In an era of policy change, the situation is timely and lay the last battleground of the medical industry battle.

Text . . . Zhou
in the past 10 years, we began to explore the hospital micro-management level from the benefit system design to the control system of the link, and we explore the modern management system of public hospitals landing and innovation. From 2009, 2010 or so, we do not understand the "service per person law", do not agree, to recognition, and trust, we have reaped a lot of trustworthy and forward partners. Here, thank you for your tolerance and support!
in the next 10 years, I will focus on how to help traditional hospitals explore the path of strategic transformation in the process of change, explore how to build a "new all-health service system", and promote the traditional medical reform into the implementation of the 2020 "Basic ally forming a rich and well-structured health industry system" national strategy in 2020, the key is to achieve "traditional medical services" to play a leading role;
"The right way of the earth is the vicissitudes" in the Yan has a very classic line, "in this world ideal has two, one is that I realized my ideal, one is the ideal through me to achieve, even at the expense of their own", deafening and full of convincing and yearning for the beautiful force! In the trek "health and fairness" of the ideal way, will not sacrifice themselves, and the whole process we will be for their own health environment to improve and constantly work at the same time, but also continue to benefit. As an industry with the shortest ethical radius, all our efforts are likely to pay back to ourselves, our loved ones.
this may be the most beautiful ideal struggle road! ! In order to realize the ideal of "health equity", we start by exploring and building a "new all-health service system" and start ingons of the next 10 years!
the 10 years of the new medical reform, the competition of medical service in the form of multi-industry has ever built up the vigorous ecology of the big health industry, whether it is a series of changes in the traditional medical service industry chain, or the rise of emerging medical services, there was a quarrel to subvert medical services. While the traditional medical service in the experience of a series of policy changes, upstream and downstream interests cut, medical insurance reform gradually from extensive management to accurate disease management mode, modern hospital management system focus on the governance structure from the president responsible system to the secretary responsible system and so on, the promotion of graded diagnosis and treatment services basically runs through the medical reform for 10 years from the initial design to now, and finally everyone's focus converges on the county medical service on this bottom structure.
the same emerging medical services, from the big city, write PPT, take money, build a team, to organize a whole area of money, burning money, basically in the big city to take money in the big city burning money this wave has fallen, such as all kinds of escort business. Big cities take money, burn to patients free service, this wave also did not burn a TOO of the world, and found that while losing the cost and trust of experts, while patients buy not much, and even appear to buy patients on-line consultation phenomenon; These years the capital of the healthcare lively really a little bit "look at his banquet guests, car water Malone", finally, the complexity of medical services finally educated everyone, the medical service market competition, not on the PPT, but in the real patient market. And where is the real patient market with a large base? Not in the big city, in the county medical treatment.
focus on county medical treatment, from the perspective of county-level hospitals to see the world, medical services have problems and medical services their own structure have become clear, each county is a complete new "all-health service system", with its different vitality and extended industrial tension.
strategic ally, is the highest baton of all operations! Similarly, invalid strategic slogans are also easy to make this baton fail, so "strategy to slogan, action with habits"! At the same time, the strategic perspective also determines the vision of organizational development. A county-level hospital, in the strategic definition point if limited to medical services or hospital size, then it is undoubtedly to let themselves into the dilemma of thinking in the alley.
