In the last 16 months of the last 16 months, thousands of state-owned hospitals in China have been completely stripped of their hospitals.
▍ countdown! Thousands of hospitals were stripped away
12, chengdu hospital (formerly chengdu aircraft industrial (group) co., LTD.) hospital dean Liu Zuolin in actually of sina weibo account to open a by the state-owned assets supervision and administration, the public sector, the ministry of education, ministry of finance, people club department and the state development planning commission and other six ministries jointly formulated by the file: "about state-owned enterprises do guidance of deepening reform in education of medical institution" (state-owned assets reform [2017] no. 34) (hereinafter referred to as "guidelines").
According to the guideline, national state-owned hospitals will face a number of methods including resource integration, handover, closure and restructuring, with the final point being December 2018.
"Education organizations in state-owned enterprises, medical institutions, classification, classified ShiCe, deepen the reform, basically completed by the end of 2018 enterprise education organizations, centralized management of medical institutions, restructuring or handed over to the work." The guidelines are clear.
In other words, the total separation from thousands of hospitals was the last 16 months.
Cyberan notes that in the "deepening reform of the medical establishment" section, the guidance proposes four "outlets" :
1. Encourage the transfer of local management. State-owned enterprises will be encouraged to hand over local control to enterprises that have agreed with local governments and agreed to receive them. The local government does not agree to accept the receiving enterprises to run the community health service institutions and other medical institutions, enterprises may choose to close the cancellation or other reform methods to properly solve.
2. Orderly implementation of shutdown and cancellation. The medical institutions that have difficulty in operation and lack of competitive advantage shall be closed and withdrawn, and the workers shall be properly settled and resettled.
3. Actively carry out resource integration. Support in the health industry operating companies, state-owned enterprises or state-owned capital investment through asset transfer, free of charge transfer, escrow, do medical organizations of state-owned enterprises resources integration, realize the specialization of operation and centralized management, innovation, upgrade the medical and health services, the development of pension, health, tourism, and other industries.
In health industry as the main business of state-owned enterprises, in addition to have the occupational disease prevention and control of special function, special fields such as health care, medical institutions and employees clinics, clinics, medical service oriented outdoor, in principle, no longer direct management of medical institutions.
Actively promote state-owned enterprises organize and participate in non-profit medical institutions to participate in the reform of public hospitals, the implementation of the state-owned enterprises do medical liability, on the basis of further defined function, reference to the local government public hospital reform policy, break with medicine cure, straighten out the medical service price, participate in the mass purchase for medicine supplies, promote the establishment of operation mechanism. Strengthen the connection with local management in the aspects of health insurance and service supervision.
4. Standardize the restructuring and restructuring. We will actively introduce professional and competent social capital, in accordance with the principle of marketization, to participate in the restructuring and restructuring of government-run medical institutions in an orderly manner, and to make priority to be a non-profit medical institution. To the means of earnestly, assets evaluation, standard trading behavior, optimize the public investors, through the market to form the reasonable prices, after a deal intention should be public transaction object, market price and other information in time, prevent loss of state-owned assets.
The restructuring should be fully listened to the staff opinions of the proposed restructuring medical institutions, and the resettlement plan shall be considered and approved by the workers' congress or the workers' congress. After the restructuring of the medical institution, the state-owned enterprises that are not mainly in the health industry will not participate in the holding in principle.
▍ acceleration! The reform of state-owned hospitals was carried out
In fact, soe hospital reform has been accelerating in recent years.
As early as in 2002, the former state economic and trade commission and other six ministries jointly issued "on further advancing the separation of state-owned enterprises", the opinions of the functions of social work, the state-owned hospitals have conducted a large, centralized restructuring and peel, introduced to the new healthcare reform before 2008, state-owned enterprises run by the hospital number has been cut in half.
In September, 2016, promulgated by the state council "about the printing speed up state-owned enterprises do social functions and solves problems left over by history work plan notice, called for classification of GuoQiBan medical treatment, to take over, removal and merger, restructuring or professional management, government purchase in the form of services and stripping, complete enterprise run by the end of 2018, such as health care, handed over to the restructuring or centralized management.
Publicly reported, in March 2017, fosun medicine group joint investment of 1 billion yuan, taikang life insurance group with xu mining group jointly established huaihai hospital management group, xu mining group's overall restructuring, all 19 medical institution become state-owned hospitals and medical listed companies and large insurance companies attempt to breakthrough of operation management of medical institutions.
China resources medical group has successively participated in the restructuring of the general hospital of wuhan iron and steel, huaibei miner general hospital and xuzhou mine hospital, and became the largest social medical treatment group in China.
On July 29, henan energy chemical industry corp. 's * ST listed companies have announced that in the central plains property right trading co., LTD., for transfer of its eight worker hospital, listed price in principle is not lower than the final approved by state-owned assets supervision and administration of henan province in the value of assets appraisal.
* ST great said in a statement, the move aims to implement the national and henan province stripping enterprise social functions related policies, through the medical asset transfer and the "three for the thing" before handover, will gradually stripped of social functions, effectively easing the burden on enterprises, make the enterprise can concentrate on the development of main business, improve the market competitiveness of main business, realize the sustainable development of enterprises.
According to the report released by pricewaterhousecoopers in 2016, the report of the review and outlook on m&a activity in China in 2016 shows:
In 2016, m&a activity in the entire healthcare industry has exploded in both quantity and amount, and the amount of transactions has hit a new all-time high. Mergers and acquisitions of private hospitals and public hospitals have seen a surge in growth in 2016, with record Numbers and amounts of deals.
The amount of investment in private hospitals has more than tripled to 8.7 billion yuan. There has also been a sharp increase in investment activity in public hospitals, with the amount disclosed in 2016 rising to about 7.4 billion yuan.
For more and more hot hospital reform in state-owned enterprises, industry experts said in an interview with the media, hospital mixed ownership reform in state-owned enterprises, can at the same time of increase capital investment, the introduction of high-quality medical resources and modern hospital management system.
But he suggests that social capital into also increased returns on capital pressure, how to profit pressure maintain hospital after the restructuring of public welfare, can make the hospital in the profit at the same time give attention to two or morethings not abducted by capital, is a hospital in the conversion of state-owned enterprises need to solve the problem.
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