不惜血本打广告过度检查牟暴利夸大病情宰患者 Linked to advertise excessive examination seeks profits and exaggerated illness patients

民营医院急功近利引发诚信危机 Civilian battalion hospital get rich quick trigger credit crisis

　　“现在大家一提民营医院，马上想到的就是‘营利’,行业里的确有这种唯利是图的风气。有些商人把医院当企业办，眼里只有利润，既没有过硬的医术和规范的服务，更不会投入资金搞技术创新，走的是短期谋利的路线，这是不长久的。”一位医疗领域内专家毫不客气地说。

"Now you mention civilian battalion hospital,Immediately think of is‘profit-making’,In the industry have the mercenary atmosphere.Some businessmen to the hospital when enterprise to do,Eyes only profit,Neither high medical skill and normative service,More not invested in capital to carry out technical innovation,Go is the route of the short-term profit,It is not long."A medical field experts said rudely.

　　近几年来，民营医院纷纷进入医疗领域，国家先后出台过至少10个鼓励社会投资，促进民营医疗机构发展的政策文件。然而，在民营医院快速发展的背后，是长期混乱的经营环境，不少民营医院走上了靠投机取巧、坑蒙拐骗牟取暴利的歪路，片面追求利益最大化带来了一系列问题。如何加强监管、完善法规，规范准入门槛，是需要进一步思考的问题。

In recent years,Civilian battalion hospital have into the medical field,Countries have issued after at least 10 encourage social investment,To promote the development of private medical institutions policy documents.however,In the rapid development of private hospital behind,Is long-term chaos business environment,A lot of civilian battalion hospital on the by free riding/KengMeng kidnaping profiteering wide road,One-sided to pursue the maximal profit brought a series of problems.How to strengthen the supervision/Perfect laws and regulations,Regulate access threshold,Is need further thinking about the problem.

乱象频生信誉受损 The mess frequency born reputation damaged

　　一位患有白内障的古稀老人，看到某民营医院打出“白内障慈善手术”广告时，兴冲冲地报了名。到医院后，被要求先进行检查，老人花了千余元，最后被告知：不适合手术。至于检查费，属于自费并不返还。

A patients with cataract years of age old man,To see a civilian battalion hospital hit"Cataract charity surgery"advertising,Excitedly to applied.To the hospital after,Was asked to check first,The old man spent more than yuan,The last was told:Not suitable for surgery.As for the inspection fee,Belong to at one's own expense is not returned.

　　还有一位妇女千里迢迢到上海治疗不孕不育，在某民营医院门前被另一个门诊部的“医托”拉走，骗去近万元。她回到这家民营医院，医院很“仗义”，把她受骗的钱要了回来，结果是出了狼窝又入虎穴。在这家医院看病花掉了所有积蓄，还借了不少债。

And a woman from a great distance to Shanghai infertility treatment,In a private hospital door is another of the outpatient department"cure"Draw away,Cheat to nearly ten thousand yuan.She returned to the civilian battalion hospital,Hospital is very"Battle righteousness",She cheated money back,The result is out of the frying pan and into the lions' den.In this hospital spent all their savings,Also borrowed a lot of debt.

　　有知情者透露，一些民营医院的运作套路基本一致：一是定位于治疗不孕不育以及其他生殖系统疾病的“冷门”，业内俗称“下三路”；二靠不惜血本、铺天盖地的广告砸开市场；三是过度检查，费用远高于公立医院；四是夸大病情，甚至干脆把没病的也说成有病。

According to an insider,Some civilian battalion hospital operation routines are basically the same:One is located in the treatment of sterility and other reproductive system disease"unpopular",The common"Next three way";Two linked to rely on/Rampant advertising break open market;The third is excessive examination,Cost is much higher than public hospital;The fourth is exaggerated illness,Even simply to have no disease also said to sick.

　　一位曾在上海某民营医院工作的医生说，他的离开，就是因为“实在看不下去了”，一些做法超出了他的道德底线，很多患者迷信医院广告，对基本医学知识也一无所知，成了好欺哄的“弱势群体”。

A was in Shanghai some private hospital doctors said,He left,Is because"Can't see down",Some practice out of his moral bottom line,Many patients with superstition hospital advertising,For basic medical knowledge also know nothing,Became good deceive the"Disadvantaged groups".

