Research On The Current Situation And Development Strategies Of Anhui Province In Private Medical Institutions

Objective: through the system of collecting social do in anhui province hospital quantity,scale,category,nature,human resources,services(such as outpatient and inpatient number)data,understand the society in anhui province hospital basic situation,find out the problems existing in the anhui province social do medical,by drawing on the successful experience of domestic and foreign social do medical,using the theory of control handle framework,from financing,payment,organization,regulation,behavior in five aspects,to explore strategies and Suggestions to promote the development of anhui province social do medical.Methods: literature review method.Refer to anhui provincial health and family planning commission's official website,access to the anhui province social medical status data,system learning at home and abroad about social do medical policy documents and academic literature data,conclude and summarize the domestic and foreign typical social do medical success experience and enlightenment.Research.In anhui province of anhui,characters,choose the two cities in anhui,hefei,huai nan,wuhu,huangshan,fuyang,suzhou six cities,every city extraction society do secondary general hospital and general hospital,hospital each 1,a total of 18 social do hospital for hospital development status questionnaire survey,and the 18 hospitals principal heads in the interview.The main purpose of field investigation and interview is to understand the basic situation,development scale and speed,human resource situation,service delivery capacity and service efficiency of anhui provincial medical institutions.Focus group discussion.Based on literature research and survey results,on the basis of clear socialdo medical status,problems and causes in anhui province,through draw lessons from other parts of domestic and foreign social do medical experience,adhere to control a theoretical framework,from financing,payment,organization,regulation and behavior and so on five aspects to discuss strategies to promote the development of social do medical in anhui province.Results: as of 2016,the total number of hospitals in anhui province reached 1,042,including 744(71.4%)of the social hospitals,and in general,the development of medical treatment in anhui province was faster.In 2016,there were 66089(29.9%)of the total number of hospital beds in the province.The total number of doctors was16614(25.7%),nurses 26085(26.1%);The first-level hospitals in the social hospitals accounted for 49.9%,the secondary hospitals accounted for 17.5%,and the proportion of tertiary hospitals was 1.6%.In 2016,the total number of patients and discharged patients in anhui provincial social hospital was 11862314(13.2%)and 1476586(21.0%)respectively.Of the 18 hospital staff in the survey,there were 200 people in the hospital,54.9 in the hospital and 97.1 in the hospital.In the past year,16 of the 18 hospitals have new entrants,with 19.9 new entrants and 9.2 departures.In the past year,no one has gone out for further study in 3 hospitals in 18 hospitals.18 social do hospital,according to the results of 754 medical workers on-the-job survey over the age of 29 years old and under a total of 400(53.1%),30-39,256(34.0%),40-63(8.3%),49,50 years old and above 35(4.6%),education,high school or technical secondary school,72(9.5%),associate degree,447(59.3%),bachelor degree or above with a total of 235 people(31.2%),job title,10 senior titles(1.3%),intermediate(25.8%)of 195 people,Primary446(59.2%),no title 103(13.7%).The operating status of 18 hospitals: 177.1 beds in all18 hospitals;The number of equipment is 117.7.In 2016,the total income of thehospital was 62,959 million yuan,and the total expenditure of the hospital was 35.744 million yuan.In 2016,the total number of patients in 18 hospitals was 712,103,and the number of hospitalized patients was 3,9561.3.The total number of discharged patients was 80,497,and the hospital discharge number was 4472.1.The total number of surgical patients was 29625,and the number of hospitalized patients was 1645.8.18 social do merit pay 88.9% of the hospital system in hospital,83.3% of the hospital established the board of directors of the board or management committee,all 18 hospitals set up quality management committee,55.6% of the hospitals have an independent quality management office,only 27.8% of the hospital the ambulance brought into "120" emergency dispatch system.Conclusion: overall,the overall scale of medical treatment in anhui province is small,the market share is low and the medical characteristics are not distinct.In terms of policies,there are problems such as the difficulty in implementing health insurance policies,higher taxes,discrimination in fiscal subsidies and insufficient support for financing policies.In terms of operating conditions,most of the 18 social hospitals that have been selected have low income,high debt,low service output and low utilization rate of hospital beds.In terms of personnel,there is a lack of personnel and instability.The management system is not flexible enough and the mechanism is backward.Specific Suggestions:Financing.We will further improve and implement the financing policy,expand the financing channels,and fully mobilize the initiative of the social medical institutions through the establishment of special awards for supplementary funds.At the same time,we should strengthen the supervision of the implementation of health insurance policies,and ensure that the medical treatment of social medical institutions is equal to that of thegovernment.Payment.Make a reasonable salary payment system for staff,improve work efficiency by mobilizing employees' enthusiasm.By extending the social do hospital tax holidays,lowering tax rates,adjust the policy of electricity,water,gas,heat,reduce the operating costs of society do hospital incentive do hospital rapid development of society.Organizational.Social do hospital besides developing high-end medical service,also can develop in the direction of grassroots medical institutions,the specific service areas,to the traditional Chinese medicine,rehabilitation,mental,aged care and other weak areas of public hospital development and medical plastic and cosmetic,etc.The special medical services development.At the same time,the social hospital should innovate management system,strengthen the self-discipline of the industry,strengthen the management of human resources,rebuild the brand image and strengthen the competitiveness of the hospital.Regulation.We will further simplify the access procedures for social medical treatment,lower the threshold,improve the mechanism for withdrawal and change,and speed up the innovation and supervision mechanism,while encouraging and guiding the participation of social medical institutions in medical reform.Behavioral.About the behavior of the medical staff,in addition to strengthen supervision,to strengthen the quality education practitioners,pay attention to the construction of medical ethics,as well as improve their professional skills should pay attention to improve the moral standards.For patients behavior,mainly eliminate prejudices to society do hospital,establish of society do hospital trust,on the one hand,the government should strengthen the community hospital regulation and punishment,atthe same time,some social do hospital should focus on long-term,strengthen industry self-discipline and connotation construction,reshape their brand image.Patients should also screen the information,and do not believe hospital reports.