Some current situation scanning of foreign capitals hospital of China An " engagement " Confused in eight years

Some current situation scanning of foreign capitals hospital of China An " engagement " Confused in eight years
To the relaxation day by day of the entry condition of foreign capitals hospital with China, the increasingly many foreign capitals hospital begins to enter the medical market of China. However, situated in conditions such as China's policy, idea, investment environment,etc., many foreign capitals hospitals find after entry, the investment environment of China allows of no optimist. And the foreign capitals identity of relative marginalisation, make it difficult while facing predicament of surviving and get concern and support of responsible institution and industry again, many foreign capitals medical organizations germinate the idea of retreatment for this. The intersection of match and farce attract eight confused to like Germany each yuan of prices of land to hit the intersection of Chinese and the intersection of hospital and the intersection of land and top to sell price year. " Take out the land selling contract copy of copies of foreign capitals and private hospital in the river, "such high price of land is that the hospital with public service property can't afford. " In 2002, there is no difficult problem of the general hospital in order to solve the north of the city in Hangzhou, the idle government for many years planned to use the ground in hygiene together, specially facing the foreign capitals introduces a hospital - --Hangzhou loves Germany's hospital. But one of the match of responsible institution " The engagement " ,But make the hospital of Germany of love of Sino-America cooperation fall into the eight -year long confusion. Introduce to " Economic Information " reporter on the Changjiang River, director of hospital, " the Sino-foreign joint venture, cooperative medical organization managed the temporary means " jointly released according to Ministry of Public Health and Ministry of Foreign Trade and Economic Cooperation at that time, the proportions or rights and interests of stock right accounted for in the Sino-foreign joint venture, cooperative hospital of China can't be lower than 30%. For this reason, Hangzhou Municipal Health Bureau has specially appointed Hangzhou to have fund and public hospital of the technological capability most at that time - --The institute of traditional Chinese medicine of Hangzhou participates in the Chinese organization by shares. However, the institute of traditional Chinese medicine of Hangzhou will cooperate in regarding as the sweet potato scalding one's hand, unwilling to provide funds, unwilling to get involved to manage. "The intersection of city and institute of traditional Chinese medicine have leader like, choose load at that time, insist on the intersection of hospital and the intersection of group and more thanth person gather neat showing up willing to start to negotiate by two full-time lawyer that China engage all, it takes one month at least to nearly have a talk, and only wish to enjoy the shareholder's rights and interests but unwilling to undertake shareholder's obligation. " Say in the river. Subsequently, this " marriage " kept everything in one's own hands by the government Develop into completely " The match " Farce. " Economic Information " reporter is from liking seeing on the significant events of hospital that Germany's hospital offers, sign the formal contract from the signing of both sides' first cooperation purpose of September of 2002 by June 11, 2004, last 21 long month. Municipal institute of traditional Chinese medicine allocate, get land of name their carry on the commercial assessment health bureau, and so as to fix a price for 18,810,000 yuan; As for 7,590,000 yuan left, require foreign side's profit fund after building up the hospital in the future to call China and hand in in advance first. In this way, the institute of traditional Chinese medicine of the city has not paid one fen, has succeeded in obtaining and loving 30% of the stock rights of Germany's hospital. During this time, love Germany to submit the favourable application of area to the municipal chief leaders in charge of department and municipal Party committee and government of Hangzhou constantly, while hoping to bring in funds at first according to Hangzhou " Sell the land, sell the gold part to reduce or remit according to the land used for price of medical treatment " Commitment,it is getting that more price and follow-up more need paying about land differential land rent fee, support expenseses municipals large,etc. reduce or remit. "The land transfer price of the international hospital of Peking University of Beijing is 250,000 / mu, bright base hospital land transfer price 250,000 / mu of Nanjing, the land transfer prices of Suzhou Kowloon hospital are all reduced or remitted, the government subsidizes 10 million yuan again every year Love the top that price of land of 5,680,000 yuan per mu of Germany hits the land of Chinese hospital and sells the price. " Take out the land selling contract copy of copies of foreign capitals and private hospital in the river, "such high price of land is that the hospital with public service property