The First Affiliated Hospital of Zhengda University, who honestly handed in homework, never expected to become a hot search in such a form.
Today, the First Affiliated Hospital of Zhengda University was sent to the Weibo hot search because of its announced revenue of more than 20 billion, which attracted the attention of all parties.
Picture from: Weibo
Should public hospitals publish transcripts? Does this behavior run counter to the public welfare nature of the hospital? Discussions on these topics have led to a split in the public opinion field. However, there are some different views in the management circle of public hospitals, which may be worth listening to.
It’s not so much a “post card”,
It’s better to say “hand in homework”
If the First Affiliated Hospital of Zhengzhou University publishes the “2021 Final Accounts of the First Affiliated Hospital of Zhengzhou University” (hereinafter referred to as “Final Accounts”) on its official website, it is understood as “posting transcripts”, I am afraid that the vast majority of hospital managers and experts will call the former “injustice”!
Why?
Because this “Final Account” is filled out and made public, it is not only the family of the First Affiliated Hospital of Zhengda University – as long as it is a family and public institution, it must fill in this “Final Account” and publicize it. Submit to the deputies for deliberation. It’s just that some hospitals are listed on their official websites, and some are listed on the local financial official website.
“The (unit final accounts) of all public hospitals in (Shanghai) can be found on relevant government websites. This is a policy that public institutions must disclose to the society, and there is nothing to discuss. .” Dr. Shi Ge, an expert in hospital performance management and Shanghai Xinhua Hospital, told the “Medical Community Think Tank”, “It does not involve the specific economic operation of a hospital, nor does it reflect the specific operational capability of a hospital.”< /p>
A more popular understanding is that public hospitals, as public institutions, receive state financial appropriations, and state finances come from taxpayers and taxpayers, so they are obliged to explain to the state the specific use of financial appropriations. And open to the public, Zheng University First Affiliated Court announced the “final accounts”, is to fulfill this obligation. It should be noted that the disclosure obligation here is limited to this, and does not include the “income from public institutions” that can truly reflect the hospital’s revenue capacity.
“The report we have seen is only a table that reflects the public financial budget and final accounts, not a table of the hospital’s own internal operations, and there are more than 20 pages that we can’t see. Because it is not a listed company , this part of the income is not funded by the state, so public hospitals can only report this item to the higher-level units, and there is no need to disclose it to the society.” Dr. Shi Ge said.
In fact, in addition to public institutions in mainland China, publicizing the details of the financial allocation of hospitals is also applicable to many countries and regions, such as Taiwan, China. Professor Fu Tianming, chief expert of Huihong Medical Management Group, said that both public and private hospitals in Taiwan must disclose this part of the financial allocation online.
The First Affiliated Hospital of Zhengda University, which has a revenue of more than 20 billion yuan,
Does it really make a lot of money?
“If you only look at the business income of the First Affiliated Hospital of Zhengda University(medical income)One item is only 18.6 billion. If Not counting the ‘other income’ of 2.29 billion, it is actually a loss.” In response to the outside world’s doubt that Zhengda First Affiliated Hospital earns too much in income of more than 20 billion, Professor Fu Tianming pointed out this point sharply, and He added that most hospitals in China have a slight surplus of around 3%-5%. Based on this ratio, the balance of the First Affiliated Hospital of Zhengda University is about 1 billion yuan, which is a normal level. The surplus of particularly excellent hospitals is expected to reach about 10%. .
Tabulation: medical field, data source: “2021 Annual Final Accounts of the First Affiliated Hospital of Zhengzhou University”
This piece of other income as high as nearly 2.3 billion has turned the book of Zhengda First Affiliated Hospital into a profit. Income other than business income, subsidy income from superiors, income from affiliated units, and operating income. The “medical think tank” checked the 2020 final accounts of the First Affiliated Hospital of Zhengda University and found that the figure was 210.8993 million yuan, a year-on-year increase of +987%.
“2020 Final Accounts of the First Affiliated Hospital of Zhengzhou University”, from the official website of the First Affiliated Hospital of Zhengzhou University
“In addition to its own medical income, hospitals also have other institutions, such as parking lots, canteens, restaurants, etc., which also generate income. Some hospitals will attribute this to ‘other income'” Professor Fu Tianming said.
Dr. Scott added that this item sometimes includes some state financial subsidies that were not applied for at the beginning of the year, and this part of the subsidies is likely to be unexpected when the budget was submitted at the beginning of the year.
