Recently, Founder Securities issued an industry report on “ Medical Supply Side Reform to Help Market-Oriented Pricing of Medical Servicesâ€. From the perspective of supply-side reform, this report puts forward a constructive view on the problems faced by the current medical reform and the direction of reform. The author divides the core viewpoint into four chapters, which are presented in sequence.
In the article on the lack of supply side, which is the core of medical reform and the essence of the medical industry , the core of medical reform lies in supply-side reform. The core of supply-side reform is to relieve the hospital's binding to doctors. Therefore, we will follow doctors and hospitals respectively. From the perspective of analyzing the changes in the supply side of medical services.
1 Domestic medical services need to be re-marketed
The level of practicing doctors in China presents an inverted pyramid structure. From the bottom to the top, the resident doctor, the attending physician, the deputy chief physician, and the chief physician, the annual income increases in turn, and the number of people decreases in turn. The highest proportion of the basic salary of Chinese doctors is determined by the professional title. Because the title represents the medical ability and qualifications of a doctor, the hospital bonus, department bonus and financial support income of the pharmaceutical company are also determined indirectly by the title. The average annual income of a doctor with a title can reach 100,000 yuan and the annual income of a junior title is only 55,000 yuan.
In contrast, China's medical service pricing and doctor's income are very different from those in the United States.
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The market-based pricing of US medical services is essentially due to the fact that the American doctor system is an access mechanism. The American doctor training system is characterized by a long period of study and training (average of 13 years, some high-precision surgery is longer), and a strict elimination system (low medical admission rate, strict examination of resident medical training) to control The number of doctors who are qualified for medical treatment makes the relationship between supply and demand of medical services more favorable to the seller to maintain the high price of medical services.
Chinese doctor resources are deeply tied up in public hospitals, and all aspects of doctors' claims are tied to public hospitals, including income, professional titles, research, and teaching. The survey of doctors in the garden of cloves also shows that the title is the second most important reason why doctors believe that income is affected after the hospital or department benefits.
2Doctor Group - Market Pricing for Medical Services
The doctor group refers to an independent legal entity composed of at least two doctors. It can meet the needs of doctors for free practice, brand construction, risk control and operational management. It is the only way for doctors to allocate resources. At present, domestic multi-point practice, social medical treatment, and grading diagnosis and treatment policies all contribute to the development of doctors' groups.
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The doctor group operates in a way that works with hospitals and capital, where hospitals provide platforms and patients, and capital supports operations. Since the development of the doctors' group, there are not many barriers to talents and funds. The key factors are policies, brands, patients, supporting facilities, and operation management.
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