Isn't public hospital?State statistics said that nearly half of the loss, some rely on bank borrowing

On August 2nd, after 20 hours of discontinuation, the outpatient clinic of Huaxi Hospital of Sichuan University was reopened.

Due to the positive nucleic acid in hospitalized patients, before, Huaxi Hospital announced the suspension of some outpatient clinics. As the "second largest hospital in the country", the average daily outpatient vision of Huaxi Hospital is more than 20,000, and the income flow of a day reaches 1.9 billion.

The Jianzhi Bureau was informed that after the decision to suspend the diagnosis, Huaxi Hospital received a complaint from many citizens. After the review, the hospital announced on August 1: The results of the nuclear acids of the staff of the hospital were negative, and the 728 environmental samples in the hospital were also negative. By a day.

Due to the suspension of the epidemic, it not only caused great inconvenience of the patient, but also had a great impact on hospital income.

At the beginning of July this year, the National Health and Health Commission released the overall operating situation of public hospitals in the country in 2020. Affected by the new crown epidemic that year, 2,500 three -level public hospitals in the country reached more than 40 % of the "negative medical surplus"; Increased by 16.75% in 2019

The financial system of public hospitals is not like ordinary enterprises, and many costs are not calculated. There is a loss under the implementation of the payment system, and the problem is not small.

The number of visits plummeted, and the arrears of salary occurred

In late July, the news of a public hospital's wages aroused widespread attention on the Internet.

This is the Second Hospital of Dandong, Liaoning: Zhen'an District Hospital in 1961. According to the relevant person in charge of the local Health and Health Bureau, the arrears of wages in Zhen'an District Hospital were mainly due to the impact of the epidemic, and "the outpatient income decreased significantly." However, according to the employees of Zhen'an District Hospital in Dandong, Liaoning, the hospital has not paid for 5 consecutive months, arrears for more than 20 years of endowment insurance and heating expenses, and has never paid the provident fund.

If the patient's patients are reduced, the hospital cannot make ends meet, and it will form a situation of arrears.

In recent years, with the implementation of policies such as national drugs and consumables, the composition of the income composition of public hospitals has also changed. In the past, the difference between the difference in the sales of drugs was sharply narrowed. According to statistics from the health industry, from 2012 to 2020, the proportion of drug revenue in public hospitals fell from 44.3%to 30.6%, while the proportion of medical service revenue increased from 25.6%to 28.5%.

However, during the epidemic, many regions took temporary control measures to prevent the spread of the epidemic. The hospital's closure and home isolation are affected by varying degrees of public hospitals. The phenomenon of Zhen'an District Hospital is actually projection of the country.

Since April this year, a more serious new crown epidemic has erupted in Shanghai and other places. According to data released by the National Health and Health Commission, in April this year, 250 million patients received patients across the country, a year -on -year decrease of 10.7%; small local hospitals were most affected, from 15.92 million in April 2021 to April this year 13.915 million people, a year -on -year decrease of 13%. The declines of first -level hospitals, secondary hospitals, and third -level hospitals were 6.2%, 4.5%, and 12.2%, respectively.

Liaoning Province is one of the provinces affected by the epidemic this year. As of late July, when the incident in the Zhen'an District Hospital in Dandong, there were nearly 2,000 confirmed cases in the province of Liaoning. On July 19, the Dandong Municipal Government also stated at a press conference on the epidemic prevention and control that as a border port city, Dandong's pressure on "external prevention input and internal prevention and rebound" was still great.

How many hospitals are there in the country?

No money in finance, the hospital borrows debt days

It is also not easy to live in Huludao Public Hospital in Huludao City, next to Liaoning.

On July 6, the Huludao Municipal Health and Health Commission said in response to the proposal of the CPPCC member of the Municipal Committee of the CPPCC: Since 2020, the hospital's "protective material costs have increased significantly and the medical revenue decreases". "There is a trend of rising."

The problems exposed by the public hospitals in Dandong and Huludao are just the tip of the iceberg.

At the beginning of July this year, the results of the performance assessment of the National Second and Third Public Hospitals announced by the National Health and Health Commission showed that in 2020, the medical surplus in 20 provinces across the country was negative. Of the more than 2500 three -level hospitals participating in the assessment, 43.5%were losing money, which was 25%more than in 2019. The second -level hospital is relatively good, and the losses have increased by 16.75%over 2019.

Public hospitals losing money is basically due to the increase in prevention and control input and operating costs.

The income of public hospitals is generally derived from the two parts: hospital revenue and fiscal allocation. Usually, if public hospitals can't reliable, they can still have a financial pocket. But in the new crown epidemic, fiscal investment is not reliable. The Huludao City Health and Health Commission said that the municipal fiscal revenue was also affected by the epidemic: "It is necessary to ensure that the debt repay on time, but also ensure that the salary of the personnel of the institution and institutions is very difficult to maintain normal operation."

After inquiring the Jianzhi Bureau, it was found that in the first half of this year, the general public budget revenue of Huludao City was 2.77 billion yuan, but the expenditure was as high as 10.23 billion yuan. It is really difficult to "make up for public hospitals."

There are similar situations in many areas across the country. According to the health industry, the three -way hospitals in a prefecture -level city in Hebei in accordance with the requirements of the municipal government, after the transformation of the infectious disease department, the department's expenses increased significantly. However, when the relevant person in charge applied for compensation from the local Wei and health part, the response received was "the government has no money and cannot be solved."

Some public hospitals choose to borrow from the bank.The Jianzhi Bureau learned that during the Henan epidemic at the beginning of this year, a second -A hospital in Anyang applied to local banks for a mobile loan of 20 million yuan due to the shortage of medical supplies.In addition, according to industry media reports, in April this year, when the epidemic situation in Mudanjiang, Heilongjiang, the worst of the employee of a local tertiary hospital, the procurement of drugs and consumables, all relying on loans.The latest data from the National Health and Health Commission in July shows that in 2020, the ratio of long -term borrowing debt in secondary public hospitals accounted for 29.22%of hospital liabilities.If you continue to develop in this trend, the debt crisis of public hospitals may erupt at any time.

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