can't afford. " But let her feel a depressed one is, these reports nearly all have no reply finally. Go through to cooperate with after the double blow that uncertainty lead to the fact in government policy extremely Chinese cooperator, foreign side's investors have already sapped one's vitality. In 2009, the hospital of Germany of love of the gross investment of 350 million yuan will go through the tribulation to build up at last, and open formally on January 19, 2010. The first year, more than ten people alone of reception amount of clinic of every day of hospital building, planning 300 sick beds according to tertiary standard of general hospital, there are few impatients too. More than 150 medical personnel's work load of what the hospital digs from the urban high salary of our country's Line two are extremely unsaturated, the hospital runs, loses and up to 30 million directly. In order to cover deficit, the hospital even violates legal provisions and rents the use of a public hospital of the sick bed of a floor. "Leave different from original intention while coming, think now how to live on. " Say helplessly in the river. President change everything become " this whether typical person leave the intersection of policy and interest, president transfer to everything. " Korea S. is filled with indignation triumphantly, " China has closed the centre by force, has recalled all Chinese personnel and arranged to work for one's own ophthalmology department, put up the notice, prize and walk the data plate of the centre, send the special messenger to guard, guide, get all the disease resources of the centre in its ophthalmology department that broke a contract and set up, cause the centre to fall into the state of stopping doing business, can't manage normally. " Hangzhou the intersection of Zhejiang and the intersection of benefit and ophthalmology department make a diagnosis centre in enter the first 10 years in the Chinese market, Chinese and foreign both sides cooperated tacitly, the operation is good. But only because China cooperative hospital has changed a person in charge, the centre faces the impasse on the verge of bankrupt. Hangzhou Zhejiang benefit ophthalmology department made a diagnosis the centre set up in 1995, it was by the international commercial advisory company (IBC Company) of N.C. State of U.S.A. Attach to the cooperative training clinic that a institute set up with Zhejiang medical university together. Both sides agree on, the centre is set up in a hospital in Zhejiang, China no longer sets up the project of competing with business looks of the centre. Chairman Han Kai introduces to " Economic Information " reporter, in the first 10 years cooperating, China and the United States cooperate tacitly, a hospital in Zhejiang not only cancels the former ophthalmology department according to the contract, still sends all staff members of the former ophthalmology department and works for centre. But IBC Company invites company's director, ophthalmology expert Dr. Martin that enjoys high prestige in U.S.A. as the technical adviser. He not only comes to personally to the centre to launch operation and technological guidance, the technical staff who but also accepts the centre sends is trained in a famous ophthalmology centre in locality in one's own U.S.A. of his. At that time, centre introduce planting personning who enter most advanced the intersection of cornea and the intersection of contact lens and technology use for, treat highly near-sighted in the world even, become the first medical organization with this technology in China. "Since the centre set up, clinic and operation person have risen year by year, some made a diagnosis the project has already reached the international advanced person and led the level at home. " Han Kai says, by 2004, there are about 120,000 patients in one year in the centre, business income is nearly 50 million, the total profit is up to more than 9,240,000 yuan. But accompany by the intersection of Zhejiang and one hospital top administrator Change, cooperate but drama turn appears. In 2005, China set up the ophthalmology department run on the eighth floor and the ninth floor of the institute district independently by a hospital in Zhejiang suddenly, and the institute stands in the city incorporated in it into own forces newly? � A is slender and delicate to search and encourage the beer? "This it is typical person that leave the intersection of policy and interest, president transfer to everything. " Korea S. is filled with indignation triumphantly, " China has closed the centre by force, has recalled all Chinese personnel and arranged to work for one's own ophthalmology department, put up the notice, prize and walk the data plate of the centre, send the special messenger to guard, guide, get all the disease resources of the centre in its ophthalmology department that broke a contract and set up, cause the centre to fall into the state of stopping doing business, can't manage normally. " But China thinks, the centre regards pure profit as object, and does not pay attention to scientific research, cause this ophthalmology department to charge and higher than the other public hospitals far directly, and initiate the obvious decline of the academic position of