1. 医院可以有公立和私立之分，但医疗服务不应有公私差别。对民营医院的歧视，也是对百姓健康权的损害

1. The hospital can have the branch of public and private,But the medical service should be difference between public and private.To civilian battalion hospital discrimination,Is health to the people of the damage

　　民营医院和公立医院有什么不一样？带着这个问题，我们随机采访了一些患者。

Private hospitals and public hospitals have what different?With this problem,We randomly interviewed some patients.

　　在北京朝阳区第二医院排队看病的李女士认为，私立医院最大的优点是“不用排队，一去就能直接看病”。她拿出自己的医保卡说：“在公立医院看病，主要就是能报销，很多私立医院都不行。”

In the Beijing chaoyang district, the second hospital to see a doctor in line of ms. Li think,The biggest advantage is that private hospital"Don't line up,A go to see a doctor can directly".She took out his medical insurance card said:"In the public hospital,The main thing is to submit an expense account,A lot of private hospital all not line."

　　在湖北武汉爱尔眼科医院，农民陈群利来复查。她5月底做了白内障手术，花了4000多元，报销了近3000元。“我以前去了一家医院看，没看好，邻居介绍，我到这家医院找主任医师王勇，说他的技术不错，而且新农合也能报销。”说起自己的就医经历，陈群利觉得这家民营医院技术好，服务也好。据介绍，该院接诊的医保患者占六七成，医保收入占总收入的26%左右。

In hubei wuhan love's eye hospital,The farmers iwslt to review.At the end of her 5 did cataract surgery,Spent more than 4000 yuan,To submit an expense account for nearly 3000 yuan."I used to go to a hospital to see,No value,Neighbors introduced,I went to the hospital to find chief physician wang yong,Said his good technical,And new farming together can submit an expense account."Speaking of his medical experience,The private hospitals iwslt feel this good technology,Service or.According to introducing,The hospital accepts the cure of patients with six or seven into,Medical insurance income accounted for 26%.

　　同样位于武汉的亚洲心脏病医院，开业12年来，心外科年手术量连续9年居全国前三位，技术水平跃居全国前列，而费用却大幅下降，如先心病外科手术一般需要3万元左右，而该院通过精细化成本控制，将这一费用降低至1.8万元以下。

The same is located in wuhan Asian heart disease hospital,Opening 12 years,In cardiac surgery number 9 years in a row occupies the national top three,The technical level in the national front row,And the costs are plunging,Such as congenital heart disease surgery general need 30000 yuan,And the hospital through the fine cost control,Will this cost reduced to 18000 yuan of the following.

　　“良好的发展机制和人才梯队建设，是我们做大做强的基础。而医保定点、科研、税收等政策扶持，也给了医院更大的发展空间。市场对民营医院有需求，民营医院自身也能实现良性发展，满足社会的需求。只要民营医院办得好，百姓一样会认可。”亚洲心脏病医院总经理叶红表示。

"Good development mechanism and the talent team construction,We did the basis of bigger and stronger.And health point/Scientific research/Taxation policy support,Also give the hospital the larger development space.The market demand to civilian battalion hospital,Civilian battalion hospital itself also can realize the benign development,To satisfy the needs of the community.As long as the civilian battalion hospital to do well,As people will accept."Asian heart disease hospital YeGong general manager said.

　　“医院可以有公立和私立之分，但医疗服务不应有公私差别。对民营医院的歧视，也是对百姓健康权的损害。民营医院要的不仅是优惠政策，更是一个公平发展的环境。这需要政府在医疗服务的投入和产出上，进行公平有效的制度安排，使民营医院也能提供质量可靠、成本合理、服务便利的医疗服务。”国务院医改专家咨询委员会委员、北大光华管理学院教授刘国恩说。

"The hospital can have the branch of public and private,But the medical service should be difference between public and private.To civilian battalion hospital discrimination,Is health to the people of the damage.While the private hospitals need to not only preferential policies,It is a fair development environment.This requires the government in the medical service of input and output on,A fair effective system arrangement,Make private hospitals can also provide reliable quality/Cost reasonable/Service facilities of medical service."Cure of the state council changes a expert consultation committee/Peking University guanghua school of management LiuGuoEn professor said.

