In the eyes of the vast majority of people, hospitals are very profitable, especially public hospitals, which are actually heavily in debt.
Especially this year, with the gradual adjustment of the national medical insurance policy, many public hospitals may be facing bankruptcy or closure.
In the past, the bankruptcy of public hospitals may have been an unbelievable thing, and many hospitals may be facing or are about to face it.
You don't notice that your winnings have been stopped, or delayed for a long time, or have been drastically reduced.
Have you ever heard of a group of medical staff in a certain department of a hospital resigning and changing their guards?
They are all dragged with their families, old and young.
If it weren't forced by the situation, who would want to leave their homeland?
According to the People's ** report, the debt of China's public hospitals has reached 20 trillion, which has aroused widespread concern from all walks of life.
First of all, we need to be clear that as a non-profit medical institution, the main purpose of public hospitals is to provide medical services to the general public, not to pursue profits.
Therefore, the income of public hospitals is mainly used to pay the salaries of medical staff, purchase medical equipment, carry out medical services, etc., to ensure the normal operation of the hospital.
However, with the rapid development of China's social economy and the continuous improvement of people's living standards, the demand for medical care is also increasing.
As a result, public hospitals are facing increasing challenges in the delivery of medical services.
On the one hand, the work intensity of medical staff is high, and the salary is relatively low, resulting in serious brain drain. In order to attract and retain talent, public hospitals have had to raise the salaries of medical staff.
On the other hand, the continuous development of medical technology has accelerated the upgrading of medical equipment and the rising cost of medical care.
In order to provide high-quality medical care, public hospitals need to continuously invest in advanced medical equipment.
In addition, China's public hospitals are also facing tremendous pressure for reform.
In order to deepen medical reform and implement the hierarchical diagnosis and treatment system, public hospitals need to continuously improve their internal management systems and improve the efficiency of medical services. In this process, the hospital needs to invest a lot of money in information construction and talent training.
All these factors have led to an increase in the debt of public hospitals.
The DRG (diagnosis-related grouping) policy of medical insurance has a certain relationship with the debt problem of public hospitals.
DRG is a method of classifying and pricing medical services based on disease diagnosis.
According to the DRG policy, medical institutions are classified according to different diseases (diagnosis) and ** protocols (surgery, examination, etc.), and the corresponding medical services are determined for each DRG group.
This pricing approach is designed to drive greater efficiency and lower healthcare costs for healthcare organizations.
To put it bluntly, how much does medical insurance give you for a disease? If you spend less and have a surplus, the medical insurance may not keep the promise to give you the money, but if you spend too much or do not meet the requirements of various proportions, sorry, the medical insurance will definitely deduct this part of the money for you.
Or 2 or 3 times the penalty for you.
Why did you punish you?
I know everything. Obvious.
First of all, the DRG policy requires hospitals to pay more attention to efficiency and economy in the provision of medical services, and reduce medical costs by standardizing medical processes and reducing unnecessary examinations and surgeries.
Second, the DRG policy has changed the way hospitals charge fees.
Traditionally, hospitals charge according to the project, and there is often a phenomenon of "medicine for medicine", that is, the hospital obtains profits through the best drugs.
The DRG policy reduces the dependence on pharmaceutical margins by pricing medical services as a whole. For public hospitals, this means that their income** has changed to a certain extent, and they need to find new revenue channels.
Therefore, the DRG policy has had a certain impact on the debt problem of public hospitals. On the one hand, public hospitals need to adapt to the requirements of DRG policies by improving efficiency and reducing costs, which may require more investment.
On the other hand, the hospital's revenue may be affected, and if the hospital does not adjust its business strategy in a timely manner, it may lead to increased financial pressure and then debt.
Is the DRG policy the only cause of public hospital debt problems?
Of course not!
The issue of public hospital indebtedness is a complex issue that involves a combination of factors.
1.Increasing demand for medical servicesWith the aging population and the increase in patients with chronic diseases, the demand for medical services is increasing, which puts pressure on the increasing debt of hospitals.
2.Advances in medical technology and rising medical costs: With the continuous advancement of medical technology, the upgrading of medical equipment and the continuous updating of drugs have led to the rise of medical costs. In order to provide better medical services to patients, hospitals need to continuously invest in equipment upgrades and technical training, which increases the pressure of debt.
3.Restrictive payment methods: Restrictions on payment methods, such as payment limits, drug lists, etc., can affect the hospital's revenue**. Some public hospitals may have more medical expenses than the limit of medical insurance coverage, so they still need to bear a part of the costs, resulting in debt.
4.Improper management and use of funds in public hospitals: Some public hospitals may have problems in management, such as poor management, staff turnover, and non-standard financial management, resulting in unreasonable use and waste of funds.
5.Blind expansion: Public hospitals may have been expanding blindly in the past period of time, with the main goal of pursuing scale and quantity growth. This blind expansion can lead to hospitals taking on too much debt, which in turn increases the debt pressure. Improper planning and management during the expansion process can lead to wasted resources and low efficiency, which in turn affects the financial health of the hospital.
6.Large-scale equipment procurement: In order to provide high-level medical services, hospitals often need to purchase advanced medical equipment, including large equipment. These devices are often expensive and require significant maintenance and renewal costs.
If hospitals do not adequately evaluate and plan for the purchase of large equipment, it can lead to excessive one-time investment and increased risk of debt.
* Invest more in public hospitals to ensure that they have adequate funding to provide medical services.
Second, public hospitals need to strengthen internal management, improve operational efficiency, and reduce costs.
In addition, public hospitals can also increase hospital income by reforming the medical service system** and promoting the reform of medical insurance payment methods.
How can we make peace with something that people love and hate?
1. Optimize case management.
Hospitals should strengthen the management of medical records to ensure the accuracy and completeness of medical record data. This requires the hospital to establish a sound medical record management system and strengthen the monitoring and management of the quality of medical records to ensure that the medical record data meets the requirements of DRG.
2.Rational planning of medical services.
Hospitals should reasonably plan medical services according to the requirements of DRG to ensure the quality and efficiency of medical services. Hospitals should pay attention to factors such as disease structure, resource allocation and diagnosis and treatment capacity, and rationally allocate medical resources to improve the efficiency of medical services.
3.Strengthen communication with the medical insurance department.
Hospitals should strengthen communication with the medical insurance department, understand the latest developments and requirements of medical insurance policies, and adjust medical service strategies in a timely manner to adapt to the development of DRG reform.
4.Explore new operating models.
Hospitals can explore new operating models, such as working with insurance companies and carrying out cross-regional cooperation, to mitigate the impact of DRG policies on hospital operations.
5.Pay attention to the trend of DRG reform.
Hospitals should pay attention to the trend of DRG reform, actively adapt to the development of DRG reform, and adjust the medical service strategy in a timely manner to adapt to the development of the DRG era.
In short, the problem of 20 trillion yuan in debt of public hospitals cannot be solved overnight.
It is necessary for hospitals, patients and all sectors of society to work together to create a good development environment for public hospitals and enable them to better provide medical services for the general public.
After all, the hospital gives us a platform and opportunities for development, and we must develop and progress.
In the context of the new era, we believe that under the advantages of China's socialist system, public hospitals will usher in the spring of reform and development.
Let's look forward to the future of public hospitals! **10,000 Fans Incentive Plan