　　据了解，去年第三季度，上海卫生行政部门依法查处了上海长江医院、上海天大医疗美容医院等52家民营医疗机构，这些医院在互联网、自制印刷品发布违法医疗广告，或篡改经审核的医疗广告内容。

It is understood,The third quarter of last year,,Shanghai public health administrative department shall investigate and deal with the Shanghai Yangtze river hospital/Shanghai huge medical hairdressing hospital and 52 home private medical institutions,The hospital in the Internet/Homemade of printed matter to disseminate the illegal medical advertisement,Or tamper with the approval of medical advertisement content.

　　上海药监局稽查处一位负责人也透露，上海市每年查获的假药中，有三分之二都来自于民营医院，且其中大多为没有知名度的药品。

Shanghai's drug watchdog JiZhaChu a person in charge also revealed,Every year Shanghai seized in counterfeit drugs,Two-thirds comes from the civilian battalion hospital,Mostly no awareness of the drug.

　　记者在上海瑞金医院随机采访了一些门诊病人，他们对记者说，之所以选择公立医院，一是因为医保，二是民营医院的信誉成问题。就是没有医保，他们也情愿选择公立的，因为国家开的放心。

Reporter in Shanghai ruijin hospital random interviews with some of the outpatient,They told reporters,Chose public hospital,A medical insurance because,The second is civilian battalion hospital reputation a problem.Is no medical insurance,They also willing to choose public,Because the country open rest assured.

　　卫生部医政司原司长、中国医院协会民营医院管理分会会长于宗河说，部分民营医院存在“一切向钱看”的倾向，夸大宣传医疗力量、治疗效果或者对患者实施过度治疗，误导甚至欺骗消费者，从而影响了民营医院的整体形象。

The ministry of health YiZhengSi original priests/China hospital association civilian battalion hospital management in ZongHe club President said,Part of the civilian battalion hospital exists"Everything in terms of money"tendency,Exaggerated propaganda medical power/Treatment effect or to the implementation of the patients with excessive treatment,Mislead or even deceive consumer,Which affect the overall image of civilian battalion hospital.

急功近利难以监管 Get rich quick difficult to supervision

　　据有关方面统计，上海市民营医疗机构的均匀治愈率仅54.36%，考虑到上海公立医院中三级机构较多，承担了上海市及全国疑难杂症的救治，从疾病构成角度看，社会医疗机构的质量水平明显低于全市均匀水平。而民营医疗机构拥有的卫生技术职员只占全市总数的6%；床位数占5.9%；均匀注册资金小于1000万元；占地面积不足1400平方米；提供的门急诊服务只占同期全市门急诊总量的6%。

According to the statistics,Shanghai private medical institutions even only 54.36% cure rate,Considering the Shanghai public hospital three institutions more,Take the Shanghai municipal and national treatment of incurable diseases,From the disease constitute a perspective,Social medical institution levels of quality is obviously lower than the uniform level.And the private medical institutions have health technical staff account for only 6% of the total number of the city;Bedspace accounted for 5.9%;Even the registered capital of less than 10 million yuan;Covers an area of less than 1400 square meters;Provide this service account for only 6% of the total in the city this during the same period.

　　上海市嘉定区卫生局副局长郑益川在分析部分民营医院急功近利时说，投资者和管理者分离，这是最大问题。投资者总是想尽快收回成本，使得民营医院院长非常为难，尽管他们多数都是有医学背景、有医德的，但处于这种矛盾的时候，也只能选择妥协。

Shanghai jiading district health bureau deputy director ZhengYiChuan in the analysis section of civilian battalion hospital said get rich quick,Investors and managers separation,This is the biggest problem.Investors always want to recover as soon as possible cost,Makes the civilian battalion hospital director in a very difficult position,Although they most are medical background/Have medical ethics of,But in this kind of contradictory time,Also can choose compromise.

　　于宗河表示，在政策设计上，民营医疗行业的定位应该以非营利性为主。一些地方把民营医院当做企业来对待，是理念和政策的迷失。目前，国家针对民营医院的专业准入门槛太低，有钱就能办医院，这种发展方向走偏了。

In ZongHe said,In the policy design,Private medical industry orientation should be based on non-profit give priority to.Some parts of the civilian battalion hospital as enterprise to treat,Is the idea and policy lost.At present,Countries in view of the private hospital professional admittance threshold is too low,Money can do hospital,This development direction is wide.