to the technical level as a hospital to survive the fundamental words, from the technical capacity of the county-level hospital sanahospitals by the municipal, provincial three-a hospital repression is very strong, in the new medical reform 10 years, the project paid income-oriented thinking model basically dismantled the hospital technology development opportunities, and the gradual deepening of the medical reform layer stripped layer steam of interests, drug addition, supplies, auxiliary drug use, and so on, then the large-scale leading inspection fee pressure As the saying goes, when the tide recedes, you can see who's swimming naked; No technical support, difficult and critical illness can not come in, there is no good surgical ability to support, high speed high-cost patients can not come, and the county hospitals compete to carry out the intervention of the project also because of the zero-plus of supplies after the discovery of profits, plus the anti-corruption for drugs after the anti-corruption adjustment to the supplies after the implementation of "high-value consumables" rely on the interest strain of the project was weakened; To carry out the diagnosis and treatment of tumor-type diseases, such as chemotherapy and other projects, but, even decent pathology departments can not take hands, talk about what tumor diagnosis ability ah, from the higher hospital slower down with drugs chemotherapy patients, but also how much profit in the county hospital, and then the big disease not out of the county policy requirements, based on the recognition of the major disease standards are not one, such hope is only the form is more than the meaning of the actual. The migration of medical treatment caused by medical complaints has never been limited by medical insurance, and people who really have the ability to migrate for medical treatment have returned home to reimburse the medical expenses after completing medical treatment. The untechnical advantage deeply devours the core capacity of a primary hospital. At the same time,
at the same time, in recent years, the policy requirements of stratified diagnosis and treatment and the pressure of the decline of patients in higher hospitals, provincial and municipal hospitals at all levels have to medical groups, medical associations, medical community, double sinking mode, for the county medical market competition is nothing more than to seize the stable first-level patient entrance, layout of the future gradually implemented graded diagnosis and treatment model can stabilize their cake share. The county hospital is the second pass of the patient in the medical level of the superior hospital, or the patient injection channel.
step-by-step dismantling, the county hospital's operating space and profitability become poor, the technical level of this road for strategic breakthrough is obviously not the upper choice. Redefining the existence value of county medical care, the value of "patient entrance" appears to have a different flavor, the value of patient entrance is not only in the provincial and municipal tertiary hospitals, emerging industries, such as scientific and technological medical services, health management and other institutions, and even the same industry private hospitals, or nursing homes and so on. Each access to the county medical market of all kinds of medical services, health services, medical support ingested peripheral services, such as washing, inspection, etc., to the county-level hospital as an access port, differentiation or transfer of income.
, the strategic definition of county hospitals should be to seize the monopoly opportunity of the last tail, grasp the county economy from land finance, borrowing to build new development zones, high-speed rail, large infrastructure model to reduce debt, heavy people's livelihood to find new growth point of the three production, the development of culture, tourism and other service industries, pension industry and other new development opportunities, in order to integrate health into the mind, the county hospital strategic definition as a transit point or access point for various service industries. With health as the starting point, clinical medical security as the backing, series of health and health management of the core and surrounding industries, because, in the health industry, clinical is the most important health problems and effective protection, and it is this important factor, based on health integration into the county industry economy model can form a complete valuable service closed loop - "all-healthy new service system." Thus, the county's culture, tourism, and other service industry of the new development of vitality. More importantly, it will be a light-asset service system operating model, for the county economy to open a new way of debt-based development.
the idea of building a service system that integrates health well into all new service industries is not an empty brain hole, the idea is that the 2017 "Healthy China 2030 Outline" is said to start from the supply side and demand side, co-ordinate the social, industry and individual levels, to form a strong combination of maintaining and promoting health. Health China defines health as a basis for universal health, and the focus of health for all is to provide equitable and systematic health services for the entire population and throughout the life cycle. "By 2020, we will establish a basic medical and health system with Chinese characteristics covering urban and rural residents, continuously improve the level of health literacy, improve and efficient health service system, and provide basic medical and health services for all, basic medical and health services and basic sports and fitness services, basically forming a health industry system with rich connotations and reasonable structure." And what we're thinking of is not the "rich, reasonable structure" health industry system that is in line with the national strategy?
the best way to get rid of the dilemma of thinking in the alley is to "jump out of five lines, not in this mountain". Discussing the problem of county medical treatment requires us to jump out of medical care, look at the county area, Chinese mainland a total of 1335 counties, in addition to the population of ethnic minority autonomous counties below 10,000, most of the county counties carry hundreds of thousands of people or even millions of people of the scale of generations of reproduction, labor life, living; County towns, including towns and cities, towns and towns, and villages, and the mutual connection also circulates with each other, mutual circulation and migration brought about by clan blood, in-laws and other factors, thus forming a huge invisible net, in which hidden invisible layers. In a county town, who can not have a few poor relatives in the village, but also baoqi county a certain surname of the people is the village out of the first two dogs what.
