[Transfer] A large number of hospitals have survived difficulty

Source: Sai Bailan/Four Hi

01

More than 2,000 hospitals closed down, half of the public hospitals lost money

The bankruptcy, closure, and transfer. In today's business environment, it is not exclusive to pharmaceutical companies, and the hospital has also lived a "tight life".

According to public news, in April of this year, Changsha Tzu Chi Hospital refused to pay for labor remuneration and applied for bankruptcy liquidation; Qingdao Deren Traditional Chinese and Western Medicine Hospital caused losses due to poor management. Bankruptcy and reorganization; Guangdong South China Stomatology Hospital is not debt, applying for bankruptcy ...

Incontay statistics, since the epidemic, more than 2,000 private hospitals have gone bankrupt, and today, public hospitals have not escaped.

On June 27, 2021, the Fourth People's Hospital of Leshan City was officially closed. As a public hospital, it had a loss of 20 million before the epidemic, and it owed the supplier. There are tens of millions of pharmaceutical companies. "Everyone is holding their teeth. Under the epidemic, the cost of resistance has increased, and a hospital that is in difficulty in operating the operation is opened."

In July 2022, the National Health and Health Commission announced the data of the "National Examination" of the three -level hospitals nationwide. In 2020, 43.5%of the three -level public hospitals participating in the evaluation were negative. The hospital is less than 20%.

A research result of the National Health and Health Commission Health Development Research Center also confirms this trend. From January to September 2020, nearly 4,000 of nearly 9,000 public hospitals across the country fell into losses, with a loss of more than 60 billion yuan.

The loser mouth is large.

Pharmaceutical companies and agents who are in the downstream of power relationship are also reluctant to face the difficulty of repayment.

Subsequently, the drug supplier sued the hospital, and the hospital account was frozen, as if entering the strange circle.

"The current difficulty of operation is due to the epidemic. This is a systematic problem. If the hospital does not have a big development idea, it is difficult to jump out of the concrete." Huang Erdan, a researcher at the Health Development Research Center of the National Health and Health Commission, told the media Essence

"In the future, this situation will be more, especially private hospitals with inaccurate positioning, and public hospitals that are overwhelmed by debt." Xu Yucai told Siberlan that the hospital's bankruptcy closure will continue.

02

The loss of real gold and silver, the next stage will have a "tight life"

Although most of the private hospitals are in a large number of closed hospitals, public hospitals are not good.

The dean of a Trina Hospital in Hubei told Sai Bailan that most of the anti -epidemic costs were the hospital's own money. During the epidemic, the hospital should be alert to the red line. The overall operating efficiency of the hospital was only 20-30%of usual. The costs of paper, electricity consumption, and other costs must be strictly calculated. It is common to lose one or two million a month.

"In the next stage, it will have to live a" tight life '". Huang Erdan, a researcher at the Health Development Research Center of the National Health and Health Commission, predicts the operation status of the public hospital.

However, for public hospitals, the epidemic is just "the last straw that overwhelms the camel.

"At present, there are many difficulties in the operation of hospitals. The epidemic is just one of them. The most important thing is that medical insurance has begun to crack down on fraudulent insurance and starts the reform of medical insurance payment. The hospitals that have closed down in advance are unreasonable, weak in competitiveness, and poor internal operation levels. . "Xu Yucai added.

Public hospitals are facing structural pressure -zero bonuses for drug consumables, further reduction in testing prices, and external payment methods reform and performance assessment evaluation are facing public medical institutions.

Public data shows that in 2012, public hospitals accounted for 44.3%of total income, and medical service income accounted for 25.6%. After the cancellation of drug bonuses and compression circulation channels in 2020, the proportion of drugs dropped to 30.6%. However, the proportion of medical service income was increased to 28.5%.

That is to say, "Teng" has 14%of space, less than 4%of the hospital. "This will bring great difficulties to the operation of public hospitals."

A pharmaceutical representative revealed to Sai Boli, "In order to reduce the proportion of drugs, the hospital had to open more inspection projects, so as to lower the proportion of medicine."

In the past two years, Sai Bailan observed that in the past two years, the hospital began to build civil engineering, moved the medical examination department out of the hospital, set up a few floors of medical examination centers, and the physical examination became more and more "fragrant" of the hospital. In the concept of health management, most hospitals have also begun to create revenue by physical examination.

Back to private hospitals, in addition to the impact of the impact of the impact of the impact of passenger flow, the increase in marketing pressure, the increase in marketing pressure, the squeezing of public hospitals, and the restructuring of state -owned enterprises, it is difficult to escape.

"China Health and Health Statistical Yearbook 2021" shows that 23,500 non -public medical institutions across the country have a total loss of 130 billion yuan a year, with an average loss of 5.53 million yuan.

The director of a private hospital once told Sibailan that since the epidemic, the director has gone out to run customers. "Generally, it is an enterprise and institution.

Whether it is a public hospital or a private medical institution, the loss of real gold and silver is the core cause of the hospital's operating pressure.

03

It is difficult to repay the pharmaceutical company, dare not press the goods

Recently, 96 hospitals in Henan were named for only purchasing non -collection medicines; many hospitals in Wuhan were notified due to inaccurate reporting and failing procurement volume. Judging from the above -mentioned bankruptcy hospitals, most of them owe drug suppliers. The hospital operation is under pressure, and the purchase volume cannot be completed; the difficulty of the pharmaceutical company has become a problem that cannot be ignored.

In response to the difficulty of repayment, the person in charge of the marketing department of the pharmaceutical company told Sai Bailan, "Since the epidemic, in order to prevent the hospital's arrears, it generally signed a supplementary agreement with the local medical insurance bureau and allows the hospital to pay a regularly."

In the local area, Ningxia recently issued relevant policies, and medical insurance and pharmaceutical companies settled directly. The above -mentioned pharmaceutical representatives said that the pharmaceutical companies and hospitals also have agents and distributors. The original hospital was owed by agents. Now the direct settlement of medical insurance and pharmaceutical companies will be converted to arrears?

In addition to the difficulty of repayment, county medical institutions began to rescue themselves. In order to promote hierarchical diagnosis and treatment, the government has made huge sums of money to build a hospital. The county hospitals that cannot be retained now have begun to engage in "scene revolution": introducing shopping malls and coffee shops.

A staff member of a county maternal and child health hospital told Sai Boban that the salary was paid last month, and the salary standard was ten years ago. "It's good to be able to pay for salary."

A pharmaceutical company responsible for the grass -roots clinic market said that he did not dare to press the goods, and the clinic faced closure.

Some people in the industry said that after a large number of private hospitals closed, the epidemic passed, and the "big three" will usher in a new wave of expansion.

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