院在线观看免费 | 日韩精品特黄毛片免费看 | 亚洲午夜精品专区国产 | 日韩一级二级三级 | 一级女性黄 色生活片 | 日韩中文字幕在线观看视频 | 国产精品久久久久久久福利院 | 欧美 日韩 中字 国产 |