On The Investment-return Mechanism Of PPP Projects In Public Hospitals

With the improvement of national living standards,medical and health services have gradually become the primary concern.At present,the supply of medical and health services in China can not match the growing health needs of the people.The government has put forward higher requirements for the development of public hospitals.The birth of the new medical and health reforn in 2009 introduced the PPP model into the public hospital project and provided a new opportunity for the development of public hospitals.However,the higher"public welfare" of public hospitals makes the PPP project of public hospitals difficult and the participation of social capital is very low.Therefore,the government must formulate a reasonable investment-return mechanism to ensure that social capital obtains reasonable investment income on the basis of recovering investment costs.There is little research on the investment-return of PPP projects in public hospitals in China.At present,there is no complete process system and no mature case experience to follow.From the perspective of social capital,this paper discusses the determination of the return rate of investment and makes a reasonable investment-return plan.The specific research framework is as follows:First,this paper described the background,purpose and significance of the PPP model in the medical and health field.After reading a large number of references,we have clarified the research content,research route,research methods and innovation points.Secondly,this paper introduces the related theories of investment-return of PPP project of public hospitals,including:the meaning of public hospital,the characteristics of PPP project of public hospitals,the related concepts of PPP,and operation mode and process of PPP project.Thirdly,from the characteristics of public hospitals,this article clarifies the relationship between government,public hospitals and social capital in the PPP project of public hospital,determines the range of investment-return,the calculation of investment-return,and the relationship between investment-return.Then,based on the perspective of social capital,the article draws up the implementation plan,incentive plan and guarantee plan of the PPP project of public hospital based on the relationship of investment-return of each party involved in the PPP project of public hospital.Finally,taking the PPP renovation and expansion project of DWRM hospital as an example,this paper discusses the investment-return rate,makes a financial forecast of the investment-return for the project,and designs a reasonable investment-return scheme to verify the feasibility of the research.Through the study of the investment-return mechanism of the PPP project of public hospitals,the paper formulated a closed-loop graph of investment-return of the government,social capital and public hospitals,and determined that the variable range of investment-return rate is between 6%and 8%.On this basis,in order to ensure the effective operation of the investment-return mechanism of PPP project of public hospital,this paper designs the implementation scheme,incentive scheme and the guarantee scheme of performance evaluation and supervision.