Public Hospitals Financing Model Research

Health is a comprehensive basis for the development of people. Medicine and health bearing on happiness, is a major livelihood issues. Deepen the medical and health system, speed up the development of medicine and health, to adapt to people’s growing medical and health needs, continuously improve the quality of people’s health, to implement the scientific concept of development, promote balanced and sustainable economic and social development of the necessary requirement is safeguard social fairness and justice of the important measure is to improve people’s quality of life important indicator is the well-off society and building a socialist harmonious society, a major task. With three decades of reform and opening process, the medical field and in the philosophy of market economy under the impact of sense of competition, the original sources of funding the health sector has undergone great changes. In public hospitals receive funding from the Government’s finances will gradually reduce and ultimately eliminate the situation, how it is necessary to adhere to public hospitals, "health services for the people, for the socialist modernization drive," the basic policy, reflecting "the Government to implement some social welfare policies public good "in nature, but also a" responsibility, there are incentives, constraints, competitive, dynamic "of the operating mechanism to adapt to market-oriented economic requirements is the major challenge the development of public hospitals.The paper holds that, as the government’s reform of financial system and the establishment of public finances, a shift of government functions, in the health industry on health in the Provider’s free health service funding change to customer the transfer payment, the main input direction from the medical services into disease control, health surveillance, maternal and child health and other public health services. Decreasing government investment in the case of public hospitals, a shortage of funds the development of how to break through the bottleneck to solve the shortage of funds through financing is an effective way.This article first public hospital financing background, causes and characteristics of the analysis that the public hospitals provide medical services products are quasi-public goods, its financing should be completed jointly by the government and the market. In theory, based on the financing of public hospitals in China’s development process was reviewed, from the capital structure, financing structure, financing adaptation, sources of financing of public hospitals in four areas of the overall financing situation, pointed out that in reality, public hospitals financial distress reasons, including lack of knowledge of financing in place, information asymmetry, low efficiency of medical institutions, management of public hospitals own factors, but also lags behind the medical management system, market does not regulate medical institutions reform policy external factors such as inadequate.Accordingly, the article made reference to the United States, Germany, Britain, Singapore and other countries and regions, the advanced experience of public hospital financing, financing from public hospitals to see and change the way government funding, through the "dial switched to" enhance capital efficiency, is prerequisite for the development of public hospitals. Financing of public hospitals as the operator between a person and the game process investors, property rights must be conducted under the premise, property right system reform is the public hospitals must-crossed the "divide". Through "managed competition" human capital markets, and create a standardized and orderly market competition environment, health care, improve quality and efficiency of the financing of public hospitals; to medical institutions through the issuance of bonds and lottery tickets, the implementation of the government subsidized loans, effective control of health care body size and to avoid risk loans; to widen financing channels for public hospitals, public hospitals, financed out of the monotony of set style and framework to promote the development of public hospitals out of the "fog"; through the process of solving the financing of public hospitals because of adverse selection, asymmetric information and moral hazard problems, both for the financing of public hospitals to provide legal protection for active financing to maintain the interests of both.In the end, PPP model for financing public hospitals in the concrete application of the concept from the PPP model, specific applications were described in detail, the PPP model was applied to the construction of public hospitals, is a noteworthy idea. Projects in public hospitals to not only solve the Government’s public finance investment gap, but also can promote the reform of public hospitals operating mechanism, improving the operational efficiency of public hospitals; the same time, improve the hospital environment will help improve the efficiency of medical staff, help patients treatment and rehabilitation, helping improve the hospital’s reputation.