How to define "section co-construction" and "department contracting".

On October 13th, the Pharmaceutical Network ," on the issuance of the "13th Five-Year Plan" to deepen the reform of the medical and health system" and "on the promotion of social medical treatment to accelerate the development of a number of policy measures" and other documents clearly encourage local exploration of public medical institutions and social medical institutions to strengthen the effective forms and specific ways of business cooperation.
public medical institutions to train medical personnel for social medical institutions, improve technical level, and explore various forms of personnel exchange and technical cooperation.
encourage social forces with experience in the management of medical institutions to participate in the management of public medical institutions through various forms, such as hospital management groups, under the premise of clear relationship of responsibility.
Law on Basic Health Care and Health Promotion, issued this year, clearly stipulates that medical and health institutions shall not rent or contract medical departments to the outside world.
-profit medical and health institutions shall not distribute or distribute proceeds to the funders or the organizors in disguise.
this is actually a typical situation of two kinds of medical cooperation: one is the state-encouraged "department co-construction", the other is a severe crackdown on "department contracting."
so, what's the difference between the two? Where are the defined boundaries? How can we avoid falling into a mine zone of "department contracting" in the process of working with medical institutions? We must first understand the definition of department contracting, which appears in the Ministry of Health on the illegal blood and single blood plasma, illegal practice of medical special rectification work related to the application of the law, the concept of "department contracting" is defined as: medical institutions will be department or housing contracting, rental to non-medical personnel or other institutions and in the name of the medical institutions to carry out medical treatment activities.
There are two main modes of department contracting common in practice: (1) medical institutions shall hand over their departments to non-personnel or other institutions of the institution, operate independently, bear their own profits and losses, and carry out medical treatment activities in the name of the medical institution;
model should be attributed to the act of renting and lending the Medical Institution Practice License.
Let's look again at the definition of co-construction of departments: (a) the co-construction of departments under the mode of co-construction cooperation between departments from start to finish in the hospital top-down management system, fully integrated into the unified management of the hospital.
partners do not participate in the hospital's profit distribution, but charge a fixed monthly management fee or service fee.
the role played by social-run medical institutions under the model of co-construction of departments is to participate in management, and cooperation with hospitals is a model with complementary advantages.
example, doctors' groups with abundant expert resources have jointly established departments with primary hospitals to provide technical training for primary hospitals, and social forces specializing in hospital management and operation have reached cooperation with hospitals to provide scientific and efficient management services.
Through the above definition analysis of the model of "department contracting" and "department co-construction", it is obvious that it can be concluded that the most important difference between department contracting and department co-construction is whether the department is independent of the hospital and operates, especially the public hospital, which belongs to a non-profit organization, the balance of income and expenditure in operation can only be used for its own development, not to distribute profits.
practice usually through the following actual situation to determine whether the mode of cooperation is prohibited "section contracting", or encourage the "section co-construction:( :(i) form aspect 1, signed contract type.
The two parties usually cooperate to sign an agreement, and if the contract or lease contract is clearly signed, it is easy to be considered to have a "section contract" problem, but if the two parties sign a "cooperation contract" or "section co-construction contract", further judgment is required;
The registration of medical personnel's practice is a major point of examination, if the medical staff's place of practice, personnel relations, labor or labor relations are found in the usual inspection process is not in the cooperative hospital, it will be considered that there is a "department contracting" problem, while the individual medical staff may have the problem of illegal practice of medicine, will receive administrative punishment from the relevant departments.
, legal department construction should register medical staff in cooperative hospitals.
(ii) substantive aspect 1, whether the financial income and expenditure into the unified management.
If a cooperative hospital establishes a separate settlement account, it is not actually controlled by a cooperative hospital, or if the words "rent" are clearly stated in the financial account, it is a typical "department contract".
, the operation and management of the department must be integrated into the unified financial management of the hospital.
2, private charges.
Some hospitals set up in-house hospitals, some departments of income is not through the hospital at all, but by a third-party management company to collect, this in practice will be considered as a typical "department contract", the opposite side of medical behavior is qualified medical institutions and patients, there is a medical service contract relationship between them, the management company does not have the qualifications to collect medical service fees.
therefore, the co-construction of departments must not be charged in private.
The above is the usual basis for judging whether the cooperation mode is legal in practice, therefore, in the beginning of cooperation should be noted, do not accidentally step into the mine zone, causing unnecessary losses to enterprises, in addition, in the process of cooperation related to the handling of medical disputes, related expenses, such as settlement also need to be agreed early, do not wait for contradictions to be resolved, prevention is the best policy.
The medical and health undertakings are directly related to the health and safety of the people, and only by constantly exploring various modes of cooperation between social forces and public hospitals under the premise of ensuring medical safety and quality can we truly inject fresh blood into medical reform and promote the flow of high-quality medical resources.
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