The embarrassment of second-level hospitals
"Many second-level hospitals are now practically empty shelves, high but not low, and their development has been hindered." Medical resources are seriously tilted toward big cities and big hospitals, which has become a major prominent contradiction formed in the development of previous medical reforms. In addition to the lack of development of community healthcare service system, on the other hand, the positioning of the secondary healthcare system has been awkward. "In the competition for medical resources, compared with tertiary hospitals, secondary hospitals are completely at a disadvantage, outpatient volume and tertiary hospitals dozens of times or even hundreds of times the difference between the hospital beds and equipment is also difficult to compare. However, in the rating, but also to maintain a considerable proportion of personnel equipped to set up a relatively full range of departments, but also the introduction of equipment, but in terms of financial investment, the government subsidies and very little, resulting in the development of a very high cost. "From another perspective, the government has made it clear that the next step will be to increase the construction of the community health care system, if the implementation of community health centers first diagnosis system and two-way referral system, then the amount of services in secondary hospitals will undoubtedly be even less." In fact, in the past, the three-tier health care system, due to the three hospitals basically can be self-sustaining, only the second level of hospitals, in the community health service function is not obvious, but at the same time is the government can not give up the strategic health resources, but has become a financial burden. In 2003 and 2004, when the "market-oriented" health care reform was more aggressive, secondary hospitals (including corporate hospitals) even became the focus of "capital attraction" and "restructuring" by local governments. The focus of the object. Fudan University School of Public **** Health Management Professor Hu Shanlian introduced to the reporter, in fact, as early as a few years ago, had put forward the proposal to abolish the second-level hospital system, there are individual cities have been piloted, the idea was that the second class hospitals into the third-level hospitals, second class hospitals sunk to the community hospitals. However, this pilot work was not taken forward later. At present, most of the secondary hospitals are general hospitals, but also some specialized hospitals, and the development of each place is not balanced. "Most of the second-level hospitals like those in Guangzhou are still self-financing."