Shanghai launches new measures to deepen medical reform

"By perfecting and implementing supporting policies, we encourage and guide social capital to organize medical institutions and optimize the city's medical resource allocation structure. We will strive to achieve the ratio of hospital beds and services to the city's total and medical quality in 2015 by Shanghai social medical institutions. The level of medical service has been significantly improved compared to 2012. A number of social medical institutions with a certain scale, certain social influence, and certain brand characteristics have been established and developed in the city, laying a solid foundation for Shanghai to build an Asian medical center city. The “Implementation Opinions on Further Promoting the Development of Social Medical Institutions” (hereinafter referred to as the “Implementation Opinions”) issued a clear target for promoting the attraction of social capital for the organization of medical institutions.

According to Xu Jianguang, director of the Shanghai Municipal Health Bureau, this is also a major move by Shanghai to deepen medical reform and actively support the organization of social medical institutions.

According to the Shanghai Municipal Health Bureau, the city currently has a total of 1,379 social medical institutions, including 169 hospitals (including Sino-foreign joint ventures/for 8), 513 outpatient departments (including Sino-foreign joint ventures/12 joint ventures), and 688 individual clinics. 9 inspection centers. Among the 169 hospitals, there are only 5 hospitals with more than 200 beds, 80 to 80, and 84 under 30. In general, the characteristics of the city's social medical institutions are: large numbers, small scale, relatively low technological level and service capacity, and no effective complementarity and competition with public medical institutions, and it is difficult to meet the diversified and multi-level medical conditions. demand. In this regard, the municipal party committee and the municipal government attach great importance to the development of social and medical institutions. From top-level design, long-term planning and planning, they specifically formulated the "Implementation Opinions," which support the policy level, optimize the medical environment, and create a good environment. Atmosphere, strive to provide all-round, multi-faceted, full-scale encouragement and support for social capital (including foreign investment) in the organization of social medical institutions:

Priority is given to social capital when adjusting and adding health care resources.

The "Implementation Opinions" stipulates that when social medical institutions are integrated into district and county district health plans and adjustments and new medical and health resources need to be adjusted, they shall meet the requirements for the setting of medical institutions, medical institutions and bedspace control standards, and access standards. Priority is given to the organization of medical institutions by social capital. Encourage powerful enterprises, charities, foundations, commercial insurance organizations and other social forces to organize medical institutions.

Encourage social capital to organize medical institutions in high-end medical services.

The "Implementation Opinions" proposed that Shanghai International Medical Park and Shanghai New Hongqiao International Medical Center should be the main platforms to encourage and attract social capital to hold a variety of forms with a certain scale, featuring advanced technologies, high-quality services, and advanced management. Medical institutions and specialty specialist medical institutions. Encourage public medical institutions in this Municipality to make full use of their advantageous disciplines and technologies and jointly establish social medical institutions with social capital in two international medical parks.

Encourage social capital to organize medical institutions in the areas of basic medical services with weakly configured medical resources.

The "Implementation Opinions" pointed out that social capital should be encouraged to hold specialized medical institutions with inadequate supply of medical services such as medical care for the elderly, rehabilitation, mental health, pediatrics, and obstetrics. Encourage social capital to hold traditional Chinese medicine or Chinese and Western medical institutions and qualified pharmaceutical companies to set up Chinese medicine clinics.

Encourage social capital to participate in the restructuring of public medical institutions.

The "Implementation Opinions" made it clear that the restructuring of public hospitals will support the encouragement of preferential selection of social medical institutions with rich experience, good social reputation, and advanced management methods to participate in the restructuring.

Encourage foreign capital to organize social medical institutions.

The "Implementation Opinions" emphasizes that overseas medical institutions, enterprises, and other economic organizations are allowed to establish medical institutions in the form of joint ventures or cooperation with medical institutions, enterprises, and other economic organizations in this Municipality, and gradually eliminate equity restrictions on foreign capital. Under the framework of the Cross-Strait Economic Cooperation Framework Agreement (ECFA) and the Mainland and Hong Kong and Macao Closer Economic Partnership Arrangement (CEPA), the capital of Taiwan, Hong Kong and Macao Special Administrative Regions shall be supported to establish joint venture, cooperative, or wholly-owned medical institutions in this Municipality, in accordance with relevant It is stipulated that the priority support policy should be enjoyed.

Encourage social forces to participate in the management of public medical institutions.

The "Implementation Opinions" clearly states that all social forces with experience in the management of medical institutions at home and abroad, through various forms such as hospital management companies, participate in the management of public medical institutions on the premise of clear responsibility and power relations.

Improve the financial policies and land policies of social medical institutions.

The "Implementation Opinions" stipulates that social and medical institutions should be supported to raise funds for construction and development through equity financing and project financing. Non-profit medical institutions with insufficient supply of medical services for elderly medical care, rehabilitation, mental health, paediatrics, and obstetrics organized by social capital may apply for government subsidy policy support to the corresponding financial department for new or reconstructed or expanded capital construction projects. Further improve the land policy of social medical institutions. The needs of social medical institutions for land use shall be included in the overall plan for urban land use and the annual land use plan, and the demand for land shall be reasonably arranged.

We will improve the relevant policies for the inclusion of social medical institutions in the designated areas for medical insurance.

The "Implementation Opinions" clearly states that social medical institutions are in compliance with relevant regulations for medical insurance, and are incorporated into social security programs such as urban basic medical insurance, new rural cooperative medical care, children's hospital insurance, college student medical insurance, medical assistance, work-related injury insurance and maternity insurance according to procedures. The scope of fixed-point services provides support to specialized medical institutions for basic medical services such as medical care for the elderly, rehabilitation, mental health, paediatrics, and obstetrics organized by social capital, and is preferentially included in the fixed-point of medical insurance.

Optimize the employment environment of social medical institutions.

The "Implementation Opinions" clearly states that social medical institutions and medical personnel sign labor contracts according to law and participate in social insurance in accordance with state regulations. Medical personnel are encouraged to make reasonable movements between public and social medical institutions, and medical personnel are not affected by changes in the workplace in terms of academic status, job title assessment (examination), and occupational skills appraisal. We will improve doctors' multi-practice management system and encourage doctors to practice in more social medical institutions. Where the professional and technical personnel introduced by social medical institutions conform to the relevant policies for the introduction of talents in this Municipality, the relevant departments shall go through the formalities of management of their household registration, housing and enrollment of their children in accordance with the regulations.

Create a good atmosphere for social capital to run a doctor.

The "Implementation Opinions" requires that the media such as radio, television, newspapers, and the Internet be fully utilized to vigorously promote the national and municipal policies and guidelines for encouraging and guiding the development of social medical institutions, and to create a favorable social atmosphere conducive to the development of social medical institutions.

According to reports, there are 28 "Implementation Opinions", further clarifying that in the social capital organization of medical institutions, government departments at all levels must give the community access to all aspects of examination and approval procedures, taxation and pricing policies, access to large-scale medical equipment, and government procurement services. Medical institutions give priority to and give priority to support.