　　他分析，从投入环节来看，水、电、土地成本是显性成本，在这些成本上，政府对民营医院一视同仁，相对比较容易。从产出环节来看，医保定点、税收等也应一视同仁。医保定点可以采取区分基本与非基本的办法，比如提供的基本医疗服务可以纳入医保，非基本部分可以参照基本医疗服务标准支付后，由百姓自行购买超出部分的服务，不要实行目前的“一刀切”办法，实现经济学上的“帕累托最优”效应。税收上也应对非营利性的民营医院实行税收减免，可以参照国家对新兴产业的优惠税收政策，满足人们对医疗服务的迫切需求。

He analysis,From the input link to see,water/electric/Land cost is explicit cost,In these cost,The government to civilian battalion hospital alike,Is relatively easy.From the output link to see,Fixed-point medical insurance/Tax and so on also should be equally.Medical insurance point can take distinguish between basic and the basic way,Such as providing basic medical services can be included in medical insurance,The basic parts can be reference to the basic medical service standard after payment,By the people to purchase beyond part of the service,Do not implement the present"One size fits all"way,To realize economic"Pareto optimality"effect.Taxes should also non-profit private hospitals implement tax breaks,Can consult countries to emerging industry of preferential tax policy,Satisfy people the health service demand.

　　2.　发展非营利性的民营医院是政策鼓励的方向，政策对这类民营医院正在逐渐松绑

2. Development non-profit private hospital is policy encourages direction,Policy on this kind of civilian battalion hospital is gradually relax

　　7月1日，北京嫣然天使儿童医院正式营业，这是我国第一家民办非营利性的慈善医院，其发展资金主要由慈善基金提供。

On July 1,,Beijing yan ran angel children's hospital official business,This is our country's first private non-profit charity hospital,Its development fund is mainly composed of charity fund to provide.

　　在慈善土壤缺乏、政策环境尚存空白的情况下，这家医院究竟能不能存活下去？该医院常务副院长刘燕群和嫣然天使基金执行总裁李诗，介绍了医院的成本及收入运行情况。医院一年要为600名贫困儿童做唇腭裂手术，同时也要为其他一些贫困儿童做慈善手术，按国家规定收取少量费用。目前大约投入2000万元的运行成本，加上前期有一些定向捐赠，弥补了不少成本。此外，医院也正常接收社会患者，有一部分收入。

In the charity lack of soil/The policy environment still save blank cases,The hospital can actually survive?The hospital executive vice dean LiuYanQun and yan ran angel fund executive President lee poetry,Introduced the hospital cost and income in the operation.A hospital for a year to 600 poor children with cleft lip and palate surgery,At the same time for some other poor children do charity surgery,According to the provisions of the state for a small fee.At present about investment 20 million yuan of running cost,Add the some directional donation,Make up for a lot of cost.In addition,The hospital is normal also receive social patients,A part of the income.

　　“我们在筹建医院时就有不少困惑，比如慈善的民营医院该是什么样的，大陆没有这样的医院，我们就去台湾了解教会医院怎么运营。还有价格怎么定，找不到具体的政策条文，一切都在摸索。”刘燕群说。

"We in the hospital has a lot of confusion,Such as charity of private hospital this is what kind of,The mainland has no such hospital,We will go to Taiwan to understand how the church hospital operation.And how to set the price,Can't find the specific policy provisions,Everything in the dark."LiuYanQun said.

　　非营利性的慈善医院，在我国面临的不仅是政策空白，还有社会对慈善的不信任。“对于医院来说，以医养医是最好的运营模式，但就怕做不下去。”刘燕群说。

Non-profit charity hospital,In China faces is not only a policy blank,And society to charity mistrust."To the hospital for,To raise the medical medical is the best operation mode,But they were afraid do not go down."LiuYanQun said.