so, before the "all-healthy new service system" portrait, let's gossip about the canvas that carries this portrait - county medical county, pickpocketing his survival situation:
China's county area like a closed clan, continuing thousands of years of farming civilization in the urbanprocessy process did not usher in the real industrial upgrading still hovering in the low quality, low yield state, except for the coastal part of the county developed Since the wave of state-owned enterprise reform in the past century, the county state-owned enterprises have sold out, the secondary industry in the county town completely collapsed, can keep the traditional farming because of the rapid economic development of coastal cities and other cities and attract the young people in rural areas to throw away farmland, into the city, to the coastal factories, the county's own industries have not been benign development, the county area in previous years the rapid development of rapid development and the high-rise of land finance and the impact of GDP baton, pick up the high-speed growth of the county Resource output or primary processing and traditional service industry- mainly, the industrial chain is short, low scientific and technological content, energy consumption, in the industrial chain and the low end of the value chain, more is a low-level, extensive, factor-driven development model. The development of each county into the blind urban model as the goal of the rough copy, copy and repeat construction model, ignoring their own advantages and pay attention to the "standard new performance project", resulting in the emergence of the county from the construction to the industrial structure of many aspects of the same, positioning homogenization, and even antique Ming and Qing Streets can be imitated the same. Of course, there is a lack of systematic planning and careful thinking of the construction of new areas, industrial parks, investment and so on a unified pace of large-scale, so that the government happy debt construction, and then with a variety of preferential policies, including free land concessions, free of charge to plant, tax-free and so on to attract foreign investors, and foreign businessmen to the county after the use of preferential policies or from the government to give land free of charge to finance local bank mortgage financing and The government issued a guarantee dispensing capital market pledge financing (cashing), the whole empty gloves white wolf farce in the county frequently staged, all kinds of bull-headed horse face of the real and false entrepreneurs, and even some international lame crooks in the name of investment in the county city by the county's main leadership team accompanied by the most luxurious hotel banquet to push the cup for a change, YiXingShan. However, local enterprises have not received the attention they deserve. Rarely what parks form what industrial clusters or scale effects, not to mention radiation capacity, low correlation with the local economy or even increase local debt. At the same time,
, the land as the driving factor of the urbanization process, the rapid expansion of urbanization, suburban farmers in the hands of the land into the white flower ticket into the city's big house, lost land farmers transfer to the county town gathering has not been effectively applied, urbanization lags behind industrialization, but promotes the urban-rural dual structure of the contradiction intensified.
in addition, in the existing institutional structure, the county economy access to public resources in the current administrative system according to the administrative level of resource allocation is difficult to achieve, more public resources to large cities, provincial capital cities, including financial funds, financial credit, land indicators and so on. Based on the difference in the ability to obtain development resources, the central city attracts the resources and production factors of the surrounding counties to gather to it, and promotes the regional center city to take the lead in obtaining development. In this way, our county in the context of a lack of resources to talk about development, talk about what attraction? With what carrying capacity to achieve the gathering of high-end elements such as talent, technology, information? County industrial upgrading is in trouble.
, many counties in China have inadequate functions, education, medical care, scientific research resources, especially high-quality resources lack, lack of sufficient carrying capacity, it is difficult to attract talent, technology, information and other high-end elements. Capital, technology and management, information and other factors of production are concentrated in cities, county economy is generally insufficient funds, lack of talent and other problems, development is severely restricted.
county economic development in the traditional thinking and administrative division of the hierarchy of the difficult, urgent to break through the difficulties. The financial and governance capacity of the county has always been an important difficulty in the governance of the government, "the county rules the world is safe, the county is rich is the country strong." In today's highly developed Internet technology, the scope of market mechanism allocation of resources is more and more extensive, the county and the world's contact between the distance, the premise must be on the one hand to break the administrative division of the thinking inertia, break the limitationof time and space, level, put the county into the global, national, provincial pattern to measure and locate, deeply explore their own advantages, actively use Internet technology to promote resource allocation, promote the scientific and technological revolution The upgrading of the industrial revolution, dare to establish the link between the county and the world, find the opportunity of comparative advantage and development, in the process of promoting the pace of small town construction, integrate the labor force released from the rural reform and the labor force to return home to start a business, borrow the Internet and technology innovation, look at the acquisition and rationing ability of global market resources, gather the resources of small towns to concentrate the advantages, to upgrade the third industry and match the secondary industry.