Since the reform and opening up, China's ownership structure from a single public sector economy to the public sector as the main body of a variety of ownership economy *** with the development of a mixed economy, the social and economic organizational structure is also from the original simple government - enterprise binary structure to the government - intermediary organizations - enterprise complexity and diversity of the chain structure extension. The situation of the hospital industry is even more complex, which also includes a mixture of public welfare undertakings and corporate functions, but despite this, intermediary organizations such as the China Hospital Association have played an active and effective role.
2006 was the first year that the State Council approved the name change to China Hospital Association. Over the past five years, the Association has been tightly focused on the constitution, run the Association in accordance with the law, run the Association in a democratic manner, unite the majority of hospital management workers and the majority of medical staff together, and actively cooperate with the relevant government departments, the implementation of the relevant laws and regulations and policies, and conscientiously grasp the activities of the Year of Hospital Management, adhering to a people-oriented approach to strengthen the rights of the industry and self-discipline, to improve the quality of medical care and medical safety, and to build a harmonious relationship between doctors and patients as a key focus of the work. At the same time, it truthfully reflects the opinions and requirements of the hospital in the process of development to the relevant government departments. Through organizing various activities, the rights and interests of hospitals and patients are further safeguarded, and the status and reputation of hospitals and medical workers in the society are enhanced.
The rise of private hospitals has given rise to a large number of local private hospital associations. For example, private hospitals in Yunnan Province Association is established earlier, the establishment of a more complete, more extensive contacts, the service effect is more obvious one of the intermediary organizations. Provincial health department director Zhan Haifeng old personally, thousands of various types of private medical institutions to participate in, has become an important part of the Yunnan medical and health care.
Despite this promising situation, although the community has begun to have such a **** knowledge, as the industry coordination and management organization of the status and role of industry associations is becoming increasingly important, the current situation of industry associations is still not optimistic, and to strengthen the construction of industry associations, is still the current urgent task. Distribution from the industry, the more traditional industries, by the planned economic system of government agencies "flip" the more associations, the more colorful the old system. Hospital industry associations have their own industry specificity, the problem is even more serious.
On the whole, the current hospital industry associations, especially private hospital associations, whether in quantity or quality, there are many problems, delaying the market process. Problems and causes are mainly manifested in:
First, the government's transformation of functions lagging behind, restricting the development of industry-based intermediary organizations. In the institutional transition period, although the direction of reform clearly "many government departments should not be managed, not good, can not manage things, can be handed over to the people's associations such as private chambers of commerce to do", but in the operation of the practice, due to the "hand over or not, early and late hand over, hand over more and more to hand over less "The initiative in the government, so the government's transformation of functions is to make the enterprise to become a market leader without supervisors, so as to produce the basic premise of the demand for civil associations, and based on this, in order to form a government - intermediary - enterprise complementary market institutional framework. The government sector is both the leader and the object of reform. From the planned system of "all-powerful government" to a limited government change, involving a large number of sectoral interests, the adjustment of power, and the transformation of government functions and play the role of industry associations, trade associations, both cause and effect of each other, the current government in the micro-economic sphere is still playing an important role in the case of the construction of industry intermediary organizations is difficult to really on the agenda. The agenda.
Second, strong administrative dependence, poor industry representation, and the organization of the forest, the phenomenon of tug-of-war occurs from time to time. Because of the hospital's multiple ownership economy *** with the development of the situation has just been formed, the core members of the Association is still mainly composed of officials, and grew up outside the system of a variety of ownership of the enterprise contact is relatively weak, to carry out the work of relying on the competent authorities to give the function of the civil, self-regulation, service, and equality of the poorer. Coupled with the existence of ownership division, regional division, sectoral division and other phenomena, industry intermediary organizations in the development of duplication of the establishment of multiple levels, intersections, lack of coordination and other issues, resulting in multiple enterprises to join, at a loss, the competent authorities are also prone to vested interests and sometimes scrambling, sometimes prevaricating.
Third, its own mechanism, management system and market-oriented trend of the requirements of the mismatch. From the perspective of their own mechanism, at present, the vast majority of industry associations are generated within the system, part of the main purpose of the establishment of industry associations is to settle the retired leaders and solve the problem of diversion of personnel, and even part of the association's office has become a "second government" co-located with the relevant government agencies. From the perspective of the management system, at present, the system of dual management of the registration of associations and business supervisors is still continued to be implemented for the industry-based intermediary organizations, which makes it possible for a large number of private enterprises without supervisors and many newly emerging industries that have appeared and will continue to appear in the development of the market economy to be unable to find suitable supervisors within the original system, and the same trade associations are not permitted to be registered as independent associations under the current management system. Legal persons.
