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三明医改新方向:瞄准医疗设备融资租赁服务

2017-08-03 佚名 赛柏蓝器械

三明市委书记杜源生针对三明医改的“再出发”提出,要进一步加大投入,探索医疗设备融资租赁等新方式,创新医改投入机制。

据《三明日报》消息,7月31日至8月1日,福建省政协副主席、医改领导小组副组长李红带领省医改办副主任李文哲、省医保办主任詹积富、省卫计委副主任陈晓春、省医保办副主任梁步腾一行,到三明市调研深化医改工作,并召开医改座谈会和医联体建设座谈会。

会上,三明市委书记杜源生针对三明医改的“再出发”提出,要进一步加大投入,探索医疗设备融资租赁等新方式,创新医改投入机制。

这显示,全国医改明星三明市继在公立医院的药械采购、三医联动、医保体制等方面进行改革创新、并被全国效仿之后,又盯上了医改投入机制的创新,而医疗设备的融资租赁也将成为三明创新医改投入机制的重点方向。

据掌握到的信息,在全国各地方在推、拟推的医改措施中,显著提出要在公立医院医疗设备融资租赁上发力的,应该是没有的。(如果发现有,欢迎大家补充)

医疗设备的融资租赁在业内算不上新话题,国家也多次发文予以鼓励。比如去年3月国办印发的《关于促进医药产业健康发展的指导意见》,明确提出:“探索医疗器械生产企业与金融租赁公司、融资租赁公司合作,为各类所有制医疗机构提供分期付款采购大型医疗设备的服务。”

国家要求加快社会办医,也是鼓励医疗设备融资租赁的。比如去年出台的《广东省促进社会办医加快发展实施方案》明确提出,鼓励融资租赁机构对社会办医疗机构开展大型医疗设备融资租赁。

但与民营医院相比,公立医院在落地医疗设备融资租赁上尚存争议。

一方面,我国医疗机构的负债结构本就不合理,随着医改深化,公立医院又全面取消药品加成,之后还得有耗材零加成等等。公立医院的收入减少成为突出问题,以湖南某大医院为代表,甚至直接砍掉了几千万的年度医疗设备购置资金。而融资租赁方式是可以有效缓解医疗机构的设备购置资金压力的。

另一方面,医疗机构开展融资租赁业务,本质是一种贷款行为,而国家相关政策文件均明确禁止公立医疗机构举债、贷款购置医疗设备。医疗设备的融资租赁,在事实上,也成为了贿赂多发地带。

作为在全国都具有带动示范作用的医改明星中的明星,三明市在公立医院的医疗设备融资租赁上若能着力推动,既突破现有机制约束,又予以规范完善,最终总结出成熟可推广的经验来,极有可能下一步也会被其他地方借鉴过去,甚至是被全国普遍推广。

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  1. 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    2017-08-04 tidiq
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channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Aug 03 09:23:43 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229481, encodeId=ba90229481ce, content=设备融资租赁,材料零加成, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Thu Aug 03 09:15:33 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229469, encodeId=483d229469b4, content=学习,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Thu Aug 03 08:51:16 CST 2017, time=2017-08-03, status=1, ipAttribution=)]
    2017-08-04 zhao4618
  4. 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channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Aug 03 09:23:43 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229481, encodeId=ba90229481ce, content=设备融资租赁,材料零加成, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Thu Aug 03 09:15:33 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229469, encodeId=483d229469b4, content=学习,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Thu Aug 03 08:51:16 CST 2017, time=2017-08-03, status=1, ipAttribution=)]
    2017-08-03 1e0f8808m18(暂无匿称)

    资源共享,共同发展。

    0

  6. 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channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Aug 03 09:23:43 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229481, encodeId=ba90229481ce, content=设备融资租赁,材料零加成, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Thu Aug 03 09:15:33 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229469, encodeId=483d229469b4, content=学习,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Thu Aug 03 08:51:16 CST 2017, time=2017-08-03, status=1, ipAttribution=)]
    2017-08-03 Julie W

    据《三明日报》消息,7月31日至8月1日,福建省政协副主席、医改领导小组副组长李红带领省医改办副主任李文哲、省医保办主任詹积富、省卫计委副主任陈晓春、省医保办副主任梁步腾一行,到三明市调研深化医改工作,并召开医改座谈会和医联体建设座谈会。

    0

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channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Aug 03 09:23:43 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229481, encodeId=ba90229481ce, content=设备融资租赁,材料零加成, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Thu Aug 03 09:15:33 CST 2017, time=2017-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229469, encodeId=483d229469b4, content=学习,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Thu Aug 03 08:51:16 CST 2017, time=2017-08-03, status=1, ipAttribution=)]
    2017-08-03 139****5926

    好好文章学习了

    0

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    2017-08-03 明月清辉

    谢谢分享,学习了

    0

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    2017-08-03 lyh994

    设备融资租赁,材料零加成

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    2017-08-03 执着追梦

    学习,谢谢分享

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