Simply put, revenue and expenditure are not managed by the same department, and two lines of management are implemented.
On the sidelines of the 11th session of the National Committee of the Chinese People's Political Consultative Conference (CPPCC), CPPCC member and Minister of Health Chen Zhu disclosed in an interview with reporters that the "two lines of income and expenditure" is the general direction of the hospital reform.
The "two lines of income and two lines of expenditure" is regarded as a measure to prevent and control corruption at source. Specifically, it means that in non-profit medical institutions, all of their income is paid to the government, and all of their expenditures are allocated by the government, and the two lines of income and expenditure do not cross each other, thus completely cutting off the link between the interests of non-profit medical institutions and their operating revenues.
Expanded:
It means that the health sector, between the interests of the medical monopoly giants and the fundamental interests of the majority of the population, has opted for a tilt towards the power of the people, implementing a policy of "power grabbing". The plan is to bring financial power, which determines the nature of hospitals and their economic lifeblood, under government management.
From the standpoint of the big hospitals in each region, they control a major share of the local health care market by relying on their monopoly on the best local medical resources (talented people and advanced medical equipment, favorable policies, and continuous financial input from the government). However, they themselves have the power to decide on the expenditure and distribution of revenues.
In the current marketization and commercialization of various industries, hospitals as a group can choose to introduce various economic incentives to stimulate the economic development of hospitals, and because of this, the public hospitals "income generation" wind can prevail. Standing in the people's point of view,
The implementation of the two lines of income and expenditure, for them, the benefits far outweigh the disadvantages. Because doctors see patients, prescriptions are not linked to income, the public welfare of medical activities will be a strong guarantee.
It also means that there will be more and more substantial "non-profit hospitals" in China, the ordinary people will get more benefits, but also to repair the doctor-patient relationship, doctors will win the trust of society. The author believes that the vast majority of the current hanging "non-profit hospital" plaque of the hospital is mostly just a kind of vanity.
In the hospital revenue and expenditure from the hospital's own management of revenue under the premise, the hospital if you choose the real meaning of "non-profit" medical activities, only means that the hospital may be poor, or even closed down! The larger the hospital, the higher the operating costs, the less likely it is to be truly "non-profit".
After the implementation of the "two lines of income and two lines of expenditure" policy, in the current group of public hospitals will be re-selected to build a number of truly "non-profit hospitals" in the hospitals to increase investment and "income and expenditure" under the premise of the "two lines of income and two lines of expenditure". Under the premise of increasing investment in hospitals and "two lines of income and two lines of expenditure", the income of medical workers in these hospitals will be managed in the same way as that of government civil servants, so that medical activities and economic income will be completely disconnected.
Baidu Encyclopedia - Two Lines of Revenue and Two Lines of Expenditure