The Feasibility Study Of PPP Cooperation In Public Hospitals In China

Since the reform and opening up policy,China's national economy has been developing rapidly.By the end of 2017,China's total economic volume has reached 82 trillion yuan,ranking the second in the world,and has reached the standard of middle-income countries.With the rapid development of China's economy,the social problems have brought by it are increasingly apparent: the aging of the population is becoming ever more serious,and the gap of medical resources between regions is too large.By the end of 2016,the number of hospital beds per 1000 populations in mainland China was only 6.14,lower than the standard of the world average.In recent years,the standard of health service for residents in China is also increasing.At present,the operating funds of public hospitals in the mainland are mostly from the financial subsidies of local governments at all levels.In recent years,due to the economic recession,the government's fiscal deficit is increasing.The survival and development of public hospitals in China are facing great challenges.Some public hospitals are outdated,backward and narrow in scale,which is sometimes difficult to meet the demand of people.PPP model(Public-Private-Partnership)refers to the state capital and social capital reach a certain concession agreement,and the two parties work together to build an infrastructure project.The risk and development of the project is preferred to be shared by both parties.The PPP model cannot only effectively reduce the tense situation of local government and public hospitals,but also can effectively increase the innovative field of private capital investment.It is useful to alleviate the situation of the shortage of medical resources and the contradictions between doctors and patients and help to promote the progress and development of medical and health services in China.However,constrained by cost,not all projects are applied to the PPP model,and specific case columns should be whether or not to the use of the PPP model.At present,the reason why the State encourages the PPP model is that the PPP model is more cost saving than the traditional model.Therefore,before larger projects are put into construction,the value of PPP model should be evaluated.The current scientific research level cannot meet the evaluation requirements of the value of the PPP model,which is not conducive to the government departments to make a correct decision on the PPP project.From the perspective of the government department,this paper makes a comprehensive assessment of the feasibility of the PPP Cooperative Medical Project in public hospitals in China.The feasibility of the quantitative evaluation method of the value of PSC and PPPitems is demonstrated and the theory of uncertainty analysis is added.The Monte Carlo simulation principle is added to construct the quantitative evaluation method of the value of material for uncertainty research: the public sector comparative value method(PSC)method.The value evaluation of the PPP project is converted from a simple deterministic point decision to a more reasonable and scientific distribution interval decision.Based on the principle of hypothesis testing in probability theory and mathematical statistics,we establish the theory of quantitative evaluation of value for money under the hypothesis of mean difference hypothesis of PSC and PPPs distribution and deduce the relevant conclusions of the quantitative evaluation of value for money based on the uncertainty theory.From theory to practice,taking M Hospital of D city as an example,we evaluated the value of money for PPP mode in the M hospital project of D city before starting construction and demonstrated the mathematical model built in this paper to test whether the method is reasonable and feasible.