我国"十三五"时期社会办医政策回顾与分析

Review and analysis of policies for private hospitals during the 13th Five-Year Plan period in China

"十三五"时期我国出台了一系列社会办医政策,对社会力量举办医疗机构产生重要影响。本研究通过梳理2016年1月至2020年1月的161项政策性文件,从准入审批、综合监管、财税支持、配套政策、人才建设、开放创新和资源共享等方面回顾国家政策措施,发现我国政策具有内容一脉相承、覆盖全面、兼顾中西医发展等特征。2016年至2020年,我国社会办医向好发展,但存在专业技术能力不足、与公立医疗的发展协同性低、监管评价体系不全面等现实问题。因此在"十四五"时期应实现社会办医管理向现代化治理转变,整合社会办医发展政策,优化审批准入制度,规范监管评价体系,加强发展资源共享,强化专业人才建设,坚持公平开放创新理念,以促进社会办医可持续发展。

During the 13th Five-Year Plan period,China issued a series of policies for private hospitals,which made an important impact on the running of medical institutions by social forces.One hundred and sixty-one policy documents for private hospitals were sorted out from January 2016 to January 2020,national policies and measures in terms of access approval,comprehensive supervision,fiscal and taxation support,supporting policies,talent development,open innovation,and resource sharing were being reviewed.It found that the characteristics of China's policies were consistent in content,comprehensive in coverage,and supported the development of traditional Chinese and Western medicine.From 2016 to 2020,the total number of private medical institutions in China maintained growth,however,there were some practical problems,such as insufficient professional and technical capacity,low coordination development with public healthcare,and incomplete supervision and evaluation system.Therefore,during the 14th Five-Year Plan period,we should realize the transformation from private hospital management to modern governance,integrate private hospital development policies,optimize the system of approval and access,standardize the supervision and evaluation system,enhance the sharing of development resources,strengthen the construction of professionals,adhere to the concept of fairness,openness,and innovation,so as to promote the sustainable development of private hospitals.