　　发展非营利性的民营医院是政策鼓励的方向，政策对非营利性的民营医院正在逐渐松绑。刘国恩说：“现在非营利性民营医院没什么压力，而营利性医院却因为要分红承受巨大压力。事实上，营利性医院是医疗服务体系的重要组成部分，也应得到同等待遇。”

The development of non-profit private hospital is policy encourages direction,Policy on non-profit private hospital is gradually relax.LiuGuoEn said:"Now non-profit private hospitals not much pressure,And for-profit hospitals but because to share out bonus bear huge pressure.In fact,Nonprofit hospital medical service is an important part in the system of,Should also get the same treatment."

　　3.　先改革公立医院，把医生从单位人变成社会人，才能有效解决民营医院的人力资源问题

3. First public hospital reform,The doctor from unit people into social man,To effectively solve the civilian battalion hospital human resource problems

　　人力资源是医疗服务行业的最大成本。“医生在我国有两个政府管制的条件，一个是执业资格，一个是执业场所。目前，多数医生仍是单点执业，不能自由流动，这是制约民营医院发展的制度性障碍。”刘国恩说。

Human resources are the biggest cost of medical service industry."The doctor in our country have two government control condition,One is a qualification,One is the practice place.At present,Most doctors is still single point of practice,Cannot free flow,This is restricted the development of private hospitals institutional obstacles."LiuGuoEn said.

　　华中科技大学同济医学院教授姚岚说：“现在我们的政策是鼓励民营医院与公立医院形成有效竞争，但事实上，民营医院与公立医院无法形成竞争格局，大多数民营医院的人才不如公立医院，民营医院与公立医院服务体系差得很远，不在一个起跑线上。”

Central China university of science and technology, professor of tongji medical college YaoLan said:"Now our policy is to encourage private hospital and public hospital form effective competition,But in fact,Civilian battalion hospital and public hospital can't form competition pattern,Most of the civilian battalion hospital personnel as public hospital,Civilian battalion hospital and public hospital service system far,Not a scratch."

　　近年来，我国很多地方鼓励医师多点执业，但真正申请多点执业的医师非常少，有些省份一年才有几十名。根本原因在于公立医院把人才垄断了，流出非常不易，因为医生多点执业涉及分配制度、社保制度、医疗风险分担制度等，这些问题没有解决，医师很难真正流动起来。广东省卫生厅副厅长廖新波指出，现有的人事制度决定了公立医院的人才不易向民营医院流动。

In recent years,Many places in our country to encourage physicians more practice,But the real application more practice physician very little,Some provinces have dozens of just a year.The basic reason is that the public hospital personnel monopolized,Outflow very not easy,Because the doctor more practice in distribution system/Social security system/Medical risk sharing system, etc,These problems no problem,Doctor is difficult to really flow up.Guangdong provincial health bureau deputy director manifold new wave pointed out,The existing personnel system determines the public hospital personnel not easy to civilian battalion hospital flow.

　　“在发达国家，医生不是单位人，而是自由人，医院也只是一个诊疗场所。即使是公立医院，医生也是聘请的，不是隶属于医院的。”姚岚说。她认为，要把医生解放出来，就应该先改革公立医院，把医生变成社会人，才能谈及民营医院的发展问题。

"In developed countries,The doctor is not unit person,But free,Hospital is a place to diagnosis and treatment.Even the public hospital,The doctor is retained,Not belonging to the hospital."YaoLan said.She thinks,To free the doctor,You should first public hospital reform,The doctor into social man,To talk about the development of private hospitals.

