It has been ten years since the new round of medical reform was launched in 2009. At such a time node, what will China's medical care be like in 2019? From the following content, I believe you will get inspiration from it.
1. Medical care with quality and service is still scarce in China.
2. According to incomplete statistics, in the decade since 2009, there have been more than 50 documents issued at the national level that encourage social capital to run hospitals. On paper, it seems that the policy threshold for social capital to run hospitals has been greatly reduced.
But in fact, on the one hand, there are macro policies, no executable plans, and no specific operational guidelines for social capital to run hospitals;
On the other hand, the concept, position and mode of thinking of various state organs at all levels are far away from the market-oriented orientation required by social capital to run hospitals, and the actual threshold has become higher.
3. In terms of basic concept, there is a serious split between various medical related groups (patients, medical staff, pharmaceutical and medical device manufacturers and distributors, medical insurance companies, medical supervision departments, etc.): should hospitals make money?
Should medical staff always pursue to be saints and move China? Is medical treatment a science?
4. The medical investment craze has "reduced the fever". There are fewer people buying hospitals and more people selling hospitals. For the first time in nearly ten years, the price of poorly managed hospitals has loosened.
After many years of exploration, investors finally realized that despite the stable cash flow, good business growth and strong business anti economic cycle ability of medical services, there is a serious shortage of truly competent management professionals who have a long investment period, a long climbing period, strong professionalism, great management difficulty and great management difficulty.
The medical industry has changed from a fairy tale to a ghost story. However, the nature of medical treatment has never changed. The strange force has gone out of the arena. The people and institutions who really understand medical treatment have a good chance to go on the stage and do medical treatment reliably.
5. Medical investment can not earn fast money, not that it can not earn money.
First, don't worry. It's up to you to judge right and wrong. Although there are many pits, deep water, high winds and strong waves, the medical industry is still a billion level blue ocean;
Second, don't be afraid, gain or loss depends on the number. In the current low ebb, learn "Cat Winter", practice internal skills, pay attention to customer accumulation, operating cash flow, discipline construction, and wait for the coming spring;
Third, be shameless and listen to people's bad reputation. If you do well or not, someone will say something. You need a strong heart to face the noise.
6. China's medical system has always been, is, and will be dominated by public hospitals (especially public tertiary hospitals) in the foreseeable future. The administrative level determines the medical resources. As long as the state system remains unchanged, the medical system will not change.
By means of multi-point practice, prescription outflow, hierarchical diagnosis and treatment, doctors, prescriptions and patients are trying to move out of the overcrowded public tertiary hospitals, to the market and to the grass-roots level, but the administrative medical system has led to the stronger ability of hospitals with higher levels to absorb resources. The roots are there, and it's no use shaking the branches.
7. As China's economic growth slows down and fiscal revenue is limited, tight medical insurance has become the new normal.
Low cost and wide coverage will be the long-term work policy of medical insurance, and efforts to maintain balance of income and expenditure will be the long-term focus of medical insurance.
With the implementation and promotion of cost control measures such as "4+7" purchase in quantity and cost control of consumables, the differentiated medical needs of patients with high purchasing power have been further curbed, and the actual income of medical staff (especially experts) in public tertiary hospitals has been significantly affected.
Non public medical institutions with quality and strength will accelerate their growth and effectively supplement the existing medical system dominated by public tertiary hospitals.
8. The pressure of doctors' work and public opinion continues to increase.
The doctors in the news are saving people everywhere. They enjoy applause and praise on the plane, on the basketball court, and by the road. However, in the hospital where they work all day, the doctors risk being killed or hacked to death.
"Doctors are not gods" is the aspiration of more and more medical personnel. Organizations and public opinion that always want to "create gods" should listen to the voice of doctors: doctors are also human beings, and they also have their aspirations as human beings.
Doctors do not need to pursue "becoming gods", but should pursue to be a conscientious doctor, overcome the evil in their human nature, and live a decent life and be happy relying on their own medical skills. Doctors are the core of the medical system, and any medical reform that does not make doctors happy cannot succeed.
The doctor is unhappy, and the patient can hardly laugh to the end.
 
9. Medical consumption has entered a period of rapid development. With the help of new materials, new technologies and new media, a number of star enterprises will emerge in medical beauty, sports rehabilitation, postpartum rehabilitation, cellular immunotherapy, stem cells and hormone anti-aging and other sub fields.
 
10. Commercial health insurance represented by serious illness insurance has been growing rapidly in recent years, either because of the enhancement of insurance awareness or because of the anxiety about "there is no money to cure".
However, from insurance to security, what is needed is the core of medical care.
The problem returns to the origin: medical care with quality and service is scarce, and money can't buy it.