ophthalmology department in the province of the hospital, have damaged the reputation of the hospital. Both sides stick to one's own version, agree to apply for arbitration according to the contract finally. But let Han Kai wonder, though China International Economic and Trade Arbitration Commission arbitrates to think China should also stop the noncompliance to break a contract immediately finally, the intermediate people's court of Hangzhou has assigned and carried out the notice too, but the noncompliance of China is still going on so far. Is the entry of the foreign capitals hospital hostile? Say, the confusion over the past eight years make her worn out mentally and physically and the heart grows the purpose of retreating in the river. "It is not because of the energies of the unwilling fund and devotion up to 350 million, I have given up for a long time. " Sojourning in Han Kai abroad for many years says, " if the current situation can't change, the medical market of China no one will invest in in the future. " Love the investment environment of benefit of Germany and Zhejiang and allow of no optimist, the current situation which nobody pays close attention to of the predicament of surviving, it is the true portrayal of much foreign capitals hospitals of our country at present. The industry personage analyzes that is thought, government and Chinese enterprise lack the intersection of sincerity and degree and public trust, investment environment still unstandard and policy lack continuity and practicality and legal consciousness indifferent, etc, it is not good enough to cause the domestic investment environment at present, influence, attack and restrain the medical organization of the foreign capitals from entering the Chinese market and important reason to grow up smoothly. Government, Wujiang of Jiangsu, it in charge of the intersection of Vice Mayor and will Zhou of hygienes to be sweet-smelling to say, store our country in some officer of place, guide phenomenon of foreign capitals because of impulse of the achievements really at present, in order to facilitate the entry of the foreign capitals, " match " simply and stiffly , form a complete set. This measure has not fully considered whether both sides have foundation and sincerity of cooperation, the long-term development of the undertaking does harm rather than good. Think in the river, a lot of domestic officers and the public medical organization, all to " hostile " of entry of the foreign capitals hospitals at present . For example on the long age hospital entered the market of Beijing that year, have suffered the jointly opposing of over 10 public directors in Beijing. She thinks, many foreign capitals hospitals have born the function of the public health of medical insurance,etc. that the government entrusts too while entering the Chinese market, the foreign capitals hospital is not totally the pronoun of the high charge either. Such hostility and know mistaken idea, dispel, foreign capitals hospital difficult by tremendous development within the territory of China, let alone take shape and touch the public hospital. But the public managerial expert thinks, weigh the quality of a country or regional investment environment, except such hardware conditions as the land is cheap, the preferential policy is abundant, the space of market is enormous, soft environment that the more important thing is to be served. The policy of the government lacks practicality and continuity, it is difficult to fulfill to promise, the legal system of and the enterprise, organization and citizen has scarce spirit, obstruct the important factor of investor's step. Three major factors are the medical organization of the foreign capitals " Do not dare to come " When " Sino-foreign joint venture, cooperative provisional management of medical organization " were issued and implemented in 2000, have once attracted numerous foreign capitals medical organizations to reach at home and investigate and assess. But passed by in 10, the foreign capitals have not entered on a large scale, really the fund with international medical organization background, very fewer. The policy is unfavorable, the medical organization of the foreign capitals does not " dare to come " Wuxi the intersection of city and second apt favourable China, director of people, receive once large criticism estimate organization, they are entrusted by medical organizations of foreign countries, to do and cure the assessment at home. "The main content assessed includes the medical procedure, scale of medical organization, charging, doctor's treatment, patient's affording, training characteristic, business income and the income but distribution situation,etc., around 2000 is a peak. " However, after the lively assessment, no ensuing chapters. Apt favourable China thinks, " the foreign medical organization thought there were markets greatly in the medical treatment of China, assess through being above-mentioned, the conclusion drawn is - --Do not possess the possibility of development at the present stage. " Vice Chief of Zhejiang Province department of public health Ma WeiHang,et al. thinks, current medical reform policy, the development of private hospital and foreign capitals hospital is unfavorable. Medicines zero