　　4.政府应当在土地、税收方面给予同等待遇，让民营医院优惠政策落到实处

4. The government should be in the land/Taxes to give equal treatment,Let civilian battalion hospital preferential policies into effect

　　8月30日，北京市《关于进一步鼓励和引导社会资本举办医疗机构若干政策》出台，共有18条措施。北京三博脑科医院院长张阳认为，北京市的新政策有突破。

On August 30,,Beijing[On further encourage and guide the social capital held several policy of medical institutions]issued,There were 18 measures.Beijing SAN Po brain hospital dean ZhangYang think,Beijing's new policy have breakthrough.

　　“这一政策的最大突破是，真正在鼓励和支持社会办医。例如，在准入门槛方面一视同仁，在土地、税收方面也给予保障和优惠，内容很具体，可操作性很强。”张阳说，新政策对于处于起步阶段的民营医院来说，解决了门槛问题；对于发展比较好的医院，明确了土地、税收等方面的具体优惠政策。

"This policy is the biggest breakthrough,Really encourage and support social do medical.For example,In the admittance threshold aspects alike,In the land/Taxes also give security and preferential,Content is very specific,Maneuverability strong."ZhangYang said,The new policy for in the initial phase of for private hospitals,To solve the problems the threshold;For the better development of hospital,Clear the land/The specific tax preferential policies, etc.

　　“关键的问题就在于落实。比如我们医院在脑科方面发展，人才队伍要求较高，按照规定可以参与高新企业认定，从而享受更优惠的税收政策。还有土地方面，对于我们这样的非营利性医院，即使不能无偿划拨，也能得到优惠。”张阳说。

"The key problem lies in implementation.For example in our hospital in brain development,Talent team the demand is higher,According to the regulation that can participate in high-tech enterprise,Thus enjoy more favorable tax policy.And in the land,For us this non-profit hospital,Even if cannot free transfer,Also can get preferential."ZhangYang said.

　　武汉爱尔眼科医院首席执行总裁韩忠说，爱尔医院的土地使用全都是按照市场价格购买的。当地也鼓励支持社会办医，但是在土地需求方面，尚无具体的条文出台。“我们希望地价能优惠点，位置也应该是适合办医院的。”此外，他还希望在税收方面给予非营利性医院同等待遇，免收营业税，与公立医院在同一起跑线上竞争。“我们早过了营业税免税期之后，就是按照利润状况来缴纳，这让我们面临较大的压力。”他说。

Wuhan love's eye hospital chief executive President HanZhong said,Love's hospital land use is all according to the market price of purchase.The local also encourage and support social do medical,But in the land demand,There is no specific clampdowns on."We hope that we can land price preferential point,Position should be also suitable for the hospital."In addition,He also wants to give in taxes non-profit hospital equal treatment,Will be exempted from business tax,And public hospital in the same starting line competition."We had the business tax exemption period after,Is that according to the profit to pay,This let us face greater pressure."He said.

　　不少民营医院负责人表示，国办“58号文”规定都非常好，关键是落实。在北京出台新政策之前，云南、重庆、河北等10余个省份已出台了省级配套文件，各地政策均有一些松动，但操作性还较差。比如，很多地方提出新增和调整医疗机构设置时，优先考虑社会办医疗机构，但是社会资本真正提出申请时，很可能地段不好，而且按照市场价格出让，办医的成本非常高。又如，很多地方鼓励境外资本举办医疗机构，但据一家境外医疗机构负责人透露，审批相当困难，等待时间超乎想象，政策落实情况不容乐观。

A lot of civilian battalion hospital chief said,map"Article 58,"Provisions are very good,Key is to implement.In Beijing before the new policies,yunnan/chongqing/Hebei, more than 10 provinces has already issued a provincial supporting documents,All policies are some loose,But the operability is poor.For example,Many places puts forward new and adjust when the establishment of medical institutions,Giving priority to social do medical organizations,But the real social capital when filing the application,Probably not location,And according to the market price to sell,Do the medical cost is very high.And as,Many places encourage foreign capital conduct medical institutions,But according to a medical institution outside the person in charge said,Examination and approval rather difficult,Waiting time beyond imagination,Policy to carry out the situation is not optimistic.