A Study On The Proportion Of Shares In PPP Project Of A Public Hospital

With the continuous advancement of supply-side reforms in the new era,the reform of the medical construction system has entered deep-water areas.There are many problems in the development of public hospitals,such as backward management systems and low management efficiency.They have become the focus of reform in the new era.Introducing private capital is a better way to achieve reform results among them.This includes the privatization of hospitals or public-private partnerships(PPP projects).Because the government's intervention can prevent the public hospitals from losing the public attribute,which has made the PPP project the main reform method at present.But there are still a lot of problems in the implementation of PPP projects.The core of implementation of PPP is how to allocate risks and returns and how to make reasonable equity investments to ensure that social capital has reasonable profit returns and risk commitments and that governments have reasonable social returns and risks bear.Solving the above problems is the key to successful PPP financing.This article aims at the construction of a PPP project in the northern district of a public hospital.Using the data of the southern district in which the hospital has been operating for many years,and operations research model is established under the conditions of ensuring that social capital achieves a reasonable rate of return and the government's social benefits are maximized.The optimal share participation ratio and its corresponding reasonable price were analyzed.In the research,this article uses the case study method,event study method,literature research method,and model building method.This paper draws the following main conclusions: First,without any subsidies,the proportion of shares of the public hospital is 44% invested by the social capital.Second,the hospital must be provided subsidies for tax reduction,which reflects the public nature of the hospital and guarantees the hospital's social benefits.The government can use the measures to adjust medical expenses to ensure the feasibility of the project and maximize the social benefits.Third,since tax income is the benefit of an investor(government)in the PPP project,the reduction of tax costs will not change the project's shareholding ratio.Fourth,the public hospital built by the PPP model can take advantage of various investors to reduce variable costs.The government can reduce variable costs through centralized procurement,while the social capital side can reduce variable costs by improving the efficiency of supply chain management.The reduction of variable costs will increase the rate of return of the entire project,which will not only reduce the share of social capital,but also reduce the reasonable charge fees of the project.This also reflects the advantages of improved management efficiency and cost savings brought by PPP projects.The reduction of variable cost makes the proportion of shares of the public hospital 37.42% invested by the social capital.There are three main innovations in this article.First,in this paper,the optimal equity participation model of public hospital PPP project is established.Based on the previous research and methods,this paper establishes the optimal equity participation model of public hospital PPP project.This not only enriches the application of investment evaluation model,but also provides ideas for the further deepening of relevant models and methods.Secend,this paper studies investment decision models in different scenarios,and combines a hospital PPP project to analyze the optimal investment ratio and the corresponding reasonable charges.It not only enriched the relevant literature,but also provided useful suggestions for governments and projects.This article analyzes the investment decision of a hospital's PPP project and provides ideas for future PPP project investment decision research in related industries.Third,most of the PPP investment decisions have focused on the construction of urban infrastructure such as parks by now.And there is less relevant literature on the research of PPP investment decision-making in the medical industry.