"Public hospitals are non-profit organizations, and the government is not investing enough, where does the money to build the building come from?" Mr. Ma, a patient, raised this question to the reporter. The Ministry of Health Information Office sources interviewed by the reporter frankly admitted: public hospitals can not be profit-oriented.
Hospitals can not make a profit but to build a building, where does this funding come from? Several hospitals are expanding the person in charge of the reporter confessed that the hospital expansion of funds used in part from the hospital's profits, but refused to disclose the expansion of the total funds accounted for a large proportion. Wuhan Tongji Hospital, a person in charge of anonymity, said that the state's annual investment in Tongji Hospital only accounted for about 20% of the hospital's total expenditures, public hospitals have to "rely on the government, facing the market, which is the requirements of the market economy," and patients like to run to the big hospitals, not how to expand the reception to come over? And with the profits and loans to expand, but also to return to society, improve the quality of service performance.
Beijing is expanding a hospital assistant to the president of the reporter said that although they belong to the public hospital, but the government funding is very little, the need to make a profit to maintain survival, and after the expansion, the hospital's access to the environment has improved, medical conditions are good, the patient is more willing to come, but also to provide better service to the patient to improve the hospital's income is also a good thing, it will be a win-win situation.
On the surface, the hospital building is to better serve patients, but this has led to a new problem: public hospitals in the end can not make a profit? An incomplete data show that in 2004, the government's financial allocations accounted for only 7% of the hospital's total income, the rest of the hospitals rely on their own income generation.
In this regard, Yao Zhibin, director of the Guangdong Provincial Department of Health, said publicly that some hospitals are overly pursuing economic benefits, ignoring the social benefits, and there is a tendency to dilute the nature of public welfare. Some hospitals, under the influence of the revenue generation mechanism, focus on business income and economic growth, actively expanding the scale, but ignored the affordability of the masses.
Yu Dezhi, deputy director of the Ministry of Health, Planning and Finance Department, said that the Ministry of Health on the issue of hospital indebtedness has been a preliminary analysis of hospital liabilities over the past few years, the amount of hospital liabilities was a fast-growing trend. 2003, 105.8 billion yuan, the asset-liability ratio of 24%, of which 23% of the hospitals in urban areas, counties and townships, hospitals for 28%, the long-term liabilities of 22.6 billion yuan, mainly bank loans for the construction of houses to buy The equipment.
The bank loans need to be repaid eventually. According to the expansion of the first hospital of the University of Beijing, Zhang Youkang, president of the hospital has revealed that in order to buy land to build the second inpatient hospital, the hospital loan of more than 100 million, and it took five years to pay off.
As with Peking University First Hospital, these public hospitals that are expanding are facing the problem of digesting the costs after expansion. Does this mean that the cost of expansion will be passed on to the people, making the problem of "difficult and expensive" even worse?
Expensive medical care has become a problem for residents
Although the reporter was unable to obtain information on the source of funding for these hospitals, it is a fact that "difficult to see a doctor, expensive to see a doctor" has become a problem for urban and rural residents in the minds of the top.
December 25, 2006, the Chinese Academy of Social Sciences issued a social blue book, "difficult to see a doctor, expensive" for the first time in the minds of urban and rural residents in the first social problems, urban and rural households per capita total annual consumption expenditure on health care accounted for 11.8%, and even higher than the proportion of 10.6% of the expenditure on education, reflecting that in recent years, urban and rural residents have been the first to see a doctor. This is a reflection of the fact that the burden of medical expenditure on urban and rural residents has risen too rapidly in recent years. The Ministry of Health statistics also show that in the past eight years, the average annual growth rate of per capita outpatient and per capita hospitalization fees has been much higher than the growth rate of per capita income.
Li Lei, director of China's pharmaceutical enterprise competitiveness research group, believes that the public hospitals to make a profit is of course an abnormal phenomenon, but an embarrassing phenomenon is: the government's investment in hospitals is still far from being able to meet the needs of hospitals, the subsidies are not in place to make hospitals embarrassingly into the road to making money, profits and losses appear abnormal.
"On the one hand, hospitals are expanding in a big way, and on the other hand, the people are afraid to see a doctor, and feel that it is too expensive to see a doctor." Jiangsu Provincial Health Law Society president of Professor Sun Muyi said in an interview with reporters, at present, the city hospital medical resources, there is a blind, uncontrolled expansion phenomenon, a considerable portion of the city has been a surplus of medical resources, so that the same city of large hospitals in vicious competition, the size of the hospital has been very large hospitals are still spending huge sums of money to engage in the expansion of the purchase of equipment, and the development of many health centers are struggling to make headway, so the expansion of the large public hospitals should be treated rationally! Therefore, the expansion of large public hospitals should be rationally treated, not blindly.