Fourthly, there are contradictions between the theory and practice of self-construction, resulting in various difficulties in operation. In the composition of personnel, the government agencies restructured by the association's leaders are mostly leaders of the former government departments, with the nature of the placement of the original administrative level, there is the age structure of the aging, their own level is limited, it is difficult to adapt to the requirements of the industry management and other issues. In terms of human resources, most of them have not established a reasonable mechanism for recruitment, assessment, training, promotion, elimination and retirement of personnel, not to mention the formation of a comprehensive set of employee treatment, welfare system, and social security issues have not been resolved. In terms of funding, due to the poor recognition of member enterprises and the limited effective services that the associations can provide, some associations with governmental backgrounds currently have to rely on the limited funding from the competent authorities to survive, while associations lacking corresponding funding are even more faced with the problem of survival. Due to the lack of adequate funding, which limits the development of service activities, so that they are trapped in a vicious circle of "insufficient funding - poor quality of service - low reputation - fewer members - difficult to raise funds.
Second, the Association of strong industry
The new health care reform to private hospitals has brought opportunities and challenges, but also to the industry associations to bring opportunities and challenges. Encourage the entry of capital, the need for services as a basis, especially outside the industry, a large number of capital into the inevitable formation of strategic, industry experience, professional and technical, and even business management on the demand for a substantial increase in the situation, the industry associations, in addition to pay attention to policy-level considerations to strengthen services has been a matter of urgency.
From the more mature market economy of foreign pharmaceutical industry association development can be seen in the rapid development of the market economy today, we should learn from the experience of developed countries and combined with their own political, economic, social and cultural characteristics, through the government, hospitals and associations of the efforts of the three *** with the promotion of the development of China's private hospital associations.
The government side: to actively promote the transformation of government functions, the realization of the separation of the executive branch. Government functions which can be taken over, which can not be taken over, the Association must have a clear understanding. Such as industry standards, the formulation of rules and regulations, line inspection and evaluation, quality supervision and testing functions, should be undertaken by industry associations
Hospital enterprises: hospital enterprises, especially small and medium-sized private medical institutions, must be fully aware of the industry associations are their own stage and rely on participation in which can better reflect and protect their own interests, to reduce the individual organization can not face the pressure of competition and access to a wide range of irreplaceable services. A wide range of irreplaceable services.
Association: the association should have a good positioning of its own functions, in the continuous enrichment and improvement of the advisory function, policy advice function, the industry's internal standardization function of these routine work, to solve the association's financial resources, only this problem is solved, in order to change the association's traditional old man in charge of the work of the personnel management mode, but also on the basis of the go out, please come in. Only by solving this problem can we change the traditional personnel management mode of the association. In the closed conservative mechanism to talk about service, will only be an empty word.
Three, five major initiatives to strengthen the Association's services
Private hospitals, private hospitals are weak, private hospitals are also vulnerable, private hospitals need to embrace the world. In the face of their own, a scattered situation, "group" can only rely on the Association to do, and "group" the power to come from the service. According to the real needs of private hospitals, it is recommended to take the following five major initiatives to consolidate the Association's services.
(A) build private hospital development investment and financing platform
Hospital investment is a long-term investment. A pharmaceutical company, there may be one or two drugs sell well, the performance will be a breakthrough, and hospitals need to slowly build up a reputation, and reputation to attract patients; hospital investment is a more secure investment, the risk is relatively small, hospital operators as long as they make the characteristics of the service above all, the performance of the phenomenon will not generally be a big ups and downs, therefore, for the pursuit of long-term security benefits of the investment institutions
On the other hand, private hospitals are generally scattered and poor small, in urgent need of capital to enter the strength of the private hospitals to obtain the favor of capital generally have two characteristics, one is a chain, so that the scale of business in order to have enough room for growth, because compared to a single enterprise, the chain is able to continue to open up new markets; the other characteristic is a specialized type, because the specialized hospitals can avoid competition with the domestic large tertiary general hospitals, and the other characteristic is the specialty type. Large three general hospital competition, after all, and these medical resources far superior state-run hospitals to compete, private hospitals are definitely not its opponent.
It is precisely because of this asymmetry between capital and the market that the establishment of an investment and financing platform for the development of private hospitals has become particularly important.
