Study On The Influencing Factors Of PPP Mode Application In Public Hospitals

With the rapid development of China’s economy,the acceleration of urbanization and aging process,and the awakening of public health awareness,the consumption demand of medical and health services in China has been growing.However,the supply of medical services in public hospitals is insufficient to a certain extent.The development funds of China’s medical and health service industry mainly come from the government’s financial allocation,but governments at all levels are facing the problems of economic downturn,slowing down the growth of fiscal revenue,aggravating government debt and so on.Therefore,the state has issued a series of policy documents to encourage social capital to participate in the construction and operation management of public hospitals,promote diversified operation of hospitals,and promote PPP The application of the mode in public hospitals can not only relieve the financial pressure of the government,expand the investment and financing channels of social capital,but also effectively improve the supply efficiency of medical services,and further improve China’s medical and health system.The application of PPP mode in public hospitals in China is in its infancy.On the one hand,there is no mature experience to follow,on the other hand,there is a lack of legal support.There are many factors influencing the application of PPP mode in public hospitals,including policy and law,social environment,economy,market demand and social capital.Based on the relevant theoretical research,this paper uses the method of qualitative comparative analysis(QCA)to analyze the typical cases of PPP projects in public hospitals,explore the key influencing factors in the implementation process of PPP projects and analyze its mechanism.The first is to rely on the strength of social investors,while the government pays rent and feasibility gap subsidies on time to protect the public interest.The second is to depend on whether the policies and laws are stable,whether the project approval is smooth,and whether the government is trustworthy;whether the market demand is stable;whether the government has the opportunity to pay rent and feasibility gap subsidies on time,and whether the social investors have the strength System.On this basis,the paper summarizes the feasible countermeasures and suggestions: the government should strengthen the policy and legal support;reasonably establish the return mechanism and risk sharing mechanism;select the appropriate social capital side to promote the steady operation of the project.