　　中欧国际工商学院卫生管理与政策研究中心主任、经济学兼职教授蔡江南指出，我国最早起家的一些民营医院，不少都是由一些对医疗行业根本没有经验的人从事经营和管理，他们追求快速发财。而不少真正懂行的专家想办医却困难重重、难以进入，暴露了一些监管上的问题。现有的一些政策和规章制度，也给民营医院的健康发展带来了一定制约。其中最核心的，在于与人事管理有关的制度和规定。例如，医生人才目前完全是医院或部门所有制，使得民营医院无法得到高质量的医疗人才。再加上难以进入社会医保的覆盖、面临税收政策等压力，民营医院几乎无法与公立医院在一个公平、平等的平台上竞争。于是，就不得不通过各种不正当的手段来获得生存和发展的机会。

China Europe international business school health management and policy research center director/Economics adjunct professor CAI jiangnan pointed out,Our country started the earliest some of the civilian battalion hospital,Many are made by some of the medical industry did not experience engaged in operation and management,They seek quick get rich.And a lot of really one of medical experts want to do but difficult/Difficulty to get into,Exposed some regulatory problems.Some existing policies and rules and regulations,Also the healthy development of private hospitals has brought certain restriction.One of the most core,In the personnel management and the system and regulations.For example,The doctor personnel at present is completely hospital or department ownership,Make private hospitals can't get high quality medical talents.Plus hard to enter the social medical insurance coverage/Faced with the pressures of tax policy,Civilian battalion hospital can hardly and public hospital in a fair/On the platform of the equal competition.so,Have to through the various improper means to get survival and development opportunities.

完善法规规范运作 Perfect laws and regulations standard operation

　　“目前申城民营医疗机构中非营利性的还不到4%。”上海市社会医疗机构协会一位负责人认为，投资医疗事业要有正确的经营理念。资本逐利是题中之意，但“不同于办商场或者买房产，医者仁心，办医院先天就带有公益性质，社会医疗机构不能一味向钱看。”

"At present Shanghai private medical institutions china-africa for-profit less than 4%."Shanghai social medical treatment organization a officials think,Investment medical enterprise to have the right business philosophy.Capital by the theme of the meaning,but"Different from do shopping mall or buy property,Our healers,Do the hospital congenital will has the public property,Social medical institutions can not blindly money."

　　“开办民营医院无疑是必要的，关键是政府如何鼓励、扶持、规范的问题。政府不扶持，他们就可能要倒掉。”一位曾在民营医院工作的管理人员说。

"Open civilian battalion hospital is undoubtedly necessary,The key is how to encourage the government/support/Standard problem.The government does not support,They may have to pour out."A once in private hospital management researchers said.

　　蔡江南建议，各级政府要重点鼓励、扶持民营医院的发展。取消民营医院在相关资格、税收、财务管理、土地征用等方面的歧视政策，并制定各项优惠政策，特别是在区域卫生规划和医院设点布局中，对民营医院要留有足够的空间，同时可以考虑将诚信经营的民营医院纳入医保定点机构，为其创建平等的竞争环境。加强与药监、工商、公安和新闻媒体等有关部门的协作，多管齐下，综合整治，加大对违法违规医院的处罚力度，使其违法成本大大高于收益。尽快完善法律法规，促使民营医院规范运作。修改广告法、《医疗广告管理办法》的部分内容，加大对虚假医疗广告的处罚力度。尝试引进社会监管机制，如规定医疗保险公司不支付不良行为记录者的医疗费用等。通过行业自律和自我约束，促使民营医院依法行医，诚信行医。(记者 刘建)

Choi jiangnan Suggestions,Governments at all levels to a key to encourage a/Support the development of private hospitals.Cancel the civilian battalion hospital in the relevant qualification/tax/Financial management/Land expropriation of discrimination policy,And formulate preferential policies,Especially in the regional health planning and hospitals in the second-hand layout,To civilian battalion hospital should have enough space,At the same time, can consider to the good faith management of private hospital medical insurance into orgnaization,For its create equal competition environment.Strengthen and also/commerce/The public security and the news media, and other relevant departments of the cooperation,Multi-pronged approach.we,comprehensive,Strengthen the illegal punishment of the hospital,Make it illegal cost greatly higher than income.The perfect legal laws and regulations as soon as possible,Prompted civilian battalion hospital standard operation.Modify advertising/[Measures for the administration of medical advertisement]Part of,Strengthen the false medical advertising punishment.Try to introduce social supervision mechanism,Such as provides medical treatment insurance company does not pay for bad behavior chronicler of medical expenses, etc.Through the industry self-discipline and self-discipline,Private hospitals to practice medicine in accordance with law,Integrity medical.(Reporter liu)