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新华时评:社会资本办医需要更大的政策空间--亲民维稳网络舆情监测室
2012-07-14
新华社济南7月13日电(新华社记者王海鹰、胡浩)日前,卫生部出台促进非公立医疗机构发展的通知,提出要给非公立医疗机构留出足够的发展空间,鼓励有实力的企业、慈善机构、基金会、商业保险机构等社会力量以及境外投资者举办医疗机构。
The xinhua news agency jinan July 13 (Reuters)(The xinhua news agency WangHaiYing、HuHao)a,The health ministry issued a public medical institution to promote the development of notice,Puts forward to want to give the public medical institutions set aside enough development space,Encourage strong enterprise、charity、foundation、Commercial insurance institutions and other social forces as well as foreign investors hold of a medical institution。
我国现有民营医院8800家,从数量上看增加很快,但规模普遍偏小,民营医院的床位数和诊疗人数仅占全国总量的约10%。此次卫生部提出,到2015年,要使非公立医疗机构床位数和服务量达到总量的20%左右,也就是比原来翻一番。国家发展民营医院的决心显而易见。
Our country's existing private hospital in 8800,Look from the number increased quickly,But slant generally small scale,ChuangWeiShu of civilian battalion hospital and diagnosis and treatment of the national total number only accounts for about 10%。The health ministry put forward,By 2015,To make the public health care institutions and services to about 20% of the total amount,Is also than the original double。The national development of civilian battalion hospital determination is obvious。
但是,鼓励社会力量办医,一纸通知显然不够,需要更有力度的政策支持。目前,我国的非公立医院面临发展环境的“非国民待遇”:区域卫生规划中没有为非公立医院预留空间,各地公立医院还在不断扩张上规模;卫生行政部门对大型医疗设备的购置不一视同仁,对非公立医院的审批更加严格;非公立医院贷款难度大,融资存在诸多政策制约;免税期只有三年,加剧民营医院只在乎短期收益的倾向,不注重做大做强;民营医院医务人员在职称评定、课题申报等方面无法与公立医院同日而语等等。
but,Encourage social force does medical treatment,It was a paper notice,Need more powerful policy support。At present,The public hospital in the face of the development environment“The national treatment”:No regional health planning for the public hospital room,Public hospital in all expanding the scale;The administrative departments for public health medical equipment purchase not large alike,The public hospitals to more restrictive;The difficulty of public hospital loans,Financing has many policy constraints;Tax exemption period only three years,Aggravate civilian battalion hospital only care about the tendency of short term profits,Don't pay attention to do bigger and stronger;Private hospital medical personnel in the title assess、Grant application, etc can't and public hospital mentioned in the same breath, and so on。
在社会的认识层面上,非公立医院的地位和作用也没有得到足够重视,民营医院多与“虚假广告”“坑蒙拐骗”等联系在一起,“舅舅不疼姥姥不爱”,被很多人轻视。2010年11月底,国务院出台《关于进一步鼓励和引导社会资本举办医疗机构的意见》,一年半过去,还有不少省份没有出台实施细则。
In the social understanding level,The position and role of the public hospital didn't get paid enough attention,Civilian battalion hospital and more“False advertising”“KengMeng of kidnapping”And together,“Uncle not painful grandma doesn't love”,By many despised。By November 2010,The state council issued《On further encourage and guide the social capital held the opinions of the medical institution》,A year and a half in the past,And many provinces detailed rules for the implementation of the not yet available。
大力发展非公立医院,是我国保障居民健康的必然选择。随着人口老龄化以及生活方式和生活环境的改变,我国慢性病已呈井喷之势,每年新增慢性病人1700万人,如此沉重的疾病负担,公立医院独力难支,需要社会力量共同参与。
Vigorously developing the public hospital,Is our country safeguard the health of the population inevitable choice。As the population ages and way of life and the change of surroundings,Our country has a chronic blowout of power,New patients each year 17 million people with chronic,So the heavy burden of disease,A public hospital to it by yourself,Need social forces participated in jointly。
大力发展非公立医院,也是形成分工明确、相互补充的医疗格局的需要。根据公立医院改革的目标,公立医院应重点“保基本”,也就是保障常见病、多发病以及教学科研等。高端的医疗服务应由社会资本去承担。非公立医院发展不起来,公立医院改革就很难到位,只会一家独大,统包统揽,由此产生更多问题。
Vigorously developing the public hospital,Is also formed a clear division、Complement to the need of medical pattern。According to the goal of reform of public hospitals,Public hospital should focus on“The basic”,Also is the common security、Frequently-occurring disease and scientific research, etc。High-end medical service should by social capital to undertake。The public hospital development does not rise,Public hospital reform, it is hard to reach the designated position,Only a single big,Dominating the integrated contracting,Thus produce more problems。
在发达国家,非公立医院都占据重要地位,发挥重要作用。法国私立医院的服务能力占到30%,德国私立营利性和非营利性医院的病床数占到46%,美国则占到66%。
In developed countries,The public hospital is very important,Play an important role。The French private hospital service capability accounted for 30%,Germany private for-profit and nonprofit the hospital several accounted for 46%,The United States is accounted for 66%。
国家大力发展非公立医院的决心已经很明确,接下来有关部门和地方政府应当完善鼓励和引导社会资本举办医疗机构的相关配套政策和实施细则,特别是在土地、税收、医保、人才等方面提供政策支持,给予平等待遇。
Vigorously developing the country public hospital determination is perfectly clear,The next related departments and local governments shall encourage and guide the perfect social capital held the medical institutions relevant policies and the detailed rules for the implementation,Especially in the land、tax、Medical insurance、Talent to provide policy support,Equal treatment。
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