Association on the one hand, we must actively organize the project library, release investment projects, on the one hand, we must fight for the government's special development funds to operate, at the same time, we must establish mutual assistance between members of the *** with the same funds to help promising hospitals to solve the problem of large-scale equipment purchases, such as major infrastructure investment. For example, the current government of Yunnan Province has singled out 20 million special funds, the Association can consider at least the right to fight for planning recommendations and project recommendations and the right of first instance.
(ii) the organization of the people assured that the hospital selection activities
In order to improve the social trust of private hospitals, can be based on the experience of the Chinese Hospital Association to carry out the people assured that the hospital activities, to carry out special activities specifically for private hospitals. The evaluation right can be given to the expert group, the right to vote to the community, made into a brand of the association's self-regulatory work.
(C) promote doctors and patients work together to build a harmonious relationship
In order to strengthen communication and eliminate barriers, you can learn from the China Hospital Association held in Nanjing, the first China Hospital Expo regularly organized by private hospitals Expo. The theme of the Expo is "doctors and patients work together to maintain health", the province's 26 medical units and more than 100 hospital-related enterprises. Medical Fair organized a large-scale clinic and medical science lectures. During the three days of the exhibition, more than 17,500 people participated in the exhibition, more than 3,400 people received free medical consultation and counseling services from 103 high-level physicians, and more than 1,300 people listened to scientific lectures by 16 medical experts. During the fair, 24 participating hospitals jointly signed and published the President's Declaration, pledging to the community to save lives and serve people's health wholeheartedly. Such an expo could also operate on the Internet.
(D) run hospital management academic activities and continuing education
For the rapid improvement of private hospital management and health care level, you can actively organize large-scale academic activities, and extensive continuing education work. In addition to regular clinical, pharmacy and nursing education, coordinating the creation of exchange apprenticeship opportunities will also be popular. In addition, large-scale equipment investment and operation, hospital procurement, etc., academics and practice are private hospitals are lacking, the service demand is urgent. Can be based on comprehensively improve the overall quality of the management team of private hospitals, aiming at the domestic and international advanced management level, extensive training efforts, and strive to improve the scope of training, scale, quality and effectiveness of the overall.
(E) do a good job of the Association's information publishing and publicity work
This is the old monk often talk about the topic, but also often simply understood as a website, run a magazine. Under the present technical conditions, it is not difficult to do these two things, the difficult thing is that the website is often run into a "bulletin board", the magazine into a "textbook" and "document collection", into no readers! The thing, let alone a platform for exchange and communication. The basic starting point to change, do not run a website magazine for the website magazine, the way to run a website magazine and attitude to be open, members to become the protagonist, readers to become "God", the way to keep pace with the times.
Fourth, in the "Healthy China" singing opera
As mentioned earlier, the association is the industry's prosperity, the key to the association's prosperity is service. The previous section also unfolded the association's services in a timely manner, diversity, innovative discussion. Here from the perspective of social participation in public welfare undertakings, talk about how the private hospital associations use "Healthy China" to play a greater role.
"Healthy China ---- health promotion and health education platform" by the Yunnan Provincial health system related units, Yunnan Convention and Exhibition Economic Research Association, Yunnan Xinnonghe Investment Joint Stock Company and other *** with the initiation of the commitment to health promotion and health education of hospitals, enterprises, colleges and universities, research institutes, industry associations, Support institutions, especially websites, exhibitions, publishing, training and other organizations voluntarily formed by the non-profit industry consortium, in the form of a public welfare social enterprise platform, the core is "SINO Health" studio. The platform includes the "SINO Health" website and the "SINO Health" magazine.
The principle of the platform is that it is a "social operation organization for public welfare undertakings", characterized by the "introduction of the concept of social entrepreneurship into public welfare undertakings" and the way of "embedding health promotion and health education into the operation process of public welfare and commercial projects". It is characterized by "introducing the concept of social entrepreneurship into public welfare undertakings" and "embedding health promotion and health education into the operation of public welfare and commercial projects", and its expression covers the forms of websites, exhibitions, publications, books, trainings and activities.
The platform is based on the concept of openness and enjoyment, and its daily work is undertaken by the SINO Health Studio, which is composed of professionals familiar with health education, public relations and advertising and media, and is mainly responsible for research and development, project planning, collection of information and topics, project outsourcing and management. Specific projects will be undertaken mainly through public relations, festivals, exhibitions, networks and publishing enterprises. Yunnan Convention and Exhibition Economy Research Association with its member units of more than 60 professional organizations to play a specific project operation.
"Healthy China" will standardize and guide the development of related work according to the "National Health Education and Health Promotion Work Plan Outline" formulated by the Ministry of Health.