Another public hospital was damaged!
Hospital reforms are frequently met
Recently, the news of “all the staff of the Second Chinese Medicine Hospital of Zhanjiang City, Guangdong Province on requesting to stop the full participation of China Resources Group in the operation and management of the hospital†was transmitted on the Internet.
According to documents circulating on the Internet, this time, China Resources Group was only involved in investing in new integrated buildings. In the process of gradual participation, China Resources gradually expanded its rights and began to participate in hospital operations and management, which caused dissatisfaction among the staff of the hospital. However, the specific situation has not been judged, China Resources and Zhanjiang City Second Chinese Medicine Hospital did not make an official statement.
In fact, this is not the first public hospital to be resisted by employees during the restructuring process.
In July 2016, the First People's Hospital of Loudi, Hunan Province, planned to adopt a social capital “creating the top three†and carrying out the reform of mixed ownership, and was collectively opposed by the employees of the hospital;
In December 2016, China Resources Medical encountered employees’ doubts during the acquisition of FAW General Hospital (the fourth hospital of Jilin University, referred to as “Jida University Fourth Hospitalâ€). The staff of the Fourth Hospital of Jilin University hoped that the hospital would be merged into Jilin University instead of China Resources Medical;
In March 2017, the Second People's Hospital of Shangluo City was subjected to performance reform after being taken over by Xi'an International Medical Investment Co., Ltd., causing dissatisfaction among hospital staff and thus striking, requiring hospital leaders to explain matters such as performance reform;
In July 2017, Kangmei Pharmaceutical was resisted by hospital medical staff during the acquisition of Changling County People's Hospital and Chinese Medicine Hospital in Songyuan City, Jilin Province. Some medical personnel even went to local government agencies to discuss it;
Why is the hospital restructuring frequently met?
Some industry insiders said that due to multiple factors such as interests, history, and system, when employees acquire public (enterprise) hospitals for restructuring, employee resistance is inevitable. Their boycott is mainly due to the loss of personal economic interests, including income decline. Retirement problems and income stability, as well as the decline of personal status after the job is adjusted, therefore, in order to reduce the difficulty of acquisition, many enterprises and capital will choose to acquire specialist hospitals or county people's hospitals, Chinese medicine hospitals and other regional monopoly positions. Hospital.
Capital, enterprise
Although the acquisition process is very difficult, it still has not ruined the enthusiasm of enterprises to acquire public hospitals. Since the country has frequently issued favorable policies for social medical treatment, the capital has set off a wave of buying hospitals, according to statistics from the National Health and Family Planning Commission. According to data released by the Center, as of the end of June 2017, the number of medical and health institutions nationwide reached 989,000, including 12,566 public hospitals. Compared with the end of June 2016, public hospitals decreased by 392, while state-owned capital and pharmaceutical companies It has become the main receiver of public hospitals, such as China Resources Medical, CITIC Medical, Peking University Medical, Capital Medical Group, CITIC Industrial Investment Fund.
Why capital and enterprises are so keen on acquiring public hospitals, in the view of Zhu Hengpeng, director of the Public Policy Research Center of the Institute of Economics of the Chinese Academy of Social Sciences, it is much easier for social capital to acquire hospitals than to build new hospitals, because mergers and acquisitions can directly obtain hospital licenses. , medical insurance fixed-point qualifications, doctor team, stable source of resources and other resources. Or it will form a market dominated by private hospitals and supply of competitive medical services, and then the price of medicines will be solved.
The pharmaceutical companies actively acquire public hospitals in order to better open up the "industrial chain" of medicines. When they enter the hospital, they have mastered the right to speak of medicine sales, and purchase medicines and equipment by means of second bargaining and multiple bargaining to reduce hospital costs. According to data from the Institute of Economics of the Chinese Academy of Sciences, domestic drug sales exceeded 920 billion yuan last year, of which 80% were in public medical institutions led by government procurement.
The reform of public hospitals is the trend of the times
With the reform of the medical system into the deep water area, the government has repeatedly issued a document encouraging social capital to invest in new forms, participate in restructuring, custody, public private and other forms of investment in medical services.
In July 2017, the six departments jointly issued the "Guiding Opinions on Deepening Reform of State-owned Enterprises' Educational and Medical Institutions", which clearly stipulates that the transfer of state-owned enterprises should be completed or centralized management by the end of 2018.
Analysts believe that the restructuring requirements, both state-owned enterprises reform of state-owned hospital, also in line with the logic of health care reform, along with policies to encourage social capital to participate in health care reform and investment in the health care industry continues to introduce further promote the market-oriented medical industry, the restructuring will There will be more and more, and there will be more and more cases of corporate resource divestiture and restructuring in the future.
Zhu Hengpeng also predicted that 40% of public hospitals in the future will be acquired in the context of the country's strong support for companies to acquire public hospitals and social hospitals. “Now there are more than 8,000 state-owned enterprise hospitals in the country, of which more than 2,000 hospitals are excellent assets. The total sales of these hospitals have reached consensus at all levels of leadership. The tertiary hospitals in local hospitals are good assets. The possibility of selling is small, but due to local government debt of 30 trillion yuan, the government is difficult to support secondary and lower hospitals, and the sale of secondary hospitals will also be the general trend."
Zhu Hengpeng also said that by 2018, a large number of public hospitals and even large-scale top three hospitals will lose money. "Social capital will bring a new round of historical opportunities."
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