The Shanghai International Medical Center (hereinafter referred to as the ? Medical Center?) , considered the first international comprehensive non-public hospital spawned by the new healthcare reform, is also a key project of the Ministry of Health and Shanghai Municipality, focusing on the high-end medical market.
Social capital to run a doctor, physicians to practice more, public hospitals divested of special medical care, these new health care reform in the key content, are reflected in the medical center, and was expected to force the reform of public hospitals.
However, the CEO of Shanghai International Medical Center Investment Management Company Limited, Xin Shulin was not optimistic, he said, ? Revolution? is far from successful. This investment management company is the medical center project investment and construction of the main body, the company 20% of the shares of state-owned, held by the Shanghai International Medical Park Group Limited, the rest of the shares held by the average of eight social capital shareholders.
Relative to public hospitals, China's non-public medical institutions are not only few in number, but also weak, in order to operate successfully, but also need to cooperate with many public hospitals. In the interview, Xin Shulin constantly stressed that the development of medical centers will not have an impact on public hospitals.? And public hospitals to talk about cooperation, we will also be more emphasis on cooperation to bring *** win.?
Weakness of commercial insurance
Xin Shulin prefers to describe the positioning of the medical center in terms of foreign private healthcare rather than high-end healthcare, but whatever the term, high-end healthcare is seen as 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.
Wang Yongmao, deputy general manager of Shanghai International Medical Park, was reportedly speaking at the recently held ? The 69th National Pharmaceutical Trade Fair? said at the event that the potential market size of high-end medical care in Shanghai is currently around 11 billion yuan, and will be close to 16.5~18.5 billion yuan by 2015, and close to 30 billion yuan if the high-income people from the Yangtze River Delta and the whole country who come to Shanghai for medical care are taken into account.
Data from the Shanghai Pudong Institute of Health Development shows that, for example, in some sample hospitals, the number of outpatient visits related to foreign medical services grew from 109,000 to 586,000 in 2010-2011, an increase of more than four times, and the average per capita fee for outpatient visits related to foreign medical services increased from RMB 487.51 to RMB 4,747.06, an increase of more than nine times.
Xin Shulin is not sure that the medical center will be successful in the future. At least the hospitals that are already in operation, such as Xiamen Changgeng Hospital, Shenzhen Hospital of the University of Hong Kong, Beijing Yanda Hospital and other hospitals for the middle and high end of the market, have not really been successful.
Unlike these hospitals, medical centers don't use health insurance, and patients can only pay out of pocket or use commercial medical insurance, said Xin Shulin, who said that medical centers don't take up any public **** resources at all, but that's riskier.
As China has built a basic medical insurance system, individuals who buy commercial insurance is very small. Data show that at present, China's medical expenses borne by the proportion of commercial health insurance is less than 2%, while the United States by the commercial health insurance to provide protection for more than 60% of the country's total population, more than 80% of the families in France have a commercial insurance organization to provide health insurance plans.
In addition, for healthcare organizations, the use of commercial health insurance also has risks such as very long billing periods and higher bad debt rates.
Because of the underdevelopment of commercial medical insurance and the fact that the adjustment of the fee for medical services is not yet really in place, public hospitals are far more attractive to many patients than private high-end hospitals. Xin Shulin said he hopes to realize the diversion of patients through the reform, but also at the same time to reduce the waste of health resources. The biggest risk of private high-end hospitals, is the low price of public hospitals.
Difficulty of multi-practice
Another key element for private high-end hospitals is to have enough high-quality doctor resources. In addition to their own dedicated nursing staff and doctors, medical centers also need to bring in a lot of outside resources.
These foreign resources already have a good guarantee: the medical center and the Shanghai Jiao Tong University School of Medicine's 12 affiliated tertiary hospitals of the advantage of the department of cooperation **** build, such as Ruijin Hospital's hematology, oncology, nine hospitals of the oral surgery, plastic surgery, repair, Renji urology, gastroenterology, will be set up in the medical center **** build the center, the above hospitals send their own doctors to practice here! to practice.
In addition to this exclusive departmental cooperation **** build, the Medical Center is also looking for more high-quality doctors to practice here. Currently, the Medical Center got a good policy to become a preferred recommended location for the Shanghai health system to open up physicians to multi-site practice.
Multi-point practice is an important part of the public hospital reform in the new healthcare reform, with a view to promoting the rational circulation of medical resources, so that more patients can enjoy quality medical resources, but also to allow the majority of physicians to maximize their own value, to obtain more income. |
However, physicians need the approval of the first practice medical institutions, and many hospital directors are concerned that this move will bring the impact of the hospital's research, medical and teaching, the hospital's own resources will not be able to maintain the advantage.
Xin Shulin said, has contacted many doctors, they are very positive, and has reached an agreement with the Medical Center, and hope that the government will soon be able to introduce the implementation of the rules to allow doctors to truly implement multi-practice.
Xin Linlin said, higher legal income can make these specialists more focused on public hospitals to engage in scientific research and teaching work.
Wiser Summary: The ultimate goal of both public and private hospitals is to treat patients and to achieve profitability. Both sides to strengthen cooperation, promote technical exchanges, so that more can deepen the development of the medical profession and bring technological innovation, if the final can produce good **** Ming is what we hope to see.