difference rate, though foreign capitals hospital can fixed prices independent,if make high, the patient does not come. And then for example the medical treatment of our country ensures being still in the low-level wide state that covers at present, and the foreign capitals hospital needs commerce to ensure the system even more, could obtain more profit rooms. In addition, the marginal benefit that the medical reform policy brings, it is likewise unfavorable to develop to the foreign capitals hospital. The basic medicine system substantially as pursuing at present, the public hospital can obtain corresponding subsidy, pursue, raise behind the medicine with skill progressively, the public hospital can get and replenish too, these two kinds of subsidies, no consideration range in the government of foreign capitals hospital. Latest investigation of department of public health in Zhejiang Province shows, after implementing the above-mentioned policy, half of non- public director of Zhejiang thinks that will result in running off a patient, the existence of the private and foreign capitals hospital is more difficult, want the social capital which entered the medical trade to already slow the step down. " various details show, there is too much unfairness inside " The materials of Ministry of Public Health show, our country has 18,000 hospitals at present, the state-run hospital accounts for 94%, have monopolized the fund, medical technology and talent of most governments. Only this one, it is enough to make various want the social capital which enter the medical field to grow and fear. In charge of doing the system not divided, let the public hospital seem stronger, this makes the foreign capitals rather fear too. "Such respects as we supervise in market access, policy environment and trade, it is very difficult to obtain with the equal status of the public hospital, so fail in the starting line at the beginning. " Suzhou Kowloon hospital is the first large-scale comprehensive foreign capitals hospital of Jiangsu Province, also the biggest medical organization at present of industrial park of Suzhou, director ChangSun FuLin expects that has a fair competitive environment with the public hospital. "All of my energies are all thrown on the hospital, suffer unspeakably now, can not nearly do. " Under the treatment difference different to solve, the foreign capitals hospital always tries to avoid haggling with front of the public hospital, or choose the training to treat the direction, or orient the advanced market. And comprehensive to those large-scale ones The foreign capitals hospital, some questions can not be avoided at all. "We hoped to attract patients through the advanced good medical environment of apparatus too originally, but the apparatus of the public hospital is not worse than us now, the building built is all luxurious. We Suzhou had the best hardware 5 years ago, the other hospitals all happen to come now, because there is input constantly of governments. " Director of Kowloon hospital ChangSun FuLin says. The power of the public hospital, still reflect on the right of words. Kowloon director Liu Feng says, for example makes medical norm, service standard, it is the public hospital expert that participates in, and does not take the experts of the private medical organization at all times. Various check, check by public expert of hospital too, but private hospital expert have chance reach the public hospital check at all. " various details show, there is too much unfairness inside " . Some persons in charge of foreign capitals hospital giving an interview say, even unable to obtain the same treatment with the public hospital in short term on the market access, policy environment, they still expect to be able to obtain equality in the trade supervise, and this tube which awaits the hygiene system is done and separated. The annual pay of foreign capitals hospital 300,000 can not support the upper public annual pay of hospital 100,000 Talent's question, is the most troublesome thing of hospital of all kinds of foreign capitals at present. Within a short time, the foreign capitals hospital can attract some talents through the high salary, but can't form talent's echelon, it is more difficult to ensure the long-term development of the hospital. The international hospital of Xin'an located in Jiaxing of Zhejiang is private in in April of 2009, invests the group to jointly invest in the construction of from Singapore international medical industrial group and weighing apparatus of China, Shanghai. Vice President Wang BingHua thinks, public hospitals have concentrated a large number of medical talents, strongly fragrant strongly fragrant successful expert such people are by no means rare, the intersection of foreign capitals and except that can pay the high salary hospital, still can provide more development space for them. "Certainly, it is very difficult for us to attract talents from the hospital of the first, second and third of a gleam of city, can only dig people from the hinterland, a prefecture-level city forms the relative advantage such as Jiaxing. " When Suzhou Kowloon hospital is just open, the desk have been piled in the resume which applied for talents. "The annual pay that we drew at that time is 300,000 