The Operation Mode And Role Of Social Capital In The Development Of Public Hospitals

The development of public hospital is an important task of contemporary government, which is also an important research topic of worldwide. At present, public hospital is the main health care system in China, undertakes the important task of safeguarding people's health, the operation of public hospitals is limited only by the Government's financial capital investment to meet the needs of the hospital, which is not enough. In view of the sustainable development of public hospitals to alleviate our health care system plays an important role between supply and demand.That based on the operation mode and role of social capital in the development of public hospital in the research, analyzing the problems faced by the development of public hospital, proposed the social capital in the development of public hospitals at the present stage.Analysis of social capital in the development of public hospital, discussing about the introduction of social capital enter the public hospital, proposed the strategies of the health care system about social capital.1. Literature Analysis. Analyze relevant studies and literature in theoretical abroad, comprehensive comments and then. Collect basic information on government-run public hospital assets and liabilities, operating income, aggregated for analysis about 2003 to 2008.2. Questionnaire survey. Select 13 public hospitals from all seven provinces s of eastern, central and western regions, typical on-site investigation, collect financial related data in hospitals about 2006 to 2008.3. Key informant interview. Hospital financial managements and health managements were In-depth interviewed or focus group discussions.4. SWOT Analysis. Match the strengths and weaknesses in public hospitals about the use of various modes of social capital to face the opportunities and challenges.No matter how government subsidies in International public hospitals, each government use the social capital at different levels. The main mode is bank loans, charitable donations, financial leasing. In order to revitalize the public welfare undertakings, the Government generally adopted preferential policies to encourage control over the financing of the decision-making of public hospital, on the right hospital for the treatment of assets is limited. Public hospitals in all regions of China are in rapid development, however, lack of government investment widespread throughout the hospital.Government subsidies account for the proportion of hospital revenues, the lowest is 1.4% and the highest does not exceed 10.1%, public hospital use social capital becomes a reality. The main mode is bank loans, financial leasing, staff fund raising, foreign loans and charitable donations, investment into commercial credit, collateral, third-party security practices; The amount of social capital range from several hundred thousand to the million range, mainly for infrastructure, equipment purchases, but also for the payment of wages, drug purchases and payments arrears in public hospitals. Return on social capital investment in public hospitals, which has a direct economic return and indirect economic return, public hospitals showed overall growth trend of social capital.Besides, Government "re-processing, light regulation," hospital "re-attract investment, light management for the development of public hospital financing, existing policy is ambiguous, unknown functions of government regulation; The cost of borrowing of general industry as a reference, which is not conducive to the hospital's normal economic operation; Charitable funds has not yet fully effective in the medical field.As regards to the current situation and problems of China's public hospitals, the writer holds the points that first of all, we should remove the bonds of the mind and change the traditional concepts, to encourage and support social capital to get into public hospitals; secondly, to establish a public hospital funding mechanism, which is a government-led investment and social capital as the supplement system, to strengthen the government plan, improving the public hospital services system and enhancing the social capital investment, thereby to support and encourage various forms of social capital into public hospitals; at the same time, the hospital management practices should be strengthened while standardizing the usage of social capital sector in public hospitals to further build a support policy system of social capital introducing, and to create a favorable developing environment.