丁明山委员建言—— Ding Mingshan committee recommendations --

打破三个障碍 盘活民营医疗资源 Break down barriers of three revitalize the private medical resources

　　解决百姓看病难、看病贵的问题，需要集合全社会之力，盘活各种资源。但是目前的情况是，在社会医疗资源中，公立医院一头独大，民营医院明显短腿。

To solve difficult people/See a doctor expensive problems,Need to set the whole society,Activate the various resources.But the situation is,In the social medical resources,A head of dominant public hospital,Civilian battalion hospital significantly short legs.

　　全国政协委员丁明山建议：一方面，公立医疗资源紧张的情况很难缓解，另一方面，大量综合性民营医院面临文化、市场和人才等多重压力，发展动力不足。

The CPPCC national committee Ding Mingshan advice:On the one hand,Tense situation it is difficult to ease public health resources,On the other hand,Large comprehensive private hospitals face culture/Market and talent such as multiple stress,Development of steam.

　　具体说来，民营医院发展，最需要解决的障碍有三个：

In particular,Development of private hospital,The most need to solve the obstacles has three:

　　一是人才障碍。现在的情况是，公立医院医生可以到民营医院工作，但是想从民营医院回到公立医院则很难，想担任离开公立医院时同级别职务更难。缺乏医务人员合理流动的机制，让民营医院基本从业人员构成只能由退休医生、护士和新招聘的年轻医务人员组成，人称“爷爷带着孙子看病，奶奶带着孙女护理”。

One obstacle is talent.Now the situation is,Public hospital doctors can work to the private hospitals,But would like to return from private hospitals to public hospital is very difficult,Want to leave public hospitals with level position is more difficult.Lack of the mechanism of the rational flow of medical personnel,Let civilian battalion hospital primary the employees constitute only by retired doctor/New recruitment of young nurses and medical staff,said"Grandpa take grandson to see the doctor,Grandma took granddaughter nursing".

　　二是具体政策障碍。为了让民营医疗机构在现有的医疗格局中发挥更好的作用，国务院2010年11月发布了《关于进一步鼓励和引导社会资本举办医疗机构意见的通知》；北京市政府也出台了《关于进一步鼓励和引导社会资本举办医疗机构的若干政策》。但是人力资源、税收、财务、社会保障等方面的配套政策没有跟上，落实起来很困难。对于“无主病人”，公立医院可以得到民政部门的相应补助，却没有支持民营医院的救助体系。

Second, specific policy obstacle.In order to let the private medical institutions play a better role in the current pattern of medical treatment,The state council issued in November 2010[On further encourage and guide the social capital to establish medical institutions opinions of notice];The Beijing municipal government is also introduced[On further encourage and guide the social capital to establish medical institutions a number of policy].But human resources/tax/financial/The supporting policies of social security, etc,It's very hard to implement.for"Unowned patients",Public hospitals can get civil affairs departments of the corresponding subsidy,But there was no support assistance system of private hospitals.

　　三是医保统筹机制方面的障碍。现在民营医院与公立医院的医保政策支持还有很大的差距。比如说民营医院和公立医院发票不同，会造成不少医保病人报销难或根本无法报销的情况。无法进入医保体系，就无法在现有医疗格局中发挥应有作用，造成许多医疗资源相对短缺的情况。

Three is an obstacle to the health care mechanism as a whole.Civilian battalion hospital and public hospital medical insurance policy support now also has the very big disparity.Such as civilian battalion hospital and public hospital different invoices,Patients can cause many health care reimbursement difficult or cannot submit an expense account.Unable to enter the health care system,Will not be able to play their role in the existing medical pattern,Cause a lot of relative to the shortage of medical resources.

　　丁明山指出，打破障碍，需要打通公立医院和民营医院间人才的双向流通渠道，营造平等的医务人员相互流动氛围；将民营医院引进人才纳入各地人才专项流动计划，支持民营医院派人到公立医院培训进修。对已经形成一定规模并承担一定地区相当数量医疗服务的民营医疗机构，给予政策支持和必要的经济扶植，使之形成示范效应。统一公立医院与民营医院的医疗费用发票；弱化公立与民营医院的身份差异；对“三无病人”等公益性救治，建议像“交通事故救助金政策”一样，由政府设立相应的基金，将民营医院也纳入公益性救助体系中。(记者 鲍 丹)

Ding Mingshan pointed out,Break down barriers,Need to get through between public hospital and private hospital talents bidirectional circulation channels,Creating the atmosphere of equality mutual flow of medical personnel;Will introduce talents into private hospital talent around the special flow plan,Support for private hospitals to send people to the public hospital training education.To take region has formed a certain scale and a considerable amount of medical service of private medical institutions,Give the necessary policy support and economic assistance,Of demonstration effect.Unified public hospital and private hospital medical costs invoice;Weakening the identity of the public and private hospitals in difference;for"3 without the patient"Such as public welfare treatment,Advice as"Traffic accident aid policy"As well as,Set up the corresponding funds by the government,Private hospitals also should be brought into the public assistance system.(The reporter bao Dan)