Medical Network News, June 14 Recently, the National Health and Hygiene Committee issued the “Statistical Bulletin of China's Health Care Development in 2017” (hereinafter referred to as the “Gazette”). The data shows that the number of private hospitals still exceeds that of public hospitals. The gap further widened.
▍411 public hospital 'Disappeared
The data in the "Gazette" shows that by the end of 2017, the number of public hospitals in China was 12,297. This compares with 12,708 public hospitals in China at the end of 2016. It can be found that there were 411 public hospitals 'disappeared' in 2017.
It is understood that there are mainly two types of public hospitals in China, one is the hospitals for employees of enterprises and institutions; the other is the public hospitals of local governments. Those public hospitals that disappeared are actually transformed into private hospitals through mergers and acquisitions. .
In fact, public hospitals have indeed faced some pressure in recent years.
1, from canceled drug Addition pressure
Sun Hong, dean of Hunan Xiangya Hospital, said at a forum earlier this year that Xiangya Hospital officially launched the zero-plus-drug pilot from January 1, 2016. After one year of operation, the hospital has lost more than two billion yuan.
On June 6, 2017, Lan Ping, Dean of the Sixth Hospital Affiliated to Sun Yat-sen University, said at the “10th Anniversary of Provincial, City, and School-Building” event that the hospital had an annual income of 1.5 billion yuan. Even after the elimination of drug additions, even if it counted as strengthening the hospital The cost savings from management is still about 80 million yuan a year.
2, pressure from restricting development
As early as June 2014, the National Health and Family Planning Commission issued the “Emergency Notice on Controlling the Overexpansion of Public Hospitals,” which issued the “Four Strictness”: Strictly control the approval of public hospital beds and strictly control the construction of public hospitals. standard , Strictly control the configuration of large-scale medical equipment in public hospitals, and it is forbidden to build public hospital debt.
In July 2017, the General Office of the State Council issued the Guiding Opinions on Establishing a Modern Hospital Management System, clearly requiring strict control over the size of public hospital beds, construction standards, and large-scale medical equipment. The prohibition of debt-building and luxury decoration was exceeded. It is necessary to gradually reduce the number of beds. To control the scale of special services required by public hospitals, the proportion of special services required shall not exceed 10%.
At this point, public hospitals, especially big ones, can hardly continue to rely on the scale of expansion to increase their business volume for greater development.
3, pressure from personnel flow
In recent years, under the constant impact of social doctors, doctors' groups, and Internet health care, the mobility of medical personnel in public hospitals has grown.
With the continuous liberalization of policies and the accumulation and demonstration effects of some explorers, in recent years, more and more major hospital backbone doctors have begun to move toward the market.
Take Shanghai as an example, Dr. Zhang Qiang, founder of Dr. Zhang Qiang Group, Professor Song Donglei, founder of Dong Lei Brain Doctor Group, Professor Zhao Li, Founder of Anglo-Chinese Orthopedic Physicians Group, Professor Sun Zhiyan, Founder of Zibo Medical Group, Dr. The founders Professor Yu Wei and other doctors all came from the Big Three Hospital and chose to resign in the prime of the year to join the social media.
4, pressure from private hospitals
All doctors have the world. In recent years, a large number of doctors have left the system. Join The number of private hospitals and private hospitals has grown more than public hospitals, and the flow of patients in public hospitals has fallen due to the influence of private hospitals. These are already self-evident facts.
Earlier, according to medical reports, at a forum, the head of a well-known top-three hospital in Shanghai revealed an astonishing statistic: There are two private eye hospitals in Shanghai. In the past year, the operation volume of ophthalmology at the Shanghai Public Hospital has dropped dramatically. , Even up to 30%-50%, especially cataracts.
According to relevant data, Chinese private hospitals have been continuously erupting for many years.
For a long time, the number of public hospitals has far exceeded the number of private hospitals. However, in 2015, this situation was broken and the number of private hospitals surpassed that of public hospitals for the first time. At the end of 2015, private hospitals reached 14,518. From 2015-2017, two years A total of 4,241 private hospitals were added, an average of 2120.5 homes per year.
According to estimates by industry insiders, private hospitals are still growing at a rate of about 6 businesses a day. In 2018, the gap between public and private hospitals will further widen.
If this explosive trend continues, the pattern of the Chinese medical market will be changed again. medicine People also have to face new sales terminals, change the original sales model.