Combining with the actual situation, in addition to the economic pressure brought about by the anti-epidemic in Henan, the First Affiliated Hospital of Zhengzhou University also experienced a heavy rainstorm in Zhengzhou on July 20, so the amount in this column reached nearly 23 A billion seems to be excusable.
And if you look at the income of public institutions that reflect the core revenue capability of the hospital, Zhengda First Affiliated Hospital’s revenue in 2021 will be 18.6 billion and 2020 will be 17.7 billion, a year-on-year increase of +5%. The increase is even lower than the national GDP growth rate in 2021 (8.1%), and the industry generally believes that the growth rate of hospital revenue is slightly higher than the national GDP growth rate.
In addition, considering that the First Affiliated Hospital of Zhengda University took over the Henan Provincial Hospital in September last year, it has officially entered the era of “one hospital and four districts” (He Hospital District, Zhengdong Hospital District, Huiji District Hospital area, airport area), the number of beds has reached about 12,000, and the top spot of the largest hospital in the universe has become more stable. A large hospital of this scale has a revenue of more than 20 billion yuan, and both experts said that this level matches its scale.
Well-run Chinese public hospital,
Is it possible to have a surplus?
Because the public is quite sensitive to the growth of hospital income, a considerable number of public hospitals are also very secretive about the specific income figures.
Professor Fu Tianming holds a more open attitude: “The price of all medical services in the hospital is set by the state, and the cost is uniformly purchased within the scope of state control. If you do illegal things, then from an operational benefit point of view, generating an economic balance is something to be encouraged.”
In fact, encouraging self-financing and stable operation has become an important direction for the high-quality development of public hospitals. Among the 26 indicators in the national examination, there is a “medical surplus rate”. Some experts even bluntly said that this item should be a veto item in the national examination of public hospitals – if you can’t even do basic self-financing, how can you talk about high-quality operation?
“I also support this statement. And many resources of public hospitals are provided free of charge by the state. If you can’t do basic operations well, there are indeed some operational problems.” But Dr. Shi Ge It is also acknowledged that this evaluation standard is applicable to the assessment of normal years, and may not be applicable once it encounters abnormal years. For example, the “Mandarin Duck Seal” experienced in Shanghai this year has been suspended for nearly two months. In particular, some well-known public hospitals and advantageous disciplines in Shanghai have been greatly impacted. Patients from other places cannot enter, and the huge losses will be spread evenly. It was really stressful for a few months. “But comparing the health care surplus rate with that of a sibling hospital can still tell some things.”
Even the industry jokes that June is a good time to test high-level departments in Shanghai. The higher the level of departments, the less people see a doctor. Because most of the patients in such departments are from other places, and once Shanghai is unblocked, they also rebounded the fastest.
See what netizens say?
What do you think?
@Muggle: Just looking at the absolute value and not the size is a hooligan. Are we rich in China’s economy second in the world?
@dong: According to the official website of the First Affiliated Hospital of Zhengda University: In 2021, the total income of the First Affiliated Hospital of Zhengda University in 2021 will be 21.878 billion yuan, and the total expenditure will be 20.834 billion yuan. In other words, although the revenue of the First Affiliated Hospital of Zhengda University in 2021 will reach 21.878 billion, the balance will only be 1.044 billion. 1.044 billion sounds like a lot. However, among the income of the First Affiliated Hospital of Zhengda University, there is 980 million yuan in government financial appropriations. Government financial appropriations are basically earmarked for specific purposes, such as for hospital construction. Although they are statistically included in hospital revenue, this is only a paper figure. After deducting the 980 million yuan of financial allocation, the financial balance of the First Affiliated Hospital of Zhengda University in 2021 is only 64 million yuan. In fact, this mere 64 million yuan is not entirely derived from medical income, which should also include other income such as hospital tertiary production, transfer of scientific research results, and transfer of patented technology. If all these things are deducted, the money the hospital earns from patients should be close to zero, or even negative.
@Plain: Isn’t earning zero nonsense? What is the salary and performance issued? What is the per capita income? Isn’t this income? How can you say that you earn zero yuan from patients, not from patients, but also from medical insurance?
@Yu-Shuang: The revenue of 21.8 billion is still affected by factors such as the 7.20 floods and multiple epidemics in Zhengzhou in 2021, and the hospital was forced to shut down for many days. 21.8 billion~
@ Yue Hongwen: Hospital assessment indicators are patient satisfaction, cure rate and other indicators related to value medical care
Source: Medical Think Tank
Proofreading: Zang Hengjia
Editor in charge: Tian Dongliang
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