yuan, have certain temptation. But now, the attractiveness that 300,000 has not had. " The grandson has published 4 issues of wanted advertisement on " health newspaper " in the past two years, but any person did not employ to. "It is more difficult to dig people now, there is position vacancy of the directors of several departments now in the hospital. " Work in the public hospital, besides normal salary bonus, there are gray incomes such as covert payment, commission,etc., in the industry there is a kind of statement: 300,000 annual pay of the foreign capitals hospital can not support the annual pay of 100,000 yuan of upper public hospital. Kowloon director Liu Feng says, some experts leave another misgivings of the public hospital, may lose the academic position coming with public hospital. "Once lose academic status, mean it is very difficult for the expert's scientific research academy to have progress again, the natural selection gradually in the academia. " Talents' short leg, is limiting the further development of the foreign capitals hospital seriously. The bright base hospital of Nanjing carries out the bright continent of the Changjiang River carefully and knows this: "The hospital will develop for a long time, the most important foundation is talents, this more needs are trained by oneself by us. " But if there is no financial group to support, most cultivation of medical talents of foreign capitals hospital, it is still a extravagant hope. Cross swords in view " disrupt the market " " Nian's fish's effect " " Economic Information " reporter finds in research, because regional government, responsible institution and public the intersection of hospital and person in charge to the intersection of foreign capitals and the intersection of view and one that medical organization enter and psychology complicated, lead to the fact all parts appear the intersection of policy and one, situation of each department acting on its own repeatedly in the face of the medical organization of the foreign capitals. Some places, in consideration of achievements or others, import foreign capital blindly, reduce the threshold or offer the preferential policy unconditionally and unrestrictedly, corresponding supervision was not put in place; In some places, regard foreign capitals as dreadful monsters, set up a checkpoint, create all sorts of obstacles everywhere, lead to the fact it is difficult, difficult to run for the foreign capitals to enter. Opposition person Medical organization know the foreign capitals " Disrupt the market " Many persons in charge and scholars of public hospital think, the only motive force that the medical organization of the foreign capitals enters the Chinese market is to make profits, this deviates from medical organization's own public service attribute. Some people think, the foreign capitals medical organization entering the Chinese market at present is very different, follow the same old catastrophic road of private hospital to a certain extent, has further sharpened the sharp relationship between doctors and patients. Some presidents of public hospital are anxious, the arrival of the medical organization of the foreign capitals will fight for the advanced share of the public hospital, aggravate the existence predicament of the public hospital. Vice President of the People's Hospital of Jiangsu Province Kong XiangQing says, the public hospital is undertaking the strenuous medical task, raising medicine will strip progressively with medicine, medical service price and cost will be hung upside down seriously, and the government only bears only about 5% of operating expenses of hospital at present. If the medical organization of the foreign capitals enters and fights for share with the public hospital, will further aggravate the difficulty of the public hospital surviving and reform. Supporter Importing foreign capital will bring " Nian's fish's effect " Introduce the foreign advanced management mode of medical organization, it is a great original intention that the responsible institution imports foreign capital. By the look of present situation, some management of foreign side succeeding in introducing has really promoted the efficiency of management of the hospital greatly, have reduced the operation cost. Have already opened many medical organizations, and run at present so that the harmonic home hospital turning out a prestigious institution expresses in China, one's own staff can never present " Take the cotton of alcohol and polish shoes " Thing,have hospital more public its operation cost at least and low 20% compared with our country's. The foreign capitals medical organization operating smoothly has not merely brought the advanced management idea, have also introduced advanced medical idea and medical technology abroad. Ophthalmology expert come guidance as the cooperative ophthalmology centres of Zhejiang benefit of China and the United States have not merely invited American side to be outstanding, still send Chinese personnel to the foreign advanced hospital training technique many times, and taken the lead in the most advanced planting the entering contact lens technology of cornea to introduce into China in the world. Reporter Zhang Le Zhu XuDong Qiu Yi Report of Hangzhou

|