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对“不合格社会办医”,上海表态“零容忍”!

2018-07-28 子不语 医学界

鼓励形成一大批高水平、有特色的社会办医品牌,构建与卓越全球城市相匹配的高品质健康医疗服务业体系,绝对不会让那些不够格的办医机构再出现。

鼓励形成一大批高水平、有特色的社会办医品牌,构建与卓越全球城市相匹配的高品质健康医疗服务业体系,绝对不会让那些不够格的办医机构再出现。

“上海的所有政策支持,都是聚集到高水平、有特色、国际化的办医机构上……绝对不会让那些不够格的办医机构再出现。”

2018年7月24日,上海市政府发布《关于推进健康服务业高质量发展加快建设一流医学中心城市的若干意见》(简称“健康服务业50条”)。上海市副市长翁铁慧在会上对社会办医疗机构提出了更高要求。

翁铁慧介绍,目前,上海社会办医机构有2240家,其中医院188家,门诊部1070家,第三方医学检验影像诊断、病理诊断中心59家,诊所763家。核定床位是2.1万张,占全市的17%。随着人民日益增长的健康需求,上海市已培育出了一批定位高端、技术先进的社会办医机构。

从此次新政中不难看出,上海市政府对高水平、有特色、国际化的办医机构政策倾斜更为明显。

今年6月,和睦家医疗旗下的上海和睦家新城医院亮相上海自贸区。和睦家新城医院院长张澄宇作为社会办医疗机构的代表,在本次新政编制时参与了向政府提建议的环节。他认为,上海“健康服务业50条”是对社会办医支持力度最大一个文件,而此次新政中最为突破的改革措施为放宽规划限制,即先行放开100张床位及以上的高水平社会办医疗机构、全科诊所和中医诊所规划限制。

这意味着,社会办医疗机构将摆脱过去“被规划”的命运。

张澄宇说,根据《医疗机构设置规划指导原则(2016-2020年)》,到2020年我国每千常住人口医疗机构床位数控制在6张,其中,公立医院床位数3.3张,社会办医床位数1.5张。这就导致过去要在每***床位数的通盘考虑下,管控民营医院是否能够开放。如果区域内每***床位数已达标,规划限制就阻止了社会办医疗机构的进入。而这在一定程度上,无法满足患者的就医需求。

既然是“大放开”,为何仍然设置了“100张床位数”的门槛呢?

此举的意义,不言自明。不少专家对《医学界》表示,上海的目标很明确,就是鼓励形成一大批高水平、有特色的社会办医品牌。如果社会办医规模太小,可持续性会比较差,过去社会办医“小、散、多、乱”的问题就会重现。

英国国际医疗集团(IHG)中国区医院业务总监王一帆对《医学界》表示,此次上海“健康服务业50条”的推出,对有核心优势的高端医疗而言,“是好事,可以降低成本。”

王一帆所说的这个成本,主要涉及到税收、用地、水电方面。

根据上海“健康服务业50条”,在税收政策方面,对经认定的健康服务企业,可享受高新技术企业或技术先进型服务企业的政策优惠,按照15%的税率(原来25%)征收企业所得税;对实际发生的职工教育经费支出,不超过工资薪金总额8%的部分,准予在计算应纳税所得额时扣除。

而在土地政策方面,上海也给予了极大优惠:对于营利性医疗机构项目使用医疗用地的,符合国家规定的可以协议出让方式供地;对于存量产业用地,可通过转型开发、节余土地分割转让、政府收储等方式进行盘活利用,支持利用以划拨方式取得的存量房产和原有土地兴办健康服务业。

此外,这次新政特别提到,对在高水平社会办医疗机构就医的医保病人,基本医疗服务的费用由基本医疗保险基金按照公立医院同等收费标准予以结算,非基本医疗服务费用由病人自负。

专家表示,此前,上海的外资医院和高端民营医院的大多数病人采用了商业保险模式支付看病费用。而这些医院也几乎没有申请医保定点机构,不是医院方不想,而是难以从定价体系上满足医保的条件的要求。“此次新政或许开了一条口子,准许医保和商业保险分账。”

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    2018-08-04 liumin1987

    医疗机构一定要正规。

    0

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    2018-07-29 131****1460

    学习了